• 대한간호학회지
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• 제46권5호
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• pp.697-709
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• 2016

Purpose: This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory. Methods: Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program. Results: The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses. Conclusion: The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

• 재활간호학회지
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• 제19권1호
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• pp.12-19
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• 2016

Purpose: This study was to examine the relationships between nurse's perception of patient safety culture and performance for safety nursing activities at rehabilitation hospitals. Methods: This study applied a descriptive research design. Participants were 194 nurses who have provided nursing services for more than 6 months at 4 rehabilitation hospitals located in B metropolitan city. Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients and multiple regression. Results: There was a positive correlation between the awareness of patient safety culture and safety nursing activity. Multivariate analysis showed that hospital work environment, experience of education, hospital climate, frequency of reported events, and marital status were significantly associated with the safety nursing activity. Overall, approximately 23.1% of total variability in the safety nursing activity could be explained by the 5 variables ($R^2=0.231$, p<.005). Conclusion: Nurses at rehabilitation hospitals are relatively positive about patient safety culture. Therefore, we need to develop safety education programs at the level of organization in order to improve patient safety through performing effective safety nursing activities in addition to increase awareness of patient safety culture among nurses. Furthermore, we need hospital's strategies at the system level for open communication and outcome reports regarding patient safety.

• 디지털융복합연구
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• 제16권5호
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• pp.317-327
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• 2018

본 연구는 간호사의 감정노동이 이직의도에 미치는 과정에서 간호조직문화의 매개효과를 파악하기 위함이다. 대상자는 G시 소재한 종합병원에 근무하는 간호사 363명으로 2017년 10월 17일부터 10월 31일까지 자료수집 후 SPSS 21.0을 이용하여 분석하였다. 연구결과, 감정노동과 이직의도와의 관계에서 관계지향문화와 혁신지향문화는 감정노동의 빈도와 이직의도와의 관계를 부분 매개하는 것으로 나타났다. 본 연구결과는 바람직한 감정표현으로 긍정적인 상호관계를 조성함으로써 조직의 원활한 관계 및 응집력을 높이기 위한 간호조직문화의 중요함이 이직을 낮출 수 있음을 보여준다. 따라서 추후 신규간호사의 이직률을 줄이기 위한 교육프로그램 및 경력간호사를 위한 경력 별 다양한 교육프로그램을 적용하여 조직문화를 조성해 나가야 할 것이다.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2945-2957
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• 2013

본 연구는 상급종합병원간호사의 비판적사고, 간호조직문화 유형, 근거기반실무 준비도를 파악하고, 근거기반실무 준비도(지식/기술, 태도, 조직의 지원)에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 자료는 2013년 3월 21일부터 3월 28일까지 2개 상급종합병원에서 근무하는 간호사 160명을 대상으로 조사하였다. 수집된 자료는 t-test, ANOVA, 상관분석, 회귀분석으로 검정하였으며, 모든 검정의 유의수준은 p<.05이었다. 근거기반실무지식/기술의 영향요인은 비판적사고이었으며 34.7% 예측 설명하였고, 근거기반실무 태도의 영향요인은 근거기반실무지식/기술, 외과병동이었으며 14.2% 예측 설명하였다. 근거기반실무를 위한 조직의 지원에 대한 영향요인은 혁신지향문화, 관계지향문화이었으며 24.6% 예측 설명하였다. 따라서 근거기반실무 도입과 활성화를 위해서 간호부 차원에서의 비판적 사고와 근거기반실무 지식/기술을 높이기 위한 교육프로그램 개발 및 적용과 더불어 간호조직의 문화를 혁신지향문화로 조성하기 위한 체계적 지원구축이 요구된다.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.57-70
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• 2014

Objectives: The purpose of this study was to build a conceptual framework of bullying in nursing workplace. Methods: A comprehensive literature review was conducted to identify concepts in relation to bullying in nursing workplace by searching research articles published between 1995 and 2013. In-depth interviews were performed with 14 nurses who experienced bullying at work. The Hybrid Model was applied for concept analysis which led to identify attributes of bullying in nursing workplace. Results: The antecedents of bullying in nursing workplace were offenders, victims, and administrators. They create negative effects on organizational culture and imbalance of power between authority and subordinate workers in the organization. Bullying in nursing workplace that occurred in the forms of inefficient organizational culture, imbalance of power, and the vulnerability of individual or individuals and groups of individuals formed an unstable dynamic. It is expressed as verbal and nonverbal bullying, work-related bullying, and external threats. Consequently, workplace bullying causes physical and psychological withdrawal and increased negative energy in an organization. Conclusions: Workplace bullying consisted of verbal abuse, alienation, unreasonable work processes, restriction on work-related rights, and external threat.

