• Title, Summary, Keyword: 상급종합병원

Search Result 169, Processing Time 0.03 seconds

Mediation and Moderation Effects of Job Embeddedness between Nursing Performance and Turnover Intention of Nurses (병원 간호사의 간호업무수행과 이직의도 관계에서 직무착근도의 조절효과와 매개효과)

  • Kim, Eun Hee;Lee, Eunjoo
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.15 no.8
    • /
    • pp.5042-5052
    • /
    • 2014
  • This study examined the mediator or moderator role of job embeddedness in the relationship between the nursing performance and turnover intention. Data was collected from 653 nurses in 3 tertiary hospitals, 2 secondary hospitals, and 3 small-medium sized hospitals in Daegu, and analyzed by descriptive statistics, Pearson's correlations, hierarchical multiple regression using the PASW 18.0 program and structural equation model (SEM) using the AMOS 18.0 program. The job embeddedness showed mediating effects between the nursing performance and turnover intention. On the other hand, job embeddedness did not have moderating effects. This study confirmed that job embeddedness had a mediating effect on the relationship between the nursing performance and turnover intention. Enhancing job embeddedness is required to promote nursing performance and reduce turnover intention.

Customer Experience Management for Cancer Patients in a Tertiary Hospital (일 상급종합병원 암환자 고객경험관리)

  • Won, Young Hwa;Kim, Ji Hye;Jung, Eun Hee;Kwak, Eun Ah;Yang, Yun Jung;Shin, Soon Ja;Kim, Yeon Hee;Kim, Jeong Hye
    • Journal of Korean Clinical Nursing Research
    • /
    • v.23 no.3
    • /
    • pp.321-331
    • /
    • 2017
  • Purpose: The purpose of this study was to investigate the effect of customer experience management on nursing service satisfaction of cancer patients and their intent to revisit the hospital and also to identify empathy ability of oncology nurses. Methods: Participants were 376 cancer patients and 190 oncology nurses from a tertiary hospital in Korea. Cancer patients' satisfaction with nursing care and intent to continue using the hospital were measured and empathy of oncology nurses was measured using Empathy Construct Rating Scale. Data were analyzed using descriptive statistics, ${\chi}^2$ test, t-test, one-way ANOVA and stepwise multiple regression analysis. Results: Patient satisfaction with nursing care and intent to continue using the hospital were higher in patients who received the customer experience management program than those who did not. Oncology nurses' ability to empathize was high. Clinical career, participate in customer experience management and education level together explained 20% of variance in empathy ability of oncology nurses. Conclusion: Findings from this study confirm that customer experience management affects patient satisfaction with nursing service and intent to continue using the hospital. Further research is necessary to reaffirm the empathy ability of the oncology nurses and to identify the related various factors.

The Characteristics and Utilization Factors of Tertiary Hospital Inpatients: Evidence from Korea Health Panel(2008~2011) (상급종합병원 입원의 특성 및 이용 요인 분석: 한국 의료패널 자료(2008~2011)를 이용하여)

  • Park, Young-Hee
    • The Korean Journal of Health Service Management
    • /
    • v.8 no.3
    • /
    • pp.13-25
    • /
    • 2014
  • This research was performed to investigate the characteristics and determination factors on tertiary hospital inpatients. The used data was the four waves of Korea Health Panel(2008, 2009, 2010, 2011), and the number of subjects was 4,430 cases of tertiary and general hospital admission. The statistical methodology used in the study is the logistic regression model. The significant affecting factors in utilizing tertiary hospital admission were gender, marital status, education, household income, residence region and ICD-10 classification. Man, graduating college/university, married, high-income were socio-economic affecting factors in tertiary hospital admission. Medical need factor of ICD-10 classification and residence region of inpatients was also significant affecting factors in tertiary hospital admission. The 81.4% of inpatients at tertiary hospital had chronic disease and the 12.9% of inpatients readmitted, the 68.2% had a selecting doctor and the only 26.7% of inpatients reinforced by private medical insurance. This study recommended the Korean government to provide proper rule for tertiary hospital admission in order to improve the equity and efficiency of health care system.

