• 디지털융복합연구
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• 제12권9호
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• pp.265-274
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• 2014

본 연구의 목적은 녹색경영 평가기준을 실제 의료기관에 적용해 봄으로서 향후 의료기관의 녹색경영 인증에 필요한 전반적인 전략도출과 녹색경영평가제도의 개선방향을 제시하는 데 있다. 조사는 전국 44개 병원을 대상으로 실시하였으며, 평가도구는 2012년 보건 의료서비스분야 녹색경영 평가기준을 사용하였다. 분석결과 44개 병원중 11개 병원만이 녹색경영 인증을 받는 것으로 나타났다. 유형별로는 400병상 이상병원, 서울 경기지역병원(${\geq}400$), 사립병원(${\geq}400$)들이 상대적으로 높은 평가점수를 획득하였다. 인증점수의 평균차이의 분석결과 400병상 이상과 미만의 병원군 간 차이만이 통계적으로 유의하였다. 획득점수가 부족한 병원들의 인터뷰 결과, 경영진과 직원의 의식변화, 비전/전략/목표 수립, 비교적 적은 규모의 활동부터 추진, 장기계획 수립 등이 중요할 것으로 판단되었다. 녹색경영평가제도의 개선은 평가영역의 재설정, 배점과 가중치 조정, 인증등급의 신설, 가점항목 조절 등이 필요하다고 판단된다.

• 한국병원경영학회지
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• 제11권1호
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• pp.91-109
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• 2006

This study was conducted to find out factors affecting patient safety management activities at nursing devisions of two university hospitals. The indicators of patient safety activities used in the study were selected from Hospital Survey on Patient Safety Culture which was developed by The Agency for Healthcare Research and Quality in the United States. Data were collected from 372 nurses working at inpatient wards at two university hospitals located in Seoul and Won-Ju cities through the self-administered questionnaires, and analyzed using frequency analysis, t-test, correlation, and regression analysis. The result of this study were as follows. First, The mean of patient safety management activities was 3.41 which was a little bit higher than the average level. The mean of communication within the ward was the highest, whereas that of patient safety management culture was the lowest. Second, there were significant differences in the perception of nurses on patient safety management activities in terms of the educational background, length of employment, and work hours per week. Third, three variables of communication within the unit, attitude of top management, and attitude of nurses have significant positive effects on patient safety management activities. Fourth, 37.4% of the variation in the patient safety management activities was explained by the study variables. In conclusion, hospital administration and nursing managers should make an effort to learn the knowledge of patient safety program, show their deep interest on the patient safety to the employees and motivate them to communicate effectively each other within the work unit to develop a good patient safety culture and system.

• 한국응급구조학회지
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• 제25권1호
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• pp.73-84
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• 2021

Purpose: The purpose of this study was to investigate the educational satisfaction of trainees in implementing violence prevention education by workers in the emergency room and insufficient education. Methods: The participants of the study were 65 emergency room employees in S area. Results: First, education was helpful if you actively participated in education, and if you did not actively participate in education, education was shown to be of little or no help (χ²(p)= .000 p-value<.05). Second, formal education (53.3%) was identified as the problem of preventive education currently in place of education, and statistics show that the biggest problem with applying emergency room violence prevention education at worksites is a lack of active support (41.7%) from the police and hospitals. Third, 48.3 percent of the respondents thought that the education methods invited experts were appropriate for emergency room violence prevention education. Conclusion: The problem with the current emergency room violence prevention education is that it is necessary to establish a connection program between hospitals and police stations and give lectures by experts in violence prevention education to apply the contents of the educational curriculum in the workplace with one time and formal education.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.47-55
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• 2015

