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Related Regulations of Hospital Personnel Management (병원 인력관리에 관한 관계법규 고찰)

  • Kim, Il-Kwon
    • Korea Journal of Hospital Management
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    • v.7 no.1
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    • pp.121-130
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    • 2002
  • As a hospital deals with people in their particular states, namely patients, computerization and automation in organization systems are very limited. Even though state-of-the-art medical systems such as the OCS, the HIS, the EMR, and the FACS are facilitating the computerization and informatization processes, they are for convenience and effectiveness. Ultimately, however, we should depend on specialists including doctors, nurses, pharmacists, and medical engineers. Therefore, a hospital is a representative labor-intensive body. Like other similar organizations, hospitals require a lot of manpower. But they are quite different in that hospital people hold variety and complexity in their qualifications and licenses. In personnel management, a hospital is twice controlled owing to the special characteristics that human life is at stake. First, the quota of medical manpower should be obeyed lest the quality of medical services should be lowered, and their roles and interrelations are even regulated. Second, in spite of the peculiarity of hospitals, the duties of obligatory employment and social insurances should not be neglected like other companies. In order that each hospital can preserve the proper level of medical services, securing the appropriate level of medical personnel has to be regulated. However, as the personnel cost is one of the important indices of hospital management, too much regulation in manpower supply can lead to poor hospital management and, in the end, the drop of the quality of medical services. In sum, as far as hospital personnel is concerned, some autonomy ought to be given to each hospital so that it can control the quality of hospital services. In addition to this minimum regulation of personnel, certain incentive and reward systems like the graded nursing system need to be prepared.

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Analysis of Hand Hygiene Practices of Health Care Personnels (의료기관 종사자의 손 위생 수행 분석)

  • Oh, Hyang Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6160-6168
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    • 2015
  • Hand hygiene(HH)of the health care personnels(HCPs) was the most effective method to prevent the transmission of healthcare associated infections. This study was conducted to measure and analysis the status of the HH compliance of HCPs. Data were collected by the direct observation methods of the World Health Organizations(WHO) using WHO's HH monitoring tool kits from 25th October to 31th December, 2010. Data were analyzed by descriptive statistics, cross analysis, multiple logistic analysis using the SPSS/PC 21 program. A total of 8,644 opportunities for HH were observed, and the overall HH compliance rate was 94.1%. HH rates of physicians was lowest(83.4%; OR: 0.209, 95%CI:0.174-0.252). HH rates were statistically different by the job titles(p<0.001), WHO's 5 moments(p<0.001). HH rates in registered nurses(p=0.003), and medical technicians(p<0.001) were statistically different by the WHO 5Moments. Jobs specific HH strategies and WHO 5Moments should be developed to increase the HH compliances of the HCPs.

For Non-for-Profit medical institutions, tax exemption benefits such as the United States should be basically provided. (비영리법인 의료기관의 과세 제도를 정비해야 할 시점: 미국 수준의 면세혜택 제공을 검토해야)

  • Lee, Jin Yong;Kim, Hyun Joo;Eun, Sang Jun
    • Korea Journal of Hospital Management
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    • v.23 no.4
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    • pp.81-86
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    • 2018
  • Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.

The Influence of Job Stress and Managerial Efficacy on Job Satisfaction among Korean Women Managers: Focusing on the Moderating Effect of Managerial Efficacy (여성관리자의 직무스트레스와 관리효능감이 직무만족에 미치는 영향: 관리효능감의 조절효과를 중심으로)

  • Park, Ki Tae;Noh, Wonjung
    • Stress
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    • v.26 no.4
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    • pp.327-331
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    • 2018
  • Background: For efficient management of an organization's human resource, it is crucial to increase the job satisfaction of women managers, since it is closely related to an individual's job performance and company's one. In this regard, this research explores how women managers' job stress and managerial efficacy affect their job satisfaction. Methods: This research uses the fifth wave of Korean Women Manager Panel (KWMP) collected in 2015. The 1,537 women managers who work at a company with 100 or more employees are employed and the data are analyzed using ordinary least squares (OLS). Results: Income, job stress, and managerial efficacy have a statistically significant effect on job satisfaction. In addition, managerial efficacy has a moderating effect between job-related stress and job satisfaction. Conclusions: This study suggests the meaningful findings that in terms of boosting women manager's job satisfaction, it is requested to promote their managerial efficacy at the human resource management level.

