• 간호행정학회지
• /
• 제6권1호
• /
• pp.5-18
• /
• 2000

This study was conducted to analyze the degree of department satisfaction and correlation accordng to nurses's clinical characteristics. Data fors tudy were selected August, 1999. The sample coisted of 512 nurses working in K university hosptal in Seoul. The collected materials have been alyzed by percentage, average, t-test, ANOVA, arson Correlation Coefficiency using SPSS window 8.0 program. The result were as the follows ; 1. Fifty-one percent answered to be satisfactory in current department of work, and nurses who had been experienced the transfer are fifty percent, and nurse specialist is eight point two percent. 2. The order of the degree of department duty satisfaction was mutual action, professinal position, autonomy, assignment desire, relation between the doctor and nurses, wage, administration. 3. The result of the degree of department duty satisfaction according to the age has shown significant differences in administration and assignment desire, and the result of the degree of department duty satisfaction according to the education and religion has shown significant differences in administration, and the result of the degree of department duty satisfaction according to marital status has shown significant differences in wage and administration. 4. The result of the degree of department duty satisfaction according La the position has shown significant differences in administration, assignment desire and the sum of duty satisfaction, and the result of the degree of department duty satisfaction according to the nurse specialist has shown no significant differences in total areas, and the result of the degree of department duty satisfaction according to the transfer has shown significant differences in relation between the doctor and nurses, administration, autonomy and the sum of duty satisfaction. 5. The result of the degree of department duty satisfaction according to the nursing career and present assignment career has shown no significant differences in total areas, and the result of degree of department duty satisfaction according to the present assignment has shown significant differences in relation between doctor and nurses, administration, assignment desire and the sum of duty satisfaction. 6. The result of the degree of department duty satisfaction according to the request and experiences of trasfer has shown significant differences in wage, administration, assignment desire and the sum of duty satisfaction 7. The result of the degree of department duty satisfaction according to the degree of satisfaction of present assignment has shown no significant difference in professional position 8. The result of relation of nurses'a clinical characteristics and the degree of department duty satisfaction and the sum of duty satisfaction has shown no significant differences in age, present assignment career, but the result of nursing career has shown significant differences in relation between doctor and nurse, administration, autonomy, assignment desire and the sum of duty satisfaction. and the satisfaction of present assignment which was very effective on duty satisfaction was as significant correlation with wage, professinal position, relation between doctor and nurses, administration, autonomy assignment desire, mutual action and the sum of duty satisfaction. The above result show us that the degree of wage is effected on marital status, experience of transfer, degree of satisfaction of present assignment, request of transfef and the relation between doctor and nurses is effected on experience of transfer, present assignment, degree of satisfaction of present assignment and the administration is effected on age, education, marital status position, experiences of transfer, request of transfer, degree of satisfaction of present assignment and the autonomy is effected on experience of transfer, degree of satisfaction of present assignment and the assignment desire is effected on position, pre sent assignment, degree of satisfaction of present assignment, request of transfer and the mutual action is effected on present assignment. and the sum of duty satisfaction is effected on marital status, position, experience of transfer, request of transfer, present assignment, degree of satisfaction of present assignment.

• 한국산학기술학회논문지
• /
• 제16권8호
• /
• pp.5223-5231
• /
• 2015

이 연구의 목적은 대학생의 자율성 지지, 자기조절 동기와 학습인식 즉 학습성과의 정도와 이들 요인간의 상관관계를 파악하고, 학습성과에 영향을 주는 요인이 무엇인지를 확인하는데 있다. 연구대상은 전남과 대전에 위치한 대학에 재학 중인 대학생 231명을 대상으로 편의 추출하였다. 자료는 SPSS 21.0을 이용하여 분석하였으며 그 결과 자율성 지지는 자기조절동기의 확인적 조절 동기, 내적 조절 동기, 학습인식의 학습결과와 학습과정과 정의 상관관계가 있음을 확인하였다. 자기조절동기의 외적 조절 동기는 의무조절 동기와 정의 상관관계가 있었고 의무 조절 동기는 확인적 조절동기와 정의 상관관계가 있었다. 확인적 조절 동기는 내적조절동기, 학습결과, 학습과정과 정의 상관관계가 있었다. 내적 조절 동기는 학습결과, 학습 인식과 정의 상관관계를 보였고 학습결과는 학습인식과 정적 상관관계가 있는 것으로 나타났다. 대상자의 학습 인식에 영향을 주는 요인을 확인하기 위하여 회귀분석을 실시한 결과, 자율성지지, 의무적 조절 동기, 확인적 조절동기가 학습인식에 영향을 주는 것으로 나타났다. 이러한 결과는 자율성 지지와 자기결정동기가 대학생의 학업수행을 강화하는 주요한 요인임을 시사한다.

