• Quality Improvement in Health Care
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• v.2 no.1
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• pp.58-67
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• 1995

Background: This paper describes an effort to provide baseline informations for appropriate utilization of emergency room in a tertiary hospital. Methods: Authors have evaluated that the admissions in the emergency room were medically necessary by objective criteria, Appropriateness Evaluation Protocol(AEP), for one month in a tertiary hospital. Data were analysed by chi-square test and multiple logistic regression to exmaine statistical significances at the level of 0.05. Results: The prevalence of inappropriate decisions for admission was found to be 47.8%(154/322). Whether the physician decided the patient to admit or not was affected by type of services, number of departments involved, patients' medical condition, route of visit, and a day of the week visited. Level of appropriateness of admission is significantly related to patients' age, type of services, and a day of the week visited. Conclusion: We found that substantial proportion of admissions through emergency room are medically unnecessary and that non-medical factors are related to physician's for admission decisions and level of appropriateness of admission. This suggests that policy measures be required to relieve the overcrowding problem and to reduce non-emergent utilization of emergency room in a tertiary hospital.

• The Journal of the Korea Contents Association
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• v.20 no.8
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• pp.572-582
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• 2020

The purpose of this study was to investigate workplace bullying, job stress, organizational commitment, and turnover intention as well as determine influencing factors on the turnover intention of small and medium-sized hospital nurses. Participants included 140 nurses from six small and medium-sized hospitals with less than 300 beds in G-city and J-province. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression, using the SPSS Win 21.0 program. The regression model was statistically significant (F=37.11, p<.001), and the explanatory power for turnover intention was 34.2%. The significant factors influencing turnover intention were organizational commitment (β=-.41, p<.001 and job stress (β=.25, p=.005). Human resources management is crucial for providing high quality healthcare service. The results of this study indicated that it is important to lower job stress and increase organizational commitment in order to reduce turnover intention among nurses of small and medium-sized hospitals. Based on these findings, customized programs for nurses in small and medium-sized hospitals need to be developed and implemented so as to lower their turnover intention and promote efficient management of healthcare human resources.

• Korean Journal of Clinical Laboratory Science
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• v.50 no.1
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• pp.54-62
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• 2018

In the 2000's, due to a change in hospital management strategy, the organizational structure shifted from a hierarchical system to a team system. While the hierarchical system is characterized by being activity centered, job title linked, and vertically managed, the team system is characterized by being competency centered, job title segregated, and horizontally managed. The job titles of medical technologist manager was surveyed three times in 1997, 2007, and 2017. It has been confirmed through staff members working at 24 hospitals in more than 500 beds in the metropolitan area. The results of job titles follow are as follow: "Team Leader; Part Leader" 14/24 (59%), "Chief Technologist; Area Head Technologist" 7/24 (29%), and "Chief" 3/24 (12%). The present authors propose an alternative name based on the team system to refine the three job titles currently used by medical technologists. First, the Chief Technologist is unclear if it refers to the Technologist General Manager or Technologist Manager. The Chief Technologist should be changed to "Team Leader". Second, given that Area Head Technologist or Section Chief are on the same position as Head Nurse, we suggest that Area Head Technologist or Section Chief should be changed to "Part Leader". Third, while the organization regulation is marked merely as Department of Laboratory Medicine according to the hierarchical system, it is marked as Laboratory Medicine Team according to the team system. Medical technologists come to have more belongingness, feeling of solidarity, and intimacy under the team system.

• Journal of Hospice and Palliative Care
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• v.11 no.1
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• pp.30-41
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• 2008

Purpose: This study was designed to investigate various role changes of nurses who have cared both medical cases and hospice patients and what they experienced. Methods: Focus group interviews were done 3 times and participants were 12 nurses who have worked in the hospice unit of medical ward. Results: Role changes in 4 areas such as holistic care, end-of-life care, care fur rare givers, and coordination of hospice team were reported by the participants. What they felt were as follows : fear, confusion, maturation, increasingly labor, regret, accomplishment, sympathy and depression. Conclusion: Although hospice care in general medical ward added extra tasks, it helped clinical nurses recover professional identity and led to growth of nursing by acquiring new knowledge and skill in hospice care.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.155-164
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• 2017

The purpose of this study is to identify correlations among married nurses' parenting stress, job involvement and intent to stay, as well as to clarify factors that affect nurses' intent to stay. This is a descriptive study conducted based on evaluation of 174 married nurses from one university hospital and two general hospitals (200 beds or above) located in C region, all of who had at least one child <6 years of age. Data were collected from Aug 20 until Sep 15, 2016, after which data were analyzed by aT-test, ANOVA, Pearson's coefficient, and stepwise multiple regression. The mean score of parenting stress was $2.67{\pm}0.54$ out of 4, while that of job involvement was $3.11{\pm}0.58$ out of 5, and intent to stay was $3.56{\pm}0.79$ out of 5. Intent to stay was significantly negatively correlated with parenting stress(r=-0.186, p=0.014), while it was positively correlated with job involvement(r=0.345, p<0.001). Factors influencing intent to stay were education level(${\beta}=0.28$, p=0.042), job satisfaction(${\beta}=0.60$, p<0.001), weekend work(${\beta}=0.20$, p=0.042), job involvement(${\beta}=0.31$, p<0.001) and parenting stress(${\beta}=-0.22$, p=0.038). These factors explained 36.8% of intent to stay(F=21.18, p<0.001). Overall, the results indicate that intervention strategies may be necessary to increase intent to stay by reducing parenting stress and enhancing job involvement.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.8
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• pp.492-500
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• 2018

