• Title/Summary/Keyword: 병상

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A Study on the According to the Nursing Shortage of Job Satisfaction and Turnover Intention of Nurses (간호 인력난에 따른 간호사의 직무만족과 이직의도에 관한 연구 -부산지역 100병상 이상의 종합병원 중심-)

  • Jeong, Bong-Jae;Kim, Hye-Sook;Hwang, Sang-Kyu;Park, Jung-Hoon;Song, Su-Kyeong;Jeong, Mi-Yeong;Lim, Kyeong-Min;Kim, Mi-Sook
    • The Korean Journal of Health Service Management
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    • v.5 no.1
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    • pp.15-29
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    • 2011
  • Whether organizational members are satisfied with their job or not is most important in the organization that they belong to. Those who are more satisfied with their job have a less intention to get another occupation, and they are better motivated to improve their own job performance. Boosting job satisfaction is one of the sure ways to reduce invisible loss triggered by turnover or nonattendance and to enhance the quality of life of organizational members. Therefore the job satisfaction of organizational members should be raised to cut down on their turnover rate. The purpose of this study was to examine the relationship of the general characteristics of nurses to their job satisfaction and turnover intention in a bid to identify factors affecting their job satisfaction and turnover intention. The major findings of the study were as follows: First, as for job satisfaction and turnover intention, the nurses investigated got a mean of 2.92 and 3.13 respectively on overall job satisfaction and turnover intention out of five points. Their job satisfaction was slightly above the average (2.5), which indicated that they weren't gratified with their job. Their turnover intention was a little above the average as well, which implied Their turnover intention was a little above the average as well, which implied that there was a tendency for them to seek another job.

Perception and Behavior Regarding the Safety of Medical Devices among Medical Personnel at a Tertiary Care Hospital (의료기기 안전에 관한 대학병원 의료인들의 인식과 행동에 관한 연구)

  • Lim, Ji-Hye;Kim, Kyu-Sung;Kim, Sae-Rom;Kim, Young-Soon;Lee, Hun-Jae
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.4
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    • pp.287-297
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    • 2017
  • This exploratory study aimed to explore the perception (knowledge and attitude) and behaviors of medical personnel regarding medical device safety and to identify the differences in results linked with the type of their task. A questionnaire was administered to medical personnel working at a tertiary care hospital with 900 beds in Incheon, Korea, and 220 completed questionnaires were used for analysis. The results revealed that the majority of the medical personnel perceived the potential risk involved in different types of medical devices they use and stated that they need training programs for safe use of medical devices. Concerning the perception regarding medical devices across different positions within the hospital, it was found that the residents had a low awareness about safety issues, although the medical services they handled involve high risks, thereby calling for safety training. Further nationwide studies are needed to improve the quality and validity of data and eventually to provide important information required by policy makers and academicians to manage medical device safety.

A Study on the discriminating of the hospitals based on the efficient insurance conversion factor by AHP and DEA (효율적 건강보험수가에 기반을 둔 병원 그룹화에 관한 연구 -AHP와 DEA를 이용한 분석-)

  • O, Dong-Il
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1304-1316
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    • 2009
  • This study is for the pursuit of the basic application of the efficient conversion factor in the fee contract. This aims to investigate the effects of DEA efficiency index and conversion factors to identify and group the 60 hospitals with intern and residents education. To achieve the aims, AHP was used to select the inuput and output variables for DEA. It was found that the more inefficient in the technical and scale side, the higher the conversion factors were. Conversion factor and DEA efficiency index can be used very effectively to group and discriminant hospitals into a specialized general hospital and a general hospital. Even if the variables used to calculate DEA efficiency are applied to discriminant analysis, The conversion factor and DEA efficiency index have a significant power to make a function modeling. So, if we can make a more conclusive proof based on the large number samples, We can imagine to introduce a efficiency concept in the insurance fee contracts about a conversion factor in Korea Health Insurance System.