• 중환자간호학회지
• /
• 제8권1호
• /
• pp.25-40
• /
• 2015

Purpose: The purpose of the study was to identify the frequency and importance of task performance and the perceived competence to perform of the emergency nurse practitioners (ENPs) certified in Korea. Method: This cross-sectional study was conducted with 41 ENPs certified by March 2012. The questionnaire to identify frequency, importance, autonomy, and perceived competence to perform 131 typical ENP task elements was developed on the basis of the standardized role of an ENP defined by the Korean Accreditation Board of Nursing Education. The data were analyzed using descriptive statistics. Results: The professional nursing practice showed the highest scores for performance frequency, task importance, autonomy, and perceived competence to perform as compared to other job categories. Clinical decision making was the most frequently performed duty. Data collection was the duty with highest levels of importance, autonomy, and perceived competence for the ENPs. However, the ENPs reported that research was the duty with the lowest levels of frequency, importance, autonomy, and perceived competence Conclusion: ENPs in Korea perform various tasks. In order to improve their position in the field, it is necessary to clarify their job description and enhance their competence to perform evidencebased professional nursing practices.

• 기본간호학회지
• /
• 제17권2호
• /
• pp.274-281
• /
• 2010

Purpose: The purpose of this study was to identify the correlation between level of professional autonomy and clinical decision making abilities in clinical nurses, and to provide basic information for promoting competency nurses in making independent decisions. Method: Data were collected from July 1 to July 18, 2008, and participants were 202 clinical nurses in general hospitals. Collected data were analyzed using descriptive statistics: frequency and percentage and Pearson correlation coefficients with the SPSS WIN 14.0 program. Results: The professional autonomy index for the nurses was 159.63 points. The clinical decision making ability index was 119.79 points. The most highly ranked factor in clinical decision making was search for information and unbiased assimilation of new information. There was a statistically significant difference in professional autonomy according to age, clinical experience, and type of duty. Relation between level of professional autonomy and clinical decision making showed a positive correlation. Conclusion: As a results show a significant correlation between professional autonomy and clinical decision making in clinical nurses, improvement in professional autonomy of clinical nurses, would be promoted through continuous support and training.

• Journal of Acupuncture Research
• /
• 제29권4호
• /
• pp.71-79
• /
• 2012

Objectives : The purpose of this study is to set the explanatory duty on traditional Korean medical(TKM) treatment by analyzing the judicial precedents. Methods : The study was performed by analyzing nine cases of lawsuits related to Korean medicine doctor and explanatory duty among the medical dispute cases in Korea from 1968 through 2012. Results : Nine closed claims occurred regarding the violation of explanatory duties in the field of TKM practice. Two claims were decided by supreme court, three were decided by high court, and four were decided by district court. The causes of lawsuits were categorized as follows : bee venom pharmacopuncture, herb treatment, and an explanation for safety. Conclusions : To perform an explanatory duty has important legal implications for the protection of patients' rights and Korean Medicine doctors' autonomy on TKM treatment.