Purpose: While medical standard is rapidly improved, welfare of users and employees in hospitals is not treated correspondingly. Intercommunication of hospital users is thought to be very important for their welfare, and provision of conversation spaces within hospital environment needs to be expanded by architectural design. Space organization methods for the design of conversation space is to be embellished. Methods: Literature and hospital designs are analysed in order to develop the basis of argumentation for the hospital conversation space. 15 hospitals are reviewed and designed spaces for the intercommunication of the users are examined, Space organization efforts and design experiments are identified, and 6 organizational methods are proposed such as: 1) reducing territoriality 2) flowing space 3) categorizing and separating spaces 4) height variation 5) contact with outside and 6) Sun-lighted space. Results: 6 organization methods are confirmed in precedent hospital cases, and these proposed methods are applied in a new hospital design project to verify their usefulness. Implications: A hospital design project is presented based on these proposed methods of organization for the conversation space. Outcomes of this study can be applied for the formulation of human intercommunication spaces in other facilities.

• 보건의료산업학회지
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• 제3권1호
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• pp.33-46
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• 2009

In order to analyze possible effects of senior hospital selection factors and service satisfaction on senior hospital patients' revisit of senior hospital, this study surveyed guardians of total 204 patients hospitalized in major 4 senior hospitals in Busan. As a result, this study came to the following conclusions: First, it was found that guardians considered appropriateness of medical treatment cost as the biggest factor of choice, which was followed by kindness of doctor and hospital employees, locational accessibility (traffic convenience), and doctor's medical capacity. Second, the factor analysis about patients' satisfaction showed that the influential factors consisted of satisfaction at medical staffs, satisfaction at nursing and care, and satisfaction at facilities. Third, there was not significant difference in the overall impression of hospital and the intention of revisit depending upon sociological variables. Fourth, satisfaction at nursing and care and satisfaction at facilities had significant effects on better satisfaction at overall impression of hospital, and it was noted that the shorter admission period and the less complaint led to the higher intention of revisit. Therefore, it is necessary to improve satisfaction at medical staffs, nursing and care, and facilities rather than patients' own sociological characteristics.

• 보건의료산업학회지
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• 제12권1호
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• pp.35-46
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• 2018

Objectives : The purpose of this study was to present basic data on organizational changes in a Korean medicine hospital by performing organizational diagnosis and examining the job satisfaction and organizational commitment of the hospital. Methods : The subjects were a total of 218 employees in four Korean medicine hospitals, and data were collected from 1st to 25th September 2015. Using SPSS 21.0, frequency analysis, technical statistical analysis, t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis were performed. Results : The Korean medicine hospital tended to value relationships, the rewards for and attitudes towards change were low. The number of participants in this study with higher organizational diagnosis scores was high for job satisfaction and organizational commitment, and there was a strong positive correlation. It was seen that rewards, relationship, helpful mechanisms, and leadership among organizational diagnosis areas had an effect on job satisfaction, and helpful mechanisms, purposes, and leadership had an effect on organizational commitment. Conclusions : These findings will be useful because policies, research, and education are needed to facilitate organizational changes in Korean medicine hospitals.

• 경영과정보연구
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• 제34권3호
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• pp.1-16
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• 2015

본 연구는 병원의 윤리풍토와 간호사의 인게이지먼트(직무몰입과 조직몰입), 그리고 이직의도 사이의 관계를 실증적으로 밝혔다는 점에서 간호사뿐만 아니라 병원측면에 여러 가지 유용성과 시사점을 갖는다. 연구결과, 책임주의와 자선주의형 윤리풍토에 대한 간호사들의 지각이 직무몰입과 조직몰입을 높이고 이직의도를 낮추는데 영향을 미치고 있다. 내부적으로는 공평성과 책임이 따르는 의사결정을 할 수 있도록 유도함으로써 병원과 간호사간의 공유된 가치를 형성하게 될 것이고 대외적으로는 좋은 병원의 이미지를 형성하는 요인이 될 것이다. 반면, 이기주의와 같은 윤리성이 결여된 풍토는 간호사들의 직무태도에 매우 부정적인 영향을 미치고 있다는 점을 알 수 있었다. 따라서 병원은 윤리풍토의 중요성과 효과성을 인식하고 경영자를 포함한 간호사 개인차원에서의 윤리의식을 강조할 뿐만 아니라 조직 차원에서도 간호사들이 자연스럽게 윤리적인 행동을 취할 수 있도록 윤리적인 병원풍토를 조성하는데 전략적인 노력을 기울여야 할 것이다.