Factors Affecting Post-Traumatic Stress of General Hospital Nurses after the Epidemic of Middle East Respiratory Syndrome Infection (메르스 감염 유행 후 상급종합병원 간호사의 외상 후 스트레스 영향요인)

  • Kim, Hyun Jin;Park, Ho Ran
    • Journal of Korean Clinical Nursing Research
    • /
    • v.23 no.2
    • /
    • pp.179-188
    • /
    • 2017
  • Purpose: This study examined post-traumatic stress (PTS) and the factors affecting it among general hospital nurses after the MERS(Middle East Respiratory Syndrome) epidemic. Methods: Data were collected from 170 nurses who worked at general hospitals since the first reported MERS outbreak. The IES-R-K assessed PTS. Data were analyzed using SPSS. Results: The mean PTS level was 7.80 points (range: 0~88); 7.1% of the participants were at a high risk. Nurses who had been in contact with patients suspected or diagnosed with MERS had high post-traumatic levels; those who had been quarantined during the MERS outbreak had relatively higher PTS levels. Shift-work nurses had higher PTS levels than those with fixed working hours. Above charge' nurses stress levels were higher than staff nurses' stress levels. The results showed that factors including contact with an MERS-suspected or diagnosed patient, position at work, and working status of MERS-affected nurses explained 16% of the PTS. Among the main variables, nurses' above charge position was the greatest factor affecting PTS. Discussion: It is necessary to develop intervention studies and programs considering these variables. Furthermore, development and implementation of differentiated programs should be done considering the position of above charge nurses.

Factors on the Gap between Predicted Cesarean Section Rate and Real Cesarean Section Rate in Tertiary Hospitals (상급종합병원의 예측 제왕절개분만율과 실제 제왕절개분만율의 격차 관련요인)

  • Kim, Yun-Mi;Kim, Se-Young
    • Korean Journal of Women Health Nursing
    • /
    • v.18 no.3
    • /
    • pp.200-208
    • /
    • 2012
  • Purpose: This study was aimed to examine the gap between predicted cesarean section rate and real cesarean section rate and it's determining factors of 44 tertiary hospitals. Method: This study is a cross-sectional analysis using the data of 25,623 deliveries in 2009 drawn from homepage of Health Insurance Review and Assessment Service. Data were analyzed with t-test, F-test, Scheff$\acute{e}$ test, and logistic regression. Result: There were statistically significant differences in the gap of cesarean section rate (more gap indicates higher quality of delivery) by grade of nurse staffing and delivery cases. Hospitals with nurse staffing grade 1 to 2 had more possibility to be classified into higher grade in quality of delivery (OR 5.67, 95% CI 1.07-30.08). Also hospitals with over 500 delivery cases had more possibility be classified into higher grade in quality of delivery (OR 4.92, 95% CI 1.14-21.23, respectively). Conclusion: The finding suggests that grade of nurse staffing may influence the real cesarean section rate because nurses do a vital role to prevent unnecessary cesarean section. Further study is required to provide evidence that nurse staffing influence on patient outcome and cost-effectiveness in order to obtain adequate number of nursing staffs.

Health Literacy, Diabetic Knowledge, and Diabetic Self-care among Foreign Diabetic Patients at a Hospital in South Korea (일개 상급종합병원을 이용하는 미국과 유럽계 외국인 당뇨 환자의 건강정보이해능력, 당뇨지식, 당뇨자가간호)

  • Koh, Eun Ae;Park, Hyojung
    • Korean Journal of Adult Nursing
    • /
    • v.27 no.4
    • /
    • pp.397-405
    • /
    • 2015
  • Purpose: The purpose of this study was to investigate health literacy, diabetic knowledge, and diabetic self-care among foreign diabetic patients at a hospital in South Korea. Methods: Participants was 134 foreign patients diagnosed with diabetes and who understand English. Data were analyzed by SPSS version 20.0. Results: Health literacy significantly differed with HbA1c levels, whereas diabetic knowledge significantly differed with education levels, and time since diagnosed. Diabetic self-care significantly differed with time since the diagnosis. Health literacy significantly differed with diabetic knowledge and diabetic self-care. There was a correlation between health literacy and diabetic knowledge and between diabetic knowledge and diabetic self-care but not between health literacy and diabetic self-care. Conclusion: There are significant results on health literacy, diabetic knowledge and diabetic self-care. Subject with adequate health literacy had high scores on diabetic knowledge and self-care.

Effects of Compassion Competence, Professional Self-concept, and Nursing Practice Environment on Caring Behaviors of Clinical Nurses in a Tertiary Hospital (일개 상급종합병원 간호사의 공감역량, 전문직 자아개념 및 간호근무환경이 돌봄 행위에 미치는 영향)

  • Ahn, Young-Mi;Jang, Keum-Seong;Park, Hyunyoung
    • The Korean Journal of Health Service Management
    • /
    • v.12 no.4
    • /
    • pp.17-30
    • /
    • 2018
  • Objectives: This study aimed to examine the effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses. Methods: A convenience sample of 200 nurses was drawn from a tertiary hospital in G city. Structured self-report questionnaires were used to collect data, which were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A significant difference in caring behaviors of nurses was found for age, educational level, and unit. There were statistically significant positive correlations between study variables. Sensitivity and communication of compassion competence, communication of professional self-concept, and nursing foundations for quality of care in nursing practice environment were significant predictors of caring behaviors, explaining 51.3% of total variance. Conclusions: To improve clinical nurses' caring behaviors, strategies must be developed and implemented for enhancing their compassion competence, professional self-concept, and nursing practice environment.

