• Korean Journal of Occupational Health Nursing
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• v.7 no.1
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• pp.20-32
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• 1998

This study was conducted investigate the practice of health promoting behavior in hospital workers. The subjects for this study were 529 hospital war kern working in four university hospitals in the Kyong-in area. Data were collected by using constructed questionnaires from January 13. 1997 to February 24, 1997, analyzed by descriptive statistics, ANOVA and $Scheff{\acute{e}}$ comparison test, Pearson's correlation coefficient and stepwise multiple regression. The results were as follows; 1. The mean score of health promoting behavior for hospital workers was 2.40. The health promoting behavior in relation to the characteristics of the subjects varied significantly according to sex, age, career, religion and number of children. 2. The mean score of health perception was 3.29. The health perception in relation to the characteristics of the subjects showed no statistical discrepancy. 3. The mean score of self-esteem was 3.80. The self-esteem in relation to the characteristics of the subjects varied significantly according to sex, age, occupation, educational background, religion and marital status. 4. The mean score of self-efficacy was 69.63. The self-efficacy in relation to the characteristics of the subjects sailed significantly according ding to sex, age, occupation, career, religion, marital status and number of children. 5. The mean score of internal health locus of control was 2.88. The internal health locus of control in relation to the characteristics of the subjects varied significantly according to sex and occupation. The mean score of chance health locus of control was 2.08. The chance health locus of control in relation to the characteristics of the subjects varied significantly according to occupation and religion. The mean score of powerful others health locus of control was 2.35. The powerful others health locus of control in relation to the characteristics of the subjects varied significantly according to career, educational background, marital status and number of children. 6. Performance in health promoting behavior was significantly correlated with self-esteem, self-efficacy, powerful others health locus of control, health perception and internal health locus of control. 7. The combination of self-esteem, powerful others health locus of control, health perception, self-efficacy, internal health lot-us of control, age and marital status explained 45.72% of the variance of likelihood to engage in health promoting behavior.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.8
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• pp.456-465
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• 2018

This study was conducted to examine the correlations between fatigue, health perception, happiness, and health promoting behaviors, and to identify the influencing factors on health promoting behaviors of clinical nurses in two general hospitals. Data were collected from 153 clinical nurses from February 5 to March 30, 2018. Data were collected through personal interviews using a questionnaire. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Fatigue according to the general characteristics showed significant differences in drinking and job stress. Health perception according to the general characteristics showed significant differences in disease. Happiness according to the general characteristics showed significant differences in marital status, type of work, clinical career, nursing unit satisfaction, economic level, and job stress. Health promoting behavior according to the general characteristics showed significant differences in clinical career and economic level. Health promoting behaviors showed significant positive correlations with health perception and happiness, but a significantly negative correlation with fatigue. Happiness and economic level, which accounted for 24% of the variance, were significant predictors influencing health promoting behavior in clinical nurses. To improve health promoting behavior in clinical nurses, it is necessary to develop a program that can raise the happiness considering the economic level.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.4
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• pp.728-735
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• 2009

This study intends to examine general hospital workers' health promoting lifestyle practice and figure out related factors to it. To achieve that, it conducted a survey with an unsigned self-reported questionnaire to the subject of 580 workers at hospitals located in Daejeon. The degree of practice in the subjects' health promoting lifestyle, the average of the entire questions was 2.26 points and the average of sub-sections was as in the following: 2.62 for interpersonal relations, 2.58 for spiritual growth, 2.26 for nutrition, 2.16 for stress management, 2.00 for health responsibility and 1.89 for physical activity Thus, the section of interpersonal relations showed the highest practice rate, whereas the section of physical activity demonstrated the lowest one. According to the multivariate regression analysis by phase, main factors affecting their health promoting lifestyle practice were selected as stress, attendance in education on health promotion, subjective heath condition, and age. The above results imply that general hospital workers' health promoting lifestyle practice is not sufficient and various factors are involved in it. Accordingly, it is considered that in order to enhance general hospital workers' attention to health promoting lifestyle practice, it is necessary to develop health promoting strategies and programs.