• 한국산학기술학회논문지
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• 제14권10호
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• pp.5012-5019
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• 2013

이 연구는 병원조직 구성원들의 교육훈련 만족도에 영향을 미치는 요인을 실증적으로 분석함으로써 경영성과를 높이기 위한 교육훈련체계의 발전방안을 모색하는데 그 목적이 있다. 4개 종합병원에 근무하고 있는 490명을 대상으로 설문을 실시한 결과, 병원의 교육훈련 만족도는 인구통계학적 특성에 따라 차이를 보였다. 둘째, 교육훈련 만족도에는 직무특성과 조직효과성이 통계적으로 유의미한 정(+)의 영향을 미쳤다. 마지막으로, 교육에 대한 기대, 직무특성, 조직효과성이 교육훈련 만족도에 미치는 영향에서 자아효능감의 조절효과를 살펴본 결과, 교육에 대한 기대와 자아효능감의 조절효과가 있었다. 이러한 결과를 바탕으로 효과적인 교육프로그램 개발을 위한 실천적 함의를 논하였다.

• 보건행정학회지
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• 제26권3호
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• pp.155-171
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• 2016

Background: In this study, state-owned medical institutes, industrial accident hospitals, veteran hospitals, and private medical clinics including 16 university medical institutes in the Seoul metropolitan area were selected to examine the causality of ethical management, positive psychological capital, and organizational effectiveness. Methods: The study analyzed 1,056 valid questionnaires to which a total of 1,325 nurses, medical technicians, doctors, and administrative staff in 34 healthcare organizations answered over two months from June to August 2015. The study also utilized a 'structural equation model,' and a 'hierarchical linear model' to conduct the analysis. Results: It was first found that ethical leadership, ethical management systems, and organizational ethics values, which are the three factors of ethical management, had significant influence on organizational commitment, and behavior. These are the three factors of employee organizational effectiveness. Second, ethical management, ethical leadership, ethical management systems, and organizational ethics values had significant influence on positive psychological capital. Third, positive psychological capital had significant influence on organizational commitment, turnover intention, and organizational citizenship behavior. Positive psychological capital presented an indirect effect on the relationship between the ethical management and organizational effectiveness of employees. The effect of positive psychological capital consisting of self-efficacy, hope, resilience, and optimism was confirmed in the healthcare organizations. Fourth, in relations among ethical management variables, ethical leadership showed a significant impact on ethical management systems, which had significant impacts on organizational ethics values, which had significant impacts on ethical leadership.

• 한국융합학회논문지
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• 제11권9호
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• pp.351-358
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• 2020

본 연구는 노인요양병원 근무자의 감사성향이 직무만족 및 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과를 규명하는데 목적이 있다. 연구설문지는 감사일기와 관련된 캠페인을 추진하고 있는 4개의 노인요양병원 근무자를 대상으로 총 485부를 선정하였다. 자료처리는 SPSS 26.0을 이용하여 단순, 위계적 회귀분석을 실시하였다. 연구결과 노인요양병원 근무자들의 감사성향은 감사일기와 통계적으로 유의한 상관관계를 보였고 감사성향은 직무만족과 삶의 만족에 통계적으로 유의한 영향을 나타냈다(p<.01). 그러나 감사성향이 직무만족과 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과는 통계적으로 유의하지 않았다. 본 연구의 의의는 노인요양병원 근무자의 감사성향이 직무만족과 삶의 만족에 미치는 영향과 감사일기 경험의 조절효과를 규명하여 근무자의 직무만족과 삶의 만족을 위한 프로그램 개발과 노인요양병원 인력관리의 기초자료를 제공하고자 한다.