A Comparison of Nursing Work Environment, Role Conflict, and Job Embeddedness of Nurses Working in Comprehensive Nursing Care Service Wards and General Wards in a Tertiary Hospital (상급종합병원에서의 간호·간병통합서비스 병동과 일반병동 간호사의 근무환경, 역할갈등, 직무 배태성 비교)

  • So, Hye-Eun;Hwang, Jee-In
    • Quality Improvement in Health Care
    • /
    • v.26 no.1
    • /
    • pp.11-22
    • /
    • 2020
  • Purpose: The objective of this study was to compare and analyze the work environment, role conflict, and job embeddedness between comprehensive nursing care service (CNCS) ward nurses and general ward nurses. Methods: This descriptive research study involved 70 CNCS ward nurses and 69 general ward nurses working at an advanced general hospital in Seoul. Data were collected using the structured questionnaire from March 27 to April 14, 2019 and analyzed with the SPSS 24.0 program. Results: The work environment of the CNCS ward nurse was higher than that of the general ward nurse (t=4.38, p<.001), and the role conflict of the CNCS ward nurse was lower than that of the general ward nurse (t=-2.09, p=.038). However, job embeddedness did not show any statistically significant difference (t=0.22, p=.824). Conclusion: The results of this study show that the introduction of CNCS ward has shown improvement in the work environment and strengthened the establishment of the roles in their team, while maintaining the job embeddedness of nurses. These results indicate that improvements in the work environment, such as nurse staffing and material support, would contribute to the qualitative enhancement of nursing and that it would need to extend the introduction of CNCS wards.

The Effects of Nursing Work Environment, Job Stress and Knowledge Sharing on Nursing Performance of Nurses in a Tertiary Hospital (일개 상급종합병원 간호사의 간호근무환경, 직무스트레스, 지식공유가 간호업무성과에 미치는 영향)

  • Shin, Yang Mi;Cho, Hun Ha
    • Journal of East-West Nursing Research
    • /
    • v.27 no.1
    • /
    • pp.32-42
    • /
    • 2021
  • Purpose: The purpose of this study was to identify factors influencing nursing performance of clinical nurses. Methods: This was a descriptive study involving 172 nurses who worked for 6 months or longer at one general hospital in B City. The data analysis was conducted with t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and stepwise multiple regression. Results: Nursing performance of participants positively correlated with job stress (r=.16, p=.033). The factors affecting nursing performance were total clinical experience (β=.37 p<.001), salary (β=.19, p=.028), and job stress (β=.13, p=.045). These variables had a 27.2% variance to explain nursing performance. Conclusion: Based on these results, administrative and financial support are required for the development of a clinical career program, including the differentiation of salary systems of clinical nurses. There is also a need to develop and implement job stress management and coping programs.

Cross Mapping of Standardized Nursing Diagnoses and Problems with NANDA-I in 4 Tertiary Hospitals (표준화된 간호진단 및 문제와 NANDA-I 교차분석: 4개 상급종합병원 사례를 중심으로)

  • Song, Mi Ra;Shim, So Yun;Kim, Dae Sung;Lee, Kyung Soon;Lee, Yu Na;Won, Mi Suk
    • Journal of Korean Clinical Nursing Research
    • /
    • v.26 no.3
    • /
    • pp.374-384
    • /
    • 2020
  • Purpose: To explore the scope and method of applying standardized nursing terminologies to nursing diagnosis and problems used in nursing practice. Methods: A descriptive study was done with a retrospective analysis of the nursing records of 141,420 patients that were hospitalized in 4 tertiary hospitals. The nursing diagnosis and problems collected from the records were standardized, and the standardized nursing diagnosis and problems cross mapped with NANDA-I, confirmed in a nursing focus group. Results: 65 (67.7%) of the 96 standardized nursing diagnosis and problems were equal with NANDA-I and included in the 10 domains of NANDA-I. Among 86 nursing diagnosis and problems excluded from the cross mapping with NANDA-I, the 63 terms (73.3%) related to surgery/procedure were the most common. Conclusion: It is meaningful that multi-tertiary hospital nursing diagnosis and problems were standardized and cross mapping with standard nursing terminologies was performed. As for the method of applying standardized nursing terminologies in nursing practice, it is appropriate to use several standardized nursing terminologies complementarily.