• 의료법학
• /
• 제18권2호
• /
• pp.105-138
• /
• 2017

이 글은 환자의 자기결정권에 관한 몇몇 대표적인 판례들을 연혁적으로 검토한 논문이다. 대법원은 과거 음주상태에서 농약을 음독하여 자살을 시도한 환자가 치료를 거부하자 치료를 포기한 의료진에게 특정 의학적 상태(응급상황)에서 의사의 생명보호의무가 환자의 자기결정권 존중보다 우선한다고 판단하여 의료과실을 인정하였다. 이후 대법원은 가족들의 요청에 의해 지속적 식물인간 상태인 환자에게 해당 환자의 의학적 상태(회복불가능한 사망의 단계 등)를 고려하고 환자의 의사를 추정하여 연명의료를 중단하게 하였다. 최근 대법원은 종교적 신념과 관련하여 수혈과 같은 필수적인 치료를 거부한 환자에 대하여 대법원은 환자의 생명 보호에 못지않게 환자의 자기결정권을 존중하여야 할 의무가 대등한 가치를 가지는 것으로 평가할 수 있는 판단 기준을 제시하였다. 인간의 존엄성에 근거한 환자의 자기결정권과 의사의 생명보호의무가 충돌하는 상황에 대하여 연혁적 판례 검토를 통해 법원의 입장이 우리 사회에서 환자의 주체적 역할과 자율성을 존중하는 방향을 반영하여 함께 변화되어 왔음을 확인할 수 있었다. 법원이 생명권이라는 최고의 가치만을 환자의 의사보다 더욱 우선하여 판단해오다가 적어도 명시적인 환자의 의사 또는 그렇지 못할 경우에 추정적 의사까지도 고려한 치료의 유보나 중단에 대하여 고려하기 시작한 것, 종교적 신념에 근거한 자기결정권의 행사로서의 수혈거부와 같은 치료거부에 대하여 충분한 정보에 근거한 치료거부의 몇 가지 적법한 요건들을 인정하기 시작했다는 것은 이후 우리나라 의료 환경에 적잖은 영향을 줄 것이고 의료현장에서 의료행위를 하는 의사들에게도 직 간접적인 지침이 될 것이다.

• 벤처창업연구
• /
• 제11권3호
• /
• pp.199-208
• /
• 2016

본 연구는 요양보호사의 직무자율성에 대한 인식 확산 및 고령화가 급격히 증가되는 시점에서 요양보호사를 대상으로 직무자율성과 혁신행동의 관계를 규명하고자 하였다. 이에 서울지역에서 근무하는 요양보호사를 대상으로 직무자율성과 인구통계학적 특성 요인들이 혁신행동에 영향을 미치는 요인들을 분석하였다. 분석 결과 직무자율성, 작업스케줄, 의사결정, 방법론, 연령, 학력, 시설유형, 시설규모, 직급 등이 혁신행동에 통계적으로 유의미한 영향을 미치는 것으로 나타났다. 즉, 요양보호사는 조직 환경에서 직무에 대한 자율성이 많이 부여될수록, 조직풍토가 새로운 아이디어를 지양하는 분위기일수록 그리고 요양보호사에게 직무자율성이 많이 부여될수록 혁신행동에 긍정적인 영향을 미친다는 것을 알 수 있다. 이를 바탕으로 시설장은 요양보호사들이 보다 새로운 아이디어를 제시할 수 있는 조직풍토를 제공하는 한편, 요양보호사들의 직무자율성 향상을 위한 경영전략 및 개발이 요구되어진다.