This study was conducted to identify the degrees of awareness and performance of hospital infection control of early stage nurses working in medium and small sized hospitals. This survey was conducted for 15 days from Sep. 15 to Sep. 30, 2017. Data were then analyzed by SPSS Win 22.0 to determine the mean and SD, as well as to conduct t-tests, ANOVA, and Scheffe's test. The result were as follows: 1. There were significant differences in awareness of hospital infection according to urinary tract infection, respiratory infection, and disinfection of contaminated goods managements with age. 2. There were significant differences in performance of hospital infection according to hand washing (working department), fluid therapy (education need p<0.001), urinary tract (position), and respiratory infection management (position p<0.001). 3. The mean score of awareness and performance regarding hospital infection were significantly different (all items p<0.001). According to these results, systematic education for improving awareness and performance regarding hospital infection control by nursing staff in medium and small sized in hospitals should be conducted. In addition, organizational efforts to increase the number of early stage nurses and improve the usability of personal infection control devices should be encouraged.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.194-205
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• 2018

This study investigated knowledge and attitudes of long-term care hospital nursing assistants such as nursing aides and direct care workers toward patient safety and their safety care activities. This was a descriptive study that attempted to enhance the competence of nursing assistants' patient safety management, and the data were used to develop a training program for nursing assistants. A total of 230 nursing assistants working at six hospitals whose wards were over 200 participated and were assessed with a rating 1 or 2 in 2013 in B city. Data were collected using questionnaires from March 2 to March 26 in 2017. The collected data were analyzed by the SPSS/WIN 20.0 program using number, percentage, mean, standard deviation, t-test, ANOVA, $Scheff{\acute{e}}$ test, correlation coefficient, and multiple regression. In conclusion, the findings show that patient safety care activities were better performed by nursing aides than direct care workers. Higher education and a higher number of patient safety training programs and patient safety care activities were frequent. In addition, nursing assistants' knowledge of patient safety affected attitudes toward patient safety, and attitudes affected patient safety care activities. Therefore, an actual regular training program for patient safety should be executed over five times a year to improve patient safety perception. Furthermore, a hospital system including adequate working time needs to be improved. Based on the results of the study, patient safety in long-term care hospitals should be improved, and this study could be utilized as basic data to develop a training course for improvement of knowledge and attitudes of nursing assistants toward patient safety.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.251-259
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• 2013

Purpose: The purpose of this study was to identify the relationship of occupational stress, self esteem and mental health in nurses. Methods: The data were collected using questionnaire from the sample of 457 nurses selected by convenient sampling. The data were collected from July 4 to 29, 2011. The collected data was analyzed by the descriptive statistics, t-test, ANOVA, Scheffe, Pearson correlation coefficient and stepwise multiple regression(SPSS 18.0). Results: Mental health differed according to marital status, educational level, working unit and shift work. Mental health had a significant positive correlation with occupational stress and a significant negative correlation with self esteem. Stepwise multiple regression analysis showed insufficient occupational control, work overload, inappropriate treats and reward, interpersonal relation in occupational stress, self esteem, shift work(3 shift) explained 42.2% of the total variance in mental health. Conclusion: The findings indicate that occupational stress and self esteem have an influence on mental health. We need to develop and provide intervention programs to prevent and manage nurse's mental health problems.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.196-205
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• 2016

The purpose of this study is to identify factors influencing treatment result in patients with Tuberculosis by patient characteristic, admission and disease characteristic, and hospital characteristic from 2006 to 2012. Survey data was using Korean national hospital discharge in-depth survey data produced by KCDC(Korea Center for Disease Control and Prevention). Study subjects were 8,305 inpatients with TB(A15.0~A19.9) and analyzed frequency, chi-square test, and logistic regression by using SPSS 20(Statistical Package for the Science). The results of this study show that influencing factors of treatment result were ages (20-39, 40-64, and over 65 years), type of insurance(medical aid), disease code (A16, A17, A18, A19), LOS (31-90, and 91-180 days), beds of hospital (300-499, 500-999, over 1,000 beds) and hospital district (non-metropolitan). These findings implied that it is necessary to support successful prevention and management for high risk TB groups and to build middle and long-term policies as well as short -term policy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.7
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• pp.589-598
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• 2017

The purpose of this study is to define the relationships among awareness about the necessity of disaster preparedness education, the actual educational status, preparedness knowledge, and the certainty of knowledge among nurses. The study participants comprised a total of 125 nurses with over 3 months of clinical experience in general hospitals with more than 100 beds in a metropolitan city. Data were collected in January 2016 and analyzed by descriptive statistics, a t-test, ANOVA, and Pearson correlation coefficients. The results showed meaningful correlations between the existence of educational programs in hospitals and disaster preparedness abilities (r=.29, p=.001). There were also meaningful correlations between educational experience within a year and disaster preparedness abilities (r=.33, p<.001). There was a negative relationship between disaster preparedness abilities and knowledge (r=-.27, p=.003) and a positive relationship with confidence about the correctness of knowledge(r=.23, p=.003). Based on the results, an educational program in a clinical setting is needed to improve the degree of confidence about the correctness of knowledge and ultimately to enhance disaster preparedness abilities.