• 간호행정학회지
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• 제15권2호
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• pp.233-243
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• 2009

Purpose: The purposes of the study were to examine whether nurses' followership style influence organizational effectiveness and to test the model of organizational effectiveness including the factors of nursing organizational culture, leadership style, and followership style. Methods: Data were collected from July 10th to september 20th in 2006 from 451 nurses working in four acute care hospitals. Data analysis were performed by Chi-square test, ANOVA, Duncan test, Pearson Correlation, and maximum likelihood estimation, using the SAS and LISREL 8.30 program. Results: The findings showed that the types of nurses' followership were classified as passive (21.1%), alienated (8.2%), conformist (16.4%), pragmatist (35.9%), and effective style (18.4%). There was significant difference in the organizational effectiveness among the nurses with different followership styles. In testing the path model, transformational, transactional leadership directly influenced followership style. Followership directly influenced organizational effectiveness. Conclusion: The overall fitness of the model was good, evidenced by general fitness index (GFI)=.94, adjusted goodness of fitness index (AGFI)=.82, and root mean square residual (RMSEA)=.06. Based on the findings, it is recommended to develop a program for enhancing effective followership in nursing organization.

• 한국간호교육학회지
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• 제20권2호
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• pp.276-287
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• 2014

Purpose: The purpose of this study was to explore the clear concept of organizational commitment for effective nursing personnel management. Method: This study was conducted using Walker & Avant's conceptual analysis framework(2005). Results: Organizational commitment was identified with six attributes: acknowledgment, acceptance, trust, sacrifice, attachment, regulation. Antecedents of organizational commitment were personal characteristics, perceived organizational support, empowerment, fair compensation, job satisfaction, job autonomy, organizational culture, and leadership. Consequences of organizational commitment were turnover intention, job performance and organizational citizenship behavior. Conclusion: Organization commitment is a core concept for understanding the management of nursing personnel. Appropriate instruments to operationalize the concept of organizational commitment including six attributes need to be developed.

• 한국병원경영학회지
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• 제14권3호
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• pp.1-22
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• 2009

Purpose : The purpose of this study was to examine the effects of nursing organizational culture and head nurse's leadership on the job satisfaction. Methods : For the purpose, a structured questionnaire was conducted. The subjects were 232 nurses who were working in the 2 general hospitals. The data were collected from Sep. 1 to Sep. 20 of 2006. Data were analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson Correlation Coefficient, and multiple regression. Results : The dominant organizational culture of nursing organization was rank-oriented culture. The mean score of head nurse's transformational leadership and transactional leadership was 3.20 and 2.79 respectively. The best group of job satisfaction was affiliative-oriented culture group(3.31). The score of job satisfaction of transformational leadership's group was higher than that of transactional leadership's group. Job satisfaction was positively correlated with affiliative-oriented culture, innovative-oriented culture, task-oriented culture, and transformational leadership. Concerning of the job satisfaction, affiliative-oriented culture, rotation time and age explained 25.7%. Conclusion : The organizational culture and head nurse's leadership was correlated with job satisfaction. Especially affiliative-oriented culture and task-oriented culture influenced the job satisfaction. Based on the results, further development should be continued to develop the effective head nurse's leadership and organizational culture to improve the job satisfaction of nurses.

• 임상간호연구
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• 제25권1호
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• pp.34-42
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• 2019

Purpose: The purpose of this study was to examine the relationships of authentic leadership and nursing organizational culture to the intention of hospital nurses to stay in their current position. Methods: The participants of this study were 503 nurses in 8 hospitals. We collected data using questionnaires for assessing authentic leadership, nursing organization culture and intention to stay. For data analysis, t-test, ANOVA, Cronbach's ${\alpha}$, Pearson's correlation coefficient, Tukey test, Multiple regression were performed using SAS ver.9.4 (SAS Institute Inc., Cary, NC, USA). Results: Authentic leadership (${\beta}=.12$, p=.008) and relation-oriented culture (${\beta}=.13$, p=.009) affected the intention of the hospital nurses to stay. These variables accounted for 29% of the variance in the intention to stay among hospital nurses. Conclusion: The finding of this study shows that the authentic leadership and nursing organizational culture especially relation-focused can influence nurses' intention to stay in their current position. For retaining nurses, it is suggested to use an authentic leadership training program for nursing leaders and to make efforts to establish a relation-focused culture in the hospital.

• 한국융합학회논문지
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• 제13권2호
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• pp.331-340
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• 2022

본 연구는 중소병원 간호사의 간호전문직관, 간호조직문화 및 의사소통능력이 간호서비스 질에 미치는 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상은 G 광역시 300병상 미만 중소병원 간호사 166명이었으며, 자료수집은 2019년 8월 22일부터 8월 30일까지 진행하였다. 자료분석은 빈도와 백분율, ANOVA, t-test, Pearson correlation coefficient, Scheffe test, Stepwise multiple regression으로 분석하였다. 연구결과, 간호서비스 질에 영향요인은 간호전문직관(𝛽=.485, p<.001), 의사소통능력(𝛽=.354, p<.001), 위계지향조직문화(𝛽=.154, p<.01) 순이었다. 추정된 회귀모형의 적합도는 64.75(p<.001)의 F 통계량으로 유의하였으며, 54.6%의 설명력을 보였다. 본 연구결과를 토대로 간호서비스 질을 향상을 위한 방안을 모색하고 이를 위한 간호중재 프로그램을 개발하는데 기초자료로 유용하게 활용될 것으로 기대한다.