• The Korean Journal of Rehabilitation Nursing
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• v.7 no.2
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• pp.149-158
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• 2004

Purpose: The purpose of this study to analyze the relationship the activities of daily living(ADL), self-efficacy, and health promoting behaviors. Method: The research was a descriptive survey study. The subjects of this study were 115 hospitalized stroke patients to two General hospitals and one Oriental treatment hospital in G. Metropolitan. Data was collected through questionnaires from December 1st, 2003 to January 30th, 2004. The survey instruments used in the study Shah, Vanclay and Cooper's MBI(11 items), and Sherer and Maddux's self-efficacy(10 items), Walker, Sechrist, and Pender's HPLP(23 items) was developed by the researcher. The obtain data were analyzed with an SPSS 10.0 program using frequency, percentage, Cronbach's alpha, t-test, ANOVA, Duncan test, and Pearson's correlation coefficient. Result: The results were as follows; The level of ADL the score was 50.5, self-efficacy 40.4, and health promoting behavior 54.6. There were significant differences of ADL by general and disease related characteristics as follows : for monthly income(F=2.72, p= .048), duration of stroke(F=7.98, p= .001), number of attack(F=5.21, p= .007), operation (F=17.88, p= .000). There were significant differences of self-efficacy by general and disease related characteristics as follows : for monthly income(F=4.83, p= .003), number of attack (F= 6.20, p=. 003), operation(F=4.03, p= .047). There were significant differences of health promoti ng behaviors by general and disease-related characteristics as follows : for aphasia(F=4.24, p=.042). There were significant correlated between ADL and self-efficacy(r= .698, p=.000), self- efficacy and health promoting behavior(r=.398, p= .000), ADL and health promoting behavior(r= .235, p= .011). Conclusion: As a result, There was a significant correlation between ADL, self-efficacy and health promoting behaviors. There will be considered useful nursing intervention effect to progress, support health promoting behavior of stroke patients.

• Korea Journal of Hospital Management
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• v.18 no.1
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• pp.70-87
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• 2013

This study investigated contents of mission statements for Strategic Management of hospitals in Korea and Japan. For the study, 44 tertiary care hospitals in korea, which were accredited by the Ministry of Health and Welfare, were selected. And 83 special functioning hospitals in Japan, which were approved by the Minister of Health, Labour and Welfare, were included. Both quantitative and qualitative analyses were conducted by classifying 5 components of the mission statement; market, service, philosophy, image, contribution. Findings from this study are as follow. First, hospitals in Korea emphasized image(93.2%) and philosophy(81.8%) components in their mission statements, whereas hospitals in Japan highlighted components of service(89.2%) and market(72.3%). In detail, mission statements of Korean tertiary care hospitals describe the components of hospital's image (93.2%), philosophy(81.8%), contribution(56.8%), market(22.7%) and service (18.2%) in order. On the other hand, mission statements of Japanese special functioning hospitals describe hospital's service(89.2%), market(72.3%), contribution(61.4%), image (49.4%) and philosophy(34.9%), respectively. Second, as results of Content analysis, there were some differences in mission statements of hospitals between two countries, and it is mainly from the divergences of standards for recognition of medical institutions, environmental factors, and different ways of mission statement description. For strategic hospital management, carrying out innovative restructuring organization or promoting of research and training for medical development is considered as a desirable approach. However, clear description of mission statement is more important and it is required for effective control and managing organization. And then the mission should be communicated within an organization so all internal members understand it and put their efforts to achieve the mission of organization. In conclusion, it is recommended that a leader and senior managers should re-evaluate its mission statement whether it reflects characteristics of an organization. In addition, a mission statement should be created or improved based on critical decision, as well as it should be clearly shared within an organization in order to become a future oriented organizations.

• Korea Journal of Hospital Management
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• v.12 no.2
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• pp.43-68
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• 2007

The administration of a regional public hospitals are expending from profit preference to publicity preference. The weight rate for a profitability and publicity of performance assessment has changed from 84:16 which was resulted by the assessment executed firstly in 1989 to 39:61 as resulted in 2004, the final assessment execution in 2005. Regional public hospitals are exerting and promoting a magnification in public sector to raise up the public-score. With comparison between publicity scores and profitability scores in original scores basis excluding weight rate, the publicity scores ranked higher than profitability scores although the latter was higher by 2002. However, for the administration performance of the regional public hospitals, the deficits increased 11 times from \92.6billion deficits with \460.3billion cost increased by 457% although income as \367.7billion increased by 394% comparing the last 2004 year to the first 1989 year for profit & loss statement of a regional public hospitals. There was analysis for the relation in yearly basis partitioning publicity and profitability for the assessment scores of the to regional public hospitals confirm the accumulated deficits of the hospitals like this attribute to the extension of public sector. The result showed that there was distinct plus relationship from 1999 although a minus relationship in general until 1997 except 1992 and there is a more plus relationship as approaching 2004. That is, it is hard to tell that the accumulated deficits increase of regional government medical center attributed to extension of public sector. On the contrary, the analysis showed the extension of public sector has a mutual relationship with uplift of profitability Meanwhile, it showed that operation cost rate and labor cost are the factors which influence a revenue & expenditure rate among the profitability index according to the results of relation analysis for the representative index of profitability and that of publicity.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.599-609
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• 2010