A Study on Job Satisfaction by Medical Information System Accomplishment

  • Kim, Chung-Gun;Sohn, Chang-yong;Chung, Yun-kyung
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1126-1135
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    • 2018
  • Purpose. The purpose of this study is to investigate the success model related to the hospital information system accomplishment. It is important to examine the success model of the hospital information system and to analyze the factors affecting the job satisfaction accomplishment. Methods. The method of this study is to 150 copies of the entire survey data were distributed and 135 copies were collected, showing a collection rate of 90%. In order to ensure the reliability of the questionnaire items, Cronbach's Alpha was used to test reliability, and exploratory factor analysis was conducted to determine the convergence of various items. In order to grasp the convergence of various items, exploratory factor analysis was performed. The results of exploratory factor analysis were used to analyze the correlations between variables that were proven to have a single dimensionality before calculating factor loadings and regression analysis by Orthogonal Rotation by Varimax method Results. The results of this study, first, the system quality of the hospital information system has a statistically significant effect on user satisfaction. Second, the information quality of hospital information system is statistically significant for user satisfaction, indicating that information quality improves user satisfaction. Third, service quality of hospital information system was statistically significant in user satisfaction. Finally, the higher the satisfaction of the users who use the hospital information system, the higher the accomplishment of the organization Conclusions. This study is based on the successful model of D & M information system. In addition, the hospital information system, the user satisfaction, and the organizational accomplishment in connection with it can be found significant.

Mediating Effect of Reciprocity in the Relationship between Emotional Labor and Turnover Intension of Clinical Nurses (임상간호사의 감정노동과 이직의도: 호혜성의 매개효과)

  • Kim, Eun-A
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.287-295
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    • 2021
  • This study was conducted to determine the mediating effect of reciprocity in the relationship between emotional labor and turnover intention of clinical nurses. The subjects were nurses from hospitals with over 300 beds in G city, and 197 data were analyzed. Data were analyzed t-test, ANOVA, Pearson correlation analysis, and multiple regression analysis. As a result, the turnover intention showed a positive correlation with emotional labor and a negative correlation with reciprocity. The emotional labor showed a negative correlation with reciprocity. Reciprocity showed a partial mediating effect between emotional labor and turnover intention. The higher the emotional labor and the lower the sub-factors of reciprocity, the higher the intention to turnover. Therefore, although it is important to reduce emotional labor in order to reduce the intention of the organization to turn away from clinical nurses experiencing emotional labor, it suggests that efforts to improve reciprocity and to prepare management plan are important.

Effects of Water Exercise Program on Physical Fitness, Pain and Quality of Life in Patients with Osteoarthritis (수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향)

  • Choi, Hee-Kwon;Kim, Nan-Soo;Kim, Hyun-Soo
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.55-65
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of water exercise program on physical fitness, pain and quality of life(QoL) in patients with osteoarthritis. Methods: Thirty-four old women were divided into the exercise(EG, n=18) and control groups(CG, n=16) after 6-week self-help education program. The EG carried out 6-week supervised water exercise program(60min/day, 2days/wk). Physical fitness, pain, and QoL were assessed by Senior Fitness Test Manual(Rikli & Jones, 2005), Pain rating scale(0-10) and World Health Organization QoL BREF(Min et al., 2000), respectively. Results: Both EG and CG increased upper and lower-body strength(all, p<.05), which were measured by arm curl and chair stand, respectively. For flexibility test, the EG increased upper and lower body(all, p<.05). Balance of the EG increased(p<.05), but not in the CG. Pain significantly decreased in the EG post training(p=.000). However, both EG and CG did not significantly improve for QoL. Conclusion: Six weeks of water exercise program did induce significant improvement in physical fitness and pain control in patients with osteoarthritis.

