Balanced Scorecard for Performance Measurement of a Nursing Organization in a Korean Hospital

대학병원 간호조직 균형 성과지표의 적합성 검증

  • Hong, Yoon-Mi (Department of Nursing, Kwandoog Universty) ;
  • Hwang, Kyung-Ja (Director of Nursing Department, Myongji Hospital, Kwandong University) ;
  • Kim, Mi-Ja (College or Nursing, University of Illinois at Chicago) ;
  • Park, Chang-Gi (College or Nursing, University of Illinois at Chicago)
  • 홍윤미 (관동대학교 간호학과) ;
  • 황경자 (관동대학교 명지병원 간호부) ;
  • 김미자 (시카고 일리노이대학교 간호대학) ;
  • 박창기 (시카고 일리노이대학교 간호대학)
  • Published : 2008.02.29

Abstract

Purpose: The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators. Method: Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC. Result: Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value>1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool. Conclusion: High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.

Keywords

References

  1. Chow, C. W., Ganulin, D., Teknika, O., Haddad, K., & Williamson, J. (1998). The balanced scorecard: a potent tool for energizing and focusing healthcare organization management. J Healthc Manag, 43, 263-280 https://doi.org/10.1097/00115514-199805000-00010
  2. Cronin, S. N., & Becherer, D. (1999). Recognition of staff nurse job performance and achievements: staff and manager perceptions. J Nurs Adm, 29(1), 26-31
  3. Curtright, J. W., Stolp-Smith, S. C., & Edell, E. S. (2000). Strategic performance management: development of a performance measurement system at the Mayo Clinic. J Health Manag, 45(1), 58-68
  4. Ha, C. H. (2001). Balanced performance measurement system for strategic learning. Unpublished master's thesis, Sogang University, Seoul
  5. Hair, J. F., Tatham, R. L., Anderson, R. E., & Black, W. (1998). Multivariate data analysis (5th ed). New Jersey: Prentice Hall Inc
  6. Jang, H. W., & Lee, S. S. (2006). A study on the effects of critical success factors to the management performance. DAEHAN J Business, 19, 2561-2584
  7. Kang, K. H., & Kim, I. S. (2005). Development of performance measure indicators in hospital nursing units. J Korean Acad Nurs, 35, 451-460 https://doi.org/10.4040/jkan.2005.35.3.451
  8. Kaplan, R. S., & Norton, D. P., (1992). The balanced scorecard-measures that drive performance. Harv Bus Rev, 70(1), 71-79
  9. Kim, H. J. (2006). A study on indicator development to evaluate hospital information system-based on balanced scorecard method. Unpublished master's thesis, Yonsei University, Seoul
  10. Kim, I. S., Lee, H. J., Kang, K. H., & Jang, S. J. (2005). A survey for performance measurement indicators of nursing organizations in hospitals. J Korean Acad Nurs Admin, 11, 385-399
  11. Kim, J. H. (1999). The reliability and validity test of psychosocial well-being index (PWI). J Korean Acad Nurs, 29, 304-313 https://doi.org/10.4040/jkan.1999.29.2.304
  12. Kim, W. P. (2005). Lectures on statistical analysis by SPSS-basic course. Seoul: Research Institute for Society and Statistics
  13. Kim, Y. K., & Lee, S. B. (2005). A study on the performance measurement of PBLIS using BSC. J Korean Society Cadastre, 21, 17-32
  14. Kim, Y. S. (2006). Development of performance measurement indicators for nursing on delivery units. Unpublished master's thesis, Yonsei University, Seoul
  15. Kwak, T., Chang, H., & Song, J. (2005). Development of performance indicators based on balanced scorecard for school food service facilities. Korean J Community Nutrition, 10, 905- 919
  16. Lee, Y. U. (2005). Using the balanced scorecard in a department of police investigation. Unpublished master's thesis, Hankuk University of Foreign Studies, Seoul
  17. Lee, Y. Y., Lim, N. Y., & Park, H. A. (1998). Nursing and medical research, and statistics. Seoul: Somoon Publishing Company
  18. Nam, M. S., Park, J. S., & Rhu, R. D. (1999). The system of performance evaluation for the realization of knowledge management, team play and annual salary system. Seoul: Korea Publication Society for the Press Data
  19. Niven, P. R. (2002). Balanced scorecard-step by step: maximizing performance and maintaining results. New York: John Wiley & Sons, Inc
  20. Park, G. S., & Bae, B. H. (2004). A study on the interactions of between team task-characteristics and diversity performance measures, team-based compensation on the team performance. J Bus Res, 19, 115-142
  21. Park, S. H. (2004). Development of criteria of performance evaluation for hematopoietic stem cell transplantation nursing unit. Unpublished master's thesis, Seoul National University, Seoul
  22. Shin, S. S., & Huh, D. W. (2005). A study on the measuring CRM system performance using Balanced Scorecard. Korean J Accounting Research, 10(1), 25-50
  23. Streiner, L. D., & Norman, R. G. (2003). Health measurement scales a practical guide to their development and use (3rd ed.). New York: Oxford University Press Inc
  24. Sung, T. J. (1995). The validity and reliability test. Seoul: Yangsewon
  25. Waltz, C. F., & Bausell, R. B. (1981). Nursing research design statistics and computer analysis. Philadelphia: F. A. Davis company
  26. Yi, S. W., & Jung, Y. D. (2006). A Study on the Non-financial Drivers Influencing the Performance of Small and Medium Firms in Automobile Parts Industry. Paper presented at the meeting of the DAEHAN Association of Business Administration, Seoul, Korea
  27. Yoo J. I. (2001). Development of a Performance measurement system for the perioperative nursing unit using the balanced scorecard. Unpublished master's thesis, Yonsei University, Seoul