Purpose: The purpose of this study was to develop and evaluate a transitional care program for patients discharged from military hospitals. The study consists of two phases: developing the program and evaluating its effectiveness. Methods: The conceptual framework used to guide the development of the program was Meleis's transition theory. A quasiexperimental design was employed for this study. Participants were recruited from patients discharged from one military hospital, 72 in the control group and 56 in the experiment group. Data were analyzed using SPSS WIN 12.0 program with chi-square, Fisher's exact test, independent t-test, and mixed model. Results: Participants in the transitional care program reported promoting a positive personal condition, and more healthy patterns of response in the first week after being discharged and a smoother discharge transition. Conclusion: The transitional care program developed for discharge patients from military hospital promoted discharge readiness and promoted smooth discharge transition.

• Quality Improvement in Health Care
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• v.5 no.1
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• pp.76-91
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• 1998

Background : The purpose of this study was to understand general attitudes of physicians toward hospital quality improvement activities who have been members of QA committee in 32 Korean university hospitals. Methods : A postal survey about opinions of hospital quality improvement activities and desirable policy directions was sent to 328 QA committee member physicians. The questionnaires were composed of 48 items. In total 152 physicians responded to this survey(response rate: 49.3%). This study was carried out from January to February 1996. Results : Most physicians(97.5%) recognized the necessity of hospital QA activities. The most dominant supporting reason for quality activities was to improve clinical outcome. Two thirds of physicians regarded their own hospital activities for quality improvement as inactive. They considered that the obstacles were too little concern(33.6%), unclear objectives(28.9%), lack of human resources(14.3%), and insufficient education and training for quality improvement(10.1%). The most favoring policy among respondents was to give health care providers economic incentives. Provision of education and training for implementing quality improvement was the next to it. Physicians revealed their preferences for professional society, government, health insurance societies, consumer groups, hospital labor unions, and mass media in sequence as sponsoring agencies for hospital accreditation program. Conclusion : These study suggested that the concrete means for motivating physicians and promoting constructive partnership among related parties should be developed in order to activate current hospital quality activities in Korea.

• Health Policy and Management
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• v.31 no.3
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• pp.312-327
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• 2021

Background: Infection prevention and control (IPC) to manage healthcare-associated infection (HCAI) has emerged as one of the most significant public health issues in Korea. The purpose of this study is to draw implications in IPC policies by analyzing the context, process, and major actors in policy development and comparatively analyzing IPC policy contents of Korea with three other countries. Additionally, IPC policies were analyzed in the context of coronavirus disease 2019 (COVID-19) to provide implications for future pandemics and HCAI events. Methods: This study incorporates a qualitative approach based on document and content analysis, applying codes and thematic categorization. IPC policy contents are comparatively analyzed by adopting the concept model, developed by the World Health Organization, which consists of core components of IPC structure at the national and facility level. Results: National IPC policies were developed within a complex social and political context, through the involvement of various stakeholders. IPC policies in Korea place a high emphasis on establishing IPC programs and built environments in healthcare facilities, whereas there were potentials for improvement in policies involving patients and promoting a safety culture. IPC policies, which currently focus on general hospitals and certain functions of hospitals, should further be expanded to target all healthcare facilities and functions, to ensure more efficient and sustainable IPC responses in the current and future disease outbreaks. Conclusion: IPC is a complex policy arena and lessons learned from the analysis of existing policies in the context of COVID-19 should provide valuable strategic implications for future policies.

• YAKHAK HOEJI
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• v.57 no.2
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• pp.150-159
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• 2013

A study was performed to identify current drug shortages, assess impact of drug shortages on public hospitals and patients, and investigate needs of pharmacists for a drug shortage list. An e-mail survey was sent to the pharmacists of 13 national public hospitals. Total 61.5% of public hospitals has 10 or fewer drugs a year in short supply. Shortages involved mood drugs, anti-tumor drugs, analgesics, antibiotics and etc. in 2012. Among them 75.0% was prescription drugs and the other 25.0% was non-prescription drugs. 79.2% was domestic products and 20.8% was imported drugs. Only 12.5% was injections. Less than 3 pharmacists usually spent within 3 hours managing one drug shortage. Since a single item for a certain medicine may raise risk of drug shortages, it's needed to consider developing manuals, laying up medicine stocks and holding plural medicines for drug shortages in public hospitals. Main information resources of drug shortages are wholesalers or manufacturers. But the information appeared to be not only inadequate but also too late for appropriate activities. A survey of pharmacists revealed that overall 84.6% of respondents were in need of the drug shortage list. They expected it to be conducted to take proper measures for the drug shortage and to improve patient healthcare outcome and convenience. This study will contribute to improving public health by promoting stable supply of drugs and repairing the information delivery system.