• 한국병원경영학회지
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• 제16권1호
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• pp.77-100
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• 2011

The purpose of this study is to the improvement of general hospital outpatients waiting time using Theory Of Constraints(TOC) methodology and to the development of a Reception Desk in general hospital. This study is to provide decision-making guidelines for hospital managers and to provide feedback for the efficiency of job process. The target people of the study are outpatients and Cashiers on Chungnam national university hospital in Daejeon. The methods of study are summarized as follows. First, The team managers from a Reception Desk group were appointed. This team managers have the adjustment authority to the Outpatients schedule of doctor and Cashier members. Second, The consolidation of the general Reception desk and special inspection the Reception Desk. A movement line and waiting time of patients were simple and fast to accept. As a result of study, it shows that the TOC is the method for a job process and waiting time improvement, patients' satisfaction increase and we need an objective measurement indexes in the medical treatment industry.

• 한국직업건강간호학회지
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• 제29권1호
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• pp.8-19
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• 2020

Purpose: To identify the importance and performance levels of health management duties, work-related and general attributes of health managers in medical institutions and analyze their impact on the performance of managing health-care related tasks. Methods: This research identified the performance levels of 150 health managers who have been executing industrial health-related duties for more than six months as nurses in medical institutions with more than 30 hospital beds. The variables which affect their performances were then analyzed. Results: The average importance of health care duties was 8.1 out of 10 and 5.5 for performance levels. Multi-regression analysis on the variables affecting performance levels of health managers in medical institutions showed that health managers exhibit higher numbers under the following conditions: over 300 full-time employees, more than 1 year but less than 3 years of experience, positions above section chief level, affiliation to the safety and health department, and high perception of duty importance. Conclusion: Improved cognizance of health manager importance should occur initially; then, health-care center setup, assigning of exclusive occupational health managers, and organizational efforts to improve the working environment in tandem with the provision of educational training programs to improve work quality are necessary.

• 한국직업건강간호학회지
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• 제21권3호
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• pp.175-183
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• 2012

Purpose: The purpose of this study was to investigate the relationship between nurse managers' facilitative communication as perceived by nurses and nurses' self-esteem. Methods: The subjects were 256 staff nurses at B hospital of C University in Kyeonggi-do. The data were collected between December 1, 2009 and January 12, 2010. The collected data were analyzed using the SAS program through t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficients. Results: Nurses' self-esteem was higher when nurse managers perceived them as facilitative communicators in empathic understanding and genuineness subgroup of facilitative communication (p<.05). There was a positive correlation between nurse managers' facilitative communication and nurses' self-esteem(r=.15, p=.015). Also there was a positive correlation among the nurse managers' facilitative communication subgroups, empathic understanding; genuineness; concreteness(r=0.18, p=.004; r=0.18, p=.003; r=0.19, p=.002) and nurses' self-esteem. Conclusion: Nurse managers are in need of facilitative communication. Therefore, job education and training for improving nurse managers' communication skills particularly related to empathic understanding, genuineness and concreteness are required.

• 디지털융복합연구
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• 제15권9호
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• pp.497-509
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• 2017

본 연구는 병원 관리자의 조직문화가 직무만족에 미치는 영향과 이들 간의 관계에서 건강증진행위의 매개효과를 분석하고자 하였다. SPSS/WIN 21.0 프로그램을 이용하여 t-test, ANOVA, Pearson 상관분석을 실시하였다. Baron과 Kenny(1986)의 매개효과 분석법을 사용하여 위계적 다중회귀분석을 실시하였으며 매개효과의 유의성을 검증하기 위해 Sobel test를 실시하였다. 연구결과 조직 문화와 직무 만족 간에는 유의한 정(+)의 관계, 건강 증진 행동과 직무만족 간에도 유의한 정(+)의 관계가 있었다. 또한 조직 문화와 직무만족 간에 건강 증진 행동의 부분적인 중재 효과가 있었다. 이에 병원 관리자의 건강 증진 행동을 효과적으로 촉진하여 조직 문화를 향상시키고 직무 만족을 극대화하는 프로그램을 개발할 필요가 있다.

• 임상간호연구
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• 제23권2호
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• pp.189-201
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• 2017

Purpose: The aim of this study was to develop the nursing management core task and competency matrix for hospital unit managers. The perceived level of importance and performance of identified core competencies by unit managers were also investigated. Methods: Literature review and expert survey identified nursing management core task and competencies. Subsequently, the core task and competency matrix was developed and validated by expert panel. A survey of 196 nurse managers from 3 cities identified perceived importance and performance of core competiences. Results: Thirty-eight nursing management core task and thirty-seven nursing management core competencies were identified comprising five categories; Clinical practice knowledge, Evidence-based practice, Employee development, Strategic planning and Initiative. Based on the core task and competencies, the task and competency matrix for unit managers was developed. In the analysis of importance and performance of core competencies, the mean score of importance ($3.50{\pm}0.30$) was higher than the mean score of performance ($3.03{\pm}0.34$). Conclusion: The development of core task and competencies for unit managers in hospitals provides a guide for the development and evaluation of programs designed to increase competence of unit managers.

