• 디지털융복합연구
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• 제17권10호
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• pp.293-300
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• 2019

본 연구는 대학병원 비정규직의 이직의도에 미치는 영향을 분석하였다. 설문대상은 전국 7개 대학병원에 근무하는 비정규직 292명을 대상으로 2017년 12월 1일부터 12월 31일까지 실시하였다. 분석방법은 일반적 특성에 따른 이직의도 분석을 위해 ANOVA, t-검정을 하였으며, 이직의도에 미치는 영향 분석을 위해 다중회귀분석을 하였다. 연구의 주요 결과는, 환경불공정성, 고용불안정성, 차별경험은 이직의도에 유의한 양(+)의 영향력을 보였고, 직무만족과 나이, 고용형태는 유의한 음(-)의 영향력이 있었다. 특히 갈수록 경쟁이 치열해지는 의료시장에서 병원의 많은 부분을 차지하고 있는 비정규직에 대한 차별이 높고, 이직의도가 높은 것은 장기적으로 병원경영과 양질의 의료서비스 제공에 부정적 영향을 미칠 수 있다. 정부는 적극적으로 비정규직을 위한 정책을 수립과 지원이 필요하고, 병원들은 비정규직을 위한 복지, 임금, 근무환경 등에서 실질적인 변화가 필요하다.

• Safety and Health at Work
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• 제2권3호
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• pp.273-281
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• 2011

Objectives: Studies examining healthcare workers' exposure to antineoplastic drugs have focused on the drug preparation or drug administration areas. However, such an approach has probably underestimated the overall exposure risk as the drugs need to be delivered to the facility, transported internally and then disposed. The objective of this study is to determine whether drug contamination occurs throughout a facility and, simultaneously, to identify those job categories that are potentially exposed. Methods: This was a multi-site study based in Vancouver, British Columbia. Interviews were conducted to determine the departments where the drugs travel. Subsequent site observations were performed to ascertain those surfaces which frequently came into contact with antineoplastic drugs and to determine the job categories which are likely to contact these surfaces. Wipe samples were collected to quantify surface contamination. Results: Surface contamination was found in all six stages of the hospital medication system. Job categories consistently found to be at risk of exposure were nurses, pharmacists, pharmacy technicians, and pharmacy receivers. Up to 11 job categories per site may be at risk of exposure at some point during the hospital medication system. Conclusion: We found drug contamination on select surfaces at every stage of the medication system, which indicates the existence of an exposure potential throughout the facility. Our results suggest that a broader range of workers are potentially exposed than has been previously examined. These results will allow us to develop a more inclusive exposure assessment encompassing all healthcare workers that are at risk throughout the hospital medication system.

• 한국병원경영학회지
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• 제17권2호
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• pp.1-20
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• 2012

This study aims to suggest managerial strategies for strengthening their competitiveness via analyzing and determining factors to help improve customer orientation and internal customer satisfaction. Furthermore, this study aims to find out the factors of internal service quality affects job satisfaction and customer orientation. The data was collected in 5 small and medium hospitals on 215 workers who had direct interactions with customers. Through regression analysis, all factors of internal service quality affects job satisfaction, however only two factors, credibility and sympathy appeared to affect customer orientation.

• 보건행정학회지
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• 제15권1호
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• pp.1-29
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• 2005

This study examined the antecedents of psychological empowerment at hospital organizations, and also examined their differential effects among occupational groups within hospitals: doctors, nurses, engineers, and administrative workers. Various variables for multi-level factors were examined as antecedents: tenure, income, work centrality, and career goal as personal factors, job variety, job clarity, job significance, and job fitness as job factors, and security, reward justice, and organizational support as organizational factors. Data were collected from 8 national university hospitals, and 1,289 data were used for final analysis. For the whole groups, all antecedents except reward justice had significant effects on, and explained large amount of variance of empowerment. Results from the analysis for each occupational group showed that income, career goal, and job significance had significant effects on empowerment at all occupational groups, while reward justice had not at any groups. The effects of other variables depended on occupational groups. 1bis study found some important antecedents of empowerment which have been less considered in previous research: career goal, work centrality, security, and organizational support. The finding that differential effects of antecedents on empowerment by occupational groups suggests that group characteristics should be considered for studying empowerment. In this study, for example, personal factors rather than both job factors and organizational factors were more effective for empowerment in the engineering group whose job is relatively simple and clear, while job factors were most effective in other groups. The differential effects of antecedents on empowerment by occupational groups also have practical implications for improvement of empowerment at hospitals. For empowerment, personnel management efforts would be more required for administrative workers than other occupational groups, because they perceived least job clarity, job significance, job fitness among the groups, all of which were found to be important determinants of empowerment for them.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.659-666
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• 2020

본 연구는 헬스케어에 따른 병원종별 종사자의 감정노동이 직무스트레스에 미치는 영향에 대한 비교 연구이다. 연구 자료는 G광역시, J도 병원급 이상 의료기관 종사자들을 대상으로 직접 설문조사를 통해 얻은 387부의 설문지를 최종 분석 자료로 이용하였다. 연구결과는 첫째, 병원종별 인구사회학적 특성에 따라 감정노동, 직무스트레스 차이를 분석 결과 일반병원의 경우 감정노동은 월 소득, 현 병원근무경력에서 유이한 차이를 보였고, 직무스트레스는 학력, 현 병원근무경력, 설립구분에서 유의한 차이를 보였다. 요양병원의 경우 감정노동은 학력, 음주여부, 월 소득에서 유의한 차이를 보였다. 둘째, 병원종별 감정노동과 직무스트레스의 상관관계를 분석 결과 일반병원, 요양병원에서 감정노동과 직무스트레스는 정적 상관이 유의한 것으로 나타났다. 셋째, 병원종별 감정 노동이 직무스트레스에 미치는 영향을 비교한 결과 일반병원, 요양병원에서 감정노동이 직무스트레스에 유의한 정적 영향을 미치는 것으로 나타났다.