A Phenomenological Study on Psychosocial Nursing Care in Korea (한국에서의 사회심리적 간호에 관한 현상학적 연구)

  • Yi, Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.226-240
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    • 1994
  • 본 연구의 목적은 한국의 사회심리적 간호현상을 밝힘에 있다. 이를 위한 자료는9명의 임상경험이 많은 병원 간호사들을 심층면담하여 수집하였으며, 분석은 해석학적 현상학과 근거 이론 방법에서 사용하는 계속비교 분석 방법을 이용하였다. 사회심리적 간호는 ‘정보제공’, ‘위로’, ‘상담’, ‘지도’의 네가지 범주로 구분되었다. 이 중에서 정보제공이 가장 많이 사용되었고 중요하게 여겨 진 반면, 상담과 지도는 흔히 사용되지 않았다. 이는 상담과 지도는 고도의 의사소통 기술, 인간관계에 대한 이해, 그리고 타인에 대한 감성등이 요구되었기 때문이다. 사회심리적 간호제공에 방해를 주는 요인도 밝혀졌다. 첫째, 가족이나 보호자들의 상주로 인해 간호사들이 사회심리적 간호의 임을 이들에게 떠넘기는 경향이 있었다. 둘째, 간호사의 특성, 즉 치료적 인간관계를 확립할 수 있는 간호사의 능력부족이 방해요인이었다. 셋째, 신체적 간호만을 중시하고 높은 간호사대 환자 비율을 가진 병원 시스템이 방해요인이었다. 넷째, 조밀한 병상등의 병원환경도 해요인으로 나타났다. 사회심리적 간호는 간호사-환자-보호자 관계를 치료적으로 형성 유지할 수 있는 간호사의 능력에 따라 결정되었기 때문에 이에 대한 분석을 계속하였으며, 치료적 관계형성과 유지에 영향을 주는 요인은 다음과 같이 나타났다. 첫째, 간호사의 기술적, 신체적 간호의 유능성이 치료적 관계형성에 필요하였다. 둘째, 환자 및 보호자와 신뢰관계를 구축할 수 있는 능력이 필요하였다. 셋째, 환자의 요구에 따르는 역할을 제대로 수행할 수는 능력이 필요하였다. 즉, 치료적 관계형성은 환자와의 신뢰형성만으로는 부족하며, 환자와 보호자의 요구에 따르는 역할, 즉 정보제공자, 위로자, 상담자, 지도자의 역할까지도 수행할 수 있어야 함을 의미한다. 이 외에도, 간호사들이 치료적 관계를 형성하고 유지하기 위하여 사용한 대책들을 제시하고 논의하였다. 본 연구는 한국의 사회심리적 간호의 범주, 방해요인, 촉진요인 등을 설명하고 기술하였기에, 우리나라의 간호사들이 사회심리적 간호를 위해 어떠한 일들을 주로 수행하며, 어떻게 환자 및 보호자들과 상호작용하면서 간호중재를 펴나가는가를 이해하는데 도움을 주리라 여겨진다.

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The Effect of Organizational Culture Types on Organizational Commitment and Organizational Citizenship Behavior in Small and Medium Hospitals (중소병원의 조직문화가 조직몰입과 조직시민행동에 미치는 영향)

  • Chun, Jin-Ho;Lee, Jong-Hwa;Yoo, Jin-Yeong
    • Journal of Digital Convergence
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    • v.11 no.7
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    • pp.289-296
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    • 2013
  • To propose the way for improving organizational management of small and medium hospitals through analyzing the effect of organizational culture types on organizational commitment and organizational citizenship behavior. A survey was held to the employees of 4 hospitals that could accomodate less than 100 patients located in Daegu and Gyeongbuk for 4 weeks starting November 20, 2012. As result of factor analysis, the organizational culture divided to the four types: adventurous, hierarchical, productive, friendly types. The adventurous and friendly types revealed the positive effect on organizational commitment, and the productive and friendly types revealed it on organizational citizenship behavior. Instead, hierarchical type revealed no effects on the both. Therefore, to improve organizational management in small and medium hospitals, the strengthened efforts to build up friendship and supportive environments for reasonable decision making.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

Development of a Safe Manipulator for Positioning a Kiosk Panel (키오스크 패널의 위치 조절을 위한 안전 머니퓰레이터 개발)