• 한국병원경영학회지
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• 제8권3호
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• pp.72-91
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• 2003

The purpose of this study is to investigate the recognition of health information managers, and to analyze the level of job satisfaction and organizational commitment of medical record technicians. The data for this study were collected through a self-administered survey with a structured questionnaire to 172 subjects from medical record technicians working in hospitals in Seoul and Gyeonggi Province as well as the faculty of medical schools across South Korea. In this analysis frequency, t-test, ANOVA, factor analysis and structural equation model were used. The main findings of this study are as follows: 1. As for recognition of the seven dimensions in the role of health information managers, the role as clinical data specialist received the most positive feedback, followed by document & repository managers, patient information coordinators, health information managers, data quality managers, security officers and research & decision support analyst. 2. The level of job satisfaction among medical information handlers and managers averaged 3.14. In terms of the factors in the work environment concerned with job satisfaction, being able to work independently and as team players reached the top among 6 factors with the average of 3.39, followed by professional position, salary & rewards, expectations for job performance and administration. 3. The average rate of organizational commitment stood at 3.09. Respondents tend to be focused on present tasks rather than future-oriented tasks. 4. The result of the analysis based on the relationship between recognition as health information managers, job satisfaction and organizational commitment found that all analysis are statistically meaningful. The more the respondents were aware of their roles as health information managers, the more they tended to be committed to their work and satisfied with their work. The more the respondents were committed to their work, the more satisfaction was seen. The effects of recognition as health information managers on organizational commitment measured 0.27 and for job satisfaction it was 0.17. The effects of organizational commitment on job satisfaction stood at 0.71. The feasibility of the model meets the standard at Chi-square value of 66.755 and the P value of 0.057. The Normed Fit Index (NFI) of 0.930 was in compliance with the standard for model feasibility and the squared multiple correlation coefficient of this model was 8% in organizational commitment and 60% in job satisfaction.

• 지역사회간호학회지
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• 제27권4호
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• pp.309-318
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• 2016

Purpose: This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals. Methods: The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression. Results: The mean of PCC was $3.25{\pm}0.45$ out of 5 and the nursing service quality was $3.87{\pm}0.40$. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC. Conclusion: This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

• 가정간호학회지
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• 제25권3호
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• pp.215-223
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• 2018

Purpose: The purpose of this study was to investigate effects of nurse managers' conflict management styles on nurses' levels of leader trust and organizational commitment. Methods: For this study, a descriptive survey design was used. The participants were 165 nurses who had worked more than 1 year in a university hospital. Data were collected from September 1 to September 10, 2016, using a self-report questionnaire. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe's tests, Pearson's correlation coefficients, and multiple regression analysis. Results: Among the nurse managers' conflict management styles, the problem-solving style was positively correlated with both leader trust and organizational commitment. Concession-avoiding and control-leading styles were negatively correlated with both variables. Furthermore, the problem-solving style was found to have significant influence on both leader trust and organizational commitment. Conclusion: In order to more actively cope with conflict situations occurring in the nursing work environment, nursing managers need to exhibit more effective attitudes of conflict management. This study suggests that the problem-solving style is a desirable conflict management style in terms of increasing leader trust and organizational commitment.

• 동서간호학연구지
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• 제25권2호
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• pp.128-137
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• 2019

Purpose: The purpose of the study was to investigate the relationships between knowledge of dementia care, attitude toward dementia and person-centered care among nurses in geriatric hospitals. Methods: Participants were 115 nurses from the seven geriatric hospitals. Data were collected from September $5^{th}$ through $21^{st}$ in 2018 and analyzed using t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression. Results: Person-centered care was significantly different according to satisfaction with income, career of geriatric hospital, application of their opinions, and the satisfaction with hospital managers, administrators and nurse managers. Also person-centered care showed a significant positive correlation with the attitude toward dementia. Predictors of person-centered care were the satisfaction with hospital managers and the attitude toward dementia, which explained 23.0% of the variance. Conclusion: The findings of this study indicate that the attitude toward dementia and the satisfaction with the hospital organization were related to the person-centered care in geriatric hospitals. Therefore, the strategies to improve the attitude towards dementia should be carried out to enhance the person-centered care among nurses in geriatric hospital.

• 대한영양사협회학술지
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• 제10권3호
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• pp.293-299
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• 2004

The purposes of this study were to : a) investigate the current status of contracted hospital food services, b) analyze and clarify various perspectives of contractors and hospitals. Thirty six hospitals and their contractors which were having more than 100 beds located in Seoul, Inchon and Kyungkido, were the subjects of this study. Data were collected through surveys. The survey was conducted during March to April in 2002. Questionnaires were mailed to the 36 directors of dietetic departments of hospitals and 36 managers of contract foodservice management company. Statistical analysis was completed using SPSS Win(11.0) for descriptive analysis, t-test and $x^2$-test. The results of the study can be summarized ; 1. The type of contract considered adequate by directors of dietetic departments and managers of contractors was fee-contract, combined type, followed by profit-and-loss contract. 2. According to the results from analysis on the contract cost per meal considered adequate by directors of dietetic departments and managers, the directors of dietetic department indicated that showing no difference with the current contract cost per meal. However, the managers of contractor indicated that showing significant differences compared with the current contract cost per meal(regular diet p<0.01, therapeutic diet p<0.001). 3. In the composition of contract cost per meal considered adequate, the managers of contracting businesses accounted labor cost (p<0.01) as a major cost, whereas the chiefs of nutrition departments accounted miscellaneous or controllable expense (p<0.001) and VAT (p<0.01) as major costs. 4. The directors of dietetic departments and managers thought that the hospital should be responsible for utility costs. On the other hand, directors of dietetic departments regarded that the contractor and managers thought that the hospital should pay for facility investment cost.