• 기본간호학회지
• /
• 제5권2호
• /
• pp.324-340
• /
• 1998

Nurses experience role conflict between nursing theory that they learned in school and clinical nursing practice. This conflict lead to lower self-image, self-esteem, job dissatisfaction. Also, the professionalism of nurses is estimatable by the grade of autonomy. The professional autonomy requires individual and professional obligation about her decision and performance. A lack of professional autonomy results in the Job dissatisfaction. Job dissatisfaction leads to absenteeism, increased proneness to mental and physical illness and higher turnover rates. The purpose of this study was to investigate professional autonomy and self-concept of clinical nurses. Data were collected from 262 clinical nurses in P city from June 1 to June 30, 1996. The instruments used for this study were made by Arthur(1990) and Schutzenhofer(1983). The data were analyzed for frequency and percetage, mean, SD, t-test, ANOVA, Pearson's correlation coefficient, stepwise mutiple regression, using SAS $PC^+$ Program. The findings were as it follows : 1. The mean of professional autonomy and self-concept were $152{\pm}18.48,\;70.65{\pm}8.20$(2.62), respectively. These showed mid level of professional autonomy and self-concept. 2. Professional autonomy of clinical nurses was found to vary significantly according to total years of clinical experience(F=4.49 p<0.01), position(F=3.49 p<0.05), and state under study for the degree(F=3.83 p<0.05). Professional self-concept was found to vary significantly according to age(F=3.52 p<0.05), marital status(F=7.39 p<0.001), total years of clinical experience(F=3.59 p<0.05), position(F= 5.22 p<0.01), the expectant period being on the duty as clinical nurse(F=8.34 p<0.001), and motivation of choosing nursing(F=5.17 p<0.001). 3. The statistical relationship between clinical nurses' professional autonomy and self-concept was found as positive correlation(r=0.42246 p<0.001). 4. Professional autonomy was the highest factor predicting professional self-concept(17.85%). Professional autonomy and marital status accounted for 20.60% in professional self-concept of clinical nurses. In conclusion, Professional autonomy and self-concept of clinical nurses showed significantly positive relationship. Therefore, nursing education needs to develop programs and policies to increase professional autonomy and self-concept of clinical nurses.

• 한국콘텐츠학회논문지
• /
• 제15권1호
• /
• pp.451-461
• /
• 2015

공기업에서 혁신행동을 유발하는 요인에 관한 선행연구가 부족하다는 문제에서 출발하여 직무자율성을 혁신행동에 영향을 미치는 변수로 가설을 설정하고 실증적 분석결과로 부터 정책적 시사점을 도출하고자 연구가 수행되었다. 공공조직의 구성원의 혁신행동에 관한 이론이 잘 정립되지 못해 일반 조직행태 분야 선행연구에서 주로 사용하는 직무자율성, 직무열의 등의 변수들이 공공조직의 혁신행동에도 영향을 미칠 것으로 가정하고 연구를 기획하였다. 구조방정식 모형을 통해 가설 검증이 이루어졌고 분석결과 직무자율성인식과 혁신행동의 관계에서 직무열의가 부분적 매개변수로 작용함이 나타났다. 직무열의가 직무자율성인식과 혁신행동의 관계에서 매개적 역할을 한다는 것은 행동의 준비상태인 태도를 구성하는 인지적, 감정적, 행동적 요소에 대한 경험적 분석을 통한 확인이라는 점에서 이론적 기여가 있다. 실무적 차원에서는 공기업에서도 직무자율성을 높이는 것을 통해 적극적이고 진취적인 태도를 불러일으키고 혁신행동을 격려하는 수단으로 활용할 수 있음을 의미한다. 성과관리와 같은 제도적 수단과 함께 업무계획의 수립, 업무수행방법의 선택 등에 관한 결정을 할 수 있는 자율성을 보장해줌으로써 직무수행과정에서 열정을 느끼고 궁극적으로 혁신행동을 유발할 수 있게 됨을 의미한다고 하겠다.

• 패션비즈니스
• /
• 제6권6호
• /
• pp.12-18
• /
• 2002

This study was conducted out of necessity for attempting to identify what degree of satisfaction contemporary beauticians having to accomplish this expanded role of theirs had and what factors had an effect on their job satisfaction. Based on the study results, the following conclusion was drawn: 1) It was found that beauticians‘ level of job satisfaction with its components was in the order of 'vocational pride'(3.66), 'human relations'(3.39), 'autonomy'(3.29), 'required job'(3.13), and 'vocational duty'(3.01). 2) It was found that as to the level of job satisfaction according to religions beauticians with Buddhism had the highest level of job satisfaction with each of its components, followed by 'Others'(3.37), 'Christianity'(3.26), 'Catholicity'(3.25) and 'No Religion'(3.24). 3) It was found that as to the level of job satisfaction according to the future plan beauticians saying 'I will stop working at the same time that I marry'(3.68), 'I will continue working'(3.33), 'I will work for several more years'(3.30) and I will stop working at any time depending on circumstances'(3.29).