  • Kim, Tae-Keun;Kim, Byeong-Sang;Song, Jae-Bok;Kim, Hyo-Joong;Park, Chang-Woo;Kwon, Yong-Kwan
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.1
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    • pp.73-79
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    • 2012
  • Kiosks are widely used in drive-thru systems in parking lots or on the highway to provide various services to drivers. However, the driver must stop at an exact location to access the kiosk, since its panel is fixed. In order to improve the kiosk accessibility, in this study we developed a manipulator that can adjust the position of the kiosk panel. The number of active joints was minimized to lower the cost, whereas a parallelogram mechanism and passive joints were adopted to increase its convenience for the users. Furthermore, a safety mechanism using springs and a cam was designed to ensure the safety of the user in the case of an emergency. The performance of the position controller and the safety mechanism were verified through various tests. In addition, the proposed collision reaction strategy improved the safety performance of the kiosk system.

Relationship between Hospital Use Satisfaction and Medical Service Provision Process (입원환자들의 병원이용 만족도와 의료서비스 제공과정 간의 관계)

  • Ha, Au-Hyun;Park, Ki-Hyeok
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.235-242
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    • 2020
  • This study aims to provide direction for improvement of the hospital's management environment for customer satisfaction management, which is ultimately consumer-oriented in practice. this study was analyzed the relationship between hospital use satisfaction relative to expected level and medical service provision process for inpatients. The study method collected data from September 10 to September 30, 2018 for patients with inpatient care at hospitals and general hospitals under 300 beds, and conducted a t-test, ANOVA, and logistic regression. According to the analysis, hospital brands were the most frequently chosen reason for hospitalization, followed by doctor brands. The satisfaction level of the inpatient medical service provision process showed no statistical differences depending on the general characteristics. It has been confirmed that the hospital's satisfaction level relative to the expected level of inpatients has a causal relationship that significantly affects the hospitalized procedure the course of the provision of medical services.

The Current Status of Professional Medical Support Staffs in Medical Institutions with over 500 Beds (500병상 이상 의료기관에서의 전문지원인력 운영실태)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong Hye;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.131-141
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    • 2017
  • Purpose: This study was to investigate the nationwide operational status of the professional medical support staffs (PMSS) who practice the expanded roles in the hospital setting. Methods: The data were obtained through survey from 36 hospitals with over 500 beds from 25th May to 12th July 2016. Data from 1,666 PMSS were analyzed. Results: Since the job titles varied, we classified them into 5 groups according to their roles; advanced practice nurse, clinical nurse expert, PA (physician assistant), coordinator, and others. There were differences in the operation status of PMSSs depending on the region, nurse staffing grade and number of hospital beds. Qualification criteria varied from hospital to hospital, and almost half of the hospitals didn't have any qualification standards for them. There were differences in age, educational level, clinical careers, rewards, and job satisfaction in 5 groups. Especially PA group had low salary, poorer working conditions, more difficulties in performing their work, and lower job satisfaction than other groups. Most PMSS (99.5%) were using a delegated prescription authority, however only 68.3% had job description and 19.9% had documented delegated role. Conclusion: Adequate training curriculum, documented delegated roles, and the protocols for legal protection and efficient medical services are needed.

The Development of Convergence Bench-making system on length of stay (융복합 재원일수 벤치마킹 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.89-99
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    • 2015
  • This study aims to develop a LOS(Length of Stay) bench-making system that can provide efficient by comparing the LOS management of other hospital and level evaluation for inducing the LOS to manage their own activities. The convergence LOS bench-making web program has been implemented to compare a variety of beds, regional group, followed reporting with excel files downloads by using the severity-adjusted LOS model of Korean National Hospital Discharge in-depth Injury Survey data. Features that are computed in real-time severity-adjusted LOS was also implemented. Trial operating results, bench-making system was confirmed efficient for management of LOS on the long-term care and group of disease in hospital from the staff or medical department, receive requests comparative statistics by area and disease group. Therefore the policy alternative on extension of severity-adjusted LOS is needed to utilized bench-making system on LOS.