The Development and effectiveness of Learning Strategy Program for Junior College Students (전문대학생용 학습전략 프로그램 개발 및 효과)

  • Hwang Jae Gyu
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.299-311
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    • 2023
  • This study is to verify the development process and effectiveness of a learning strategy program for junior college students. The necessity and feasibility of learning strategy programs for junior college students were confirmed and reviewed through prior studies, and the program development process was divided into four stages: program planning, program development, program execution, and program evaluation, and integrated into program development management. In the first stage of program planning, the development direction, goals and objectives were set. In the second stage of program development, prior research analysis, content selection, program organization, and evaluation plan were conducted. In the third stage of execution, the program was executed, and in the fourth stage of evaluation, program evaluation was conducted to develop the program. In order to verify the effectiveness of the program, the test was conducted using the learning strategy diagnostic scale for junior college students to collect data, and the effectiveness was verified for the pre-, post-, and post-test scores.

Equating Two Health-related Quality of Life Instruments Applied to Cancer Survivors Who Underwent Palliative Care

  • Bongsam Choi;Heesu Kim;Sunhwi Bang;Byunggwan Kim;Jaekwang Shim
    • Physical Therapy Korea
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    • v.30 no.1
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    • pp.32-40
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    • 2023
  • Background: Equating is a statistical procedure used to create a common measurement scale across two instruments. Item-level information should be taken into consideration so that scores can communicate interchangeably across the instruments. Objects: To investigate a common measurement scale across two health-related quality of life questionnaires (HRQOL) applied to various cancer survivors who underwent palliative care in healthcare institutions. Methods: A total of 139 cancer survivors who underwent palliative care were recruited from two rehabilitation hospitals and an oriental medicine hospital. Participants consisted of various cancer survivors who presented to the sites for palliative care. They were asked to fill out Korean versions of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires following the palliative care. For the item level comparison, the Rasch rating scale model was used to investigate how participants regarded individual test items of two instruments in relation to item difficulty calibrations. Results: All items except the three items fit the Rasch model. One item (anxiety/depression) of the EQ-5D and two items (dependence on medical aids and negative feelings) of the WHOQOL-BREF are misfit. The WHOQOL-BREF targets the survivors well, while the EQ-5D is able to target the survivors with lower HRQOL levels with some ceiling effects. By inspecting the item difficulty calibrations of the two instruments, five items of the WHOQOL-BREF are selected as common items in relation to the EQ-5D. These five items are considered compatible with each other. Differential item functioning (DIF) analysis reveals that the healthcare item of the WHOQOL-BREF vs the self-care item of the EQ-5D exhibits significant DIF. Conclusion: Findings suggest that one paired item should be taken into consideration when equating the WHOQOL-BREF and the EQ-5D applied to cancer survivors who underwent palliative care.

Factors Influencing Infection Control Performance by Children's Hospital Nurses Infection Control Organizational Culture and Infection Prevention Environment (아동병원 간호사의 감염관리조직문화, 감염예방환경이 감염관리 수행에 미치는 영향)

  • Hyun-Mi Yang
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.3
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    • pp.675-684
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    • 2024
  • The purpose of the study is to determine the relationship between the infection control organizational culture, infection prevention environment, and infection control performance of nurses at a children's hospital and to identify factors affecting infection control performance. The subjects of the study were 160 nurses from five children's hospitals, and data collection was conducted from February 19 to 29, 2024. Data analysis was performed using frequency, percentage, mean, standard deviation, and difference analysis of variables using t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. As a result of the study, infection control performance was positively correlated with infection control organizational culture (r= .610, p< .001) and infection prevention environment (r= .586, p< .001), and as a result of multiple regression analysis, infection control organization The influencing factors appeared in the following order: culture (β= .369), infection prevention environment (β= .312), medical institution accreditation evaluation experience (β= .165), and infection control education experience (β= .137), and the overall explanatory power was It was 50.8% (F=41.966, p< .001). Based on the results of this study, to carry out infection control in children's hospitals, integrated management including the will and effort of individual nurses, support and policy from medical institutions and the government is needed, and the development of an infection control education program that takes into account the special characteristics of children's hospital nurses. Application is necessary.