• 보건의료산업학회지
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• 제7권4호
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• pp.233-241
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• 2013

The purpose of this study is to investigate factors affecting workers' knowledge sharing on knowledge sharing and innovation behavior in general hospitals. This study is based on factors of knowledge sharing such as incentives, reciprocal benefits, behavioral control, and subjective norm, CEO's support, rewards system, IT system, and trust. Data were assessed using 148 workers who work in 3 hospitals in Seoul, Kyunggi, Chunkcheong-do. Data were collected with self-administered questionnaires from April 1 to 31 in 2013 and analyzed SPSS 18 and SEM(structural equation modeling). The results of the study were as follows. First, knowledge sharing intention as well as innovation behavior was statistically significant in behavioral control and IT system. Second, knowledge sharing intention turned out to be positive effect for innovation behavior. This study identified a couple of factors affecting workers' knowledge sharing on knowledge sharing intention and innovation behavior. The the implications of these factors are discussed and areas for developing hospital's knowledge management strategies are fostered and knowledge sharing intention and innovation behavior.

• 한국병원경영학회지
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• 제5권1호
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• pp.40-61
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• 2000

The purpose of this study is to promote the efficiency of the management of the controls organization in the university hospitals and general hospitals by evaluating the factors underlying organizational conflict. The subject population included 351 hospital workers randomly selected from two general hospitals of less than 200 beds and two university hospitals over 500 beds in Seoul area. Data were collected through a survey questionnaire. To define related factors for the level of conflict among departments in each hospitals multivariate regression analysis was conducted. Independent factors were characteristics of subjects, conflicting factors between the departments. The results are as follows: 1. Those in high job position group demonstrated significantly higher level of conflict between departments. Those working in the general hospitals, who were older and had long-term tenure at current working hospital had higher level of conflict between the departments. 2. Concerning the involvement of conflicting factors and the level of conflict in the employees' there was statistically significant positive correlation between reliability and job-related and intradepartmental level of conflict in university hospitals. There was a significant positive correlation between interdepartmental conflicting factors of mutual dependence, difference in goal/orientation and interdepartmental level of conflict. 3. In the university hospitals, among the interdepartmental factors, mutual dependence and difference in goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals, job position was a significant factor which showed that those in high position such as section chief or above, compared to those in general position had higher level of conflict. Among the interdepartmental characteristics, factors of mutual dependence and goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals setting efforts to reduce conflict in areas among workers with high position, old age, and long tenure and those in medical care department should be made and prudent management and planning for improved manpower and increased budget or efficient allocation and clear definition of job description are necessary to adequately assess. In the university hospitals setting efforts to reexaminitation of the organizational structure and efficiency conveyance of information and efforts to resolve conflict among young workers with lower level of education is need. This study has its own merit in comparing empirically the conflict among hospital workers in the university hospitals and general hospitals. Future study are needed with respect to the relationship between interdepartmental level of conflict and the effectiveness of the hospital organization for improved resolution of conflict in the organization and hospital management.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

• 간호행정학회지
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• 제13권4호
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• pp.492-500
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• 2007

Purpose: The purpose of this paper was to identity the effects of distributive justice and procedural justice on job satisfaction and organizational commitment in hospital personnels. Method: The subjects were 181 employee who were working at 4 hospitals in Daegu and Gyeongbuk. Data was collected using structured questionnaire from Oct 4 to 24, 2007. The collected data were analyzed using the SPSS WIN 12.0 program for descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. Result: The mean score of distributive justice was 3.24, procedural justice was 3.05, job satisfaction was 2.73 and organizational commitment was 2.65. The distributive justice(37.5%) and gender(1.6%) explained 39.1% of the variables in the job satisfaction. The organizational commitment was significantly influenced by distributive justice(27.8%), age(8.9%), procedural justice(2.8%) and gender(2.4%). These factors explained 41.8% of the variables in the organizational commitment. Conclusion: The distributive justice is the most important factor in promoting job satisfaction and organizational commitment. Therefore, It is necessary to operate proper compensation system based on fair performance evaluation of workers in hospital.

• 간호행정학회지
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• 제5권1호
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• pp.169-180
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• 1999

The purpose of this study was to identify the degree of stress and job satisfaction and the relationship of stress and job satisfaction of oriental hospital nurses. The subjects were 255 nurses of 9 oriental hospital in Taegu and Pusan cities and data were collected from 20 March to 10 May 1998. The instruments used for this study were a survey of genernal characteristics(7 items). stress(6 items) and job satisfaction(20 items). Analysis of data was done by use of mean, percentage, t-test, ANOVA and pearson correlation with SPSS program. The results of this study are as follows : 1) The average item score for stress was 3.08. Religion, duration of nurse expectancy and work motivation among sociodemographic characteristics were significantly different with the degree of stress. 2) The average item score for job satisfaction was 2.84. Education, religion, marital state, carrier history, duration of nurse expectancy and work motivation among sociodemographic characteristics were significantly different with the degree of job satisfaction. 3) There were significant negative correlation among the variables : working volume and group conflict factors · role implementation fators${\cdot}$personal socialization fators/nursing skill and role implementation fatal's· personal socialization fators/rolesharing with peers and role implementation fators/relationship with co-workers and group conflict factors${\cdot}$role implementation fators${\cdot}$personal socialization fators/relationship with patients and role implementation fators/relationship with supervisors and role implementation fators. And there was a significant positive correlation between role-sharing with peers and decision-making fators.