• Title/Summary/Keyword: Hospital Organizational Culture

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The Relationships between the Types of Nursing Organizational Culture, Nurses' Satisfaction with Life, and Job Satisfaction (병원 간호사의 간호조직문화, 삶의 만족, 직무만족과의 관계 연구)

  • Kwon, Hye Jin;Suk, Boo Hyun;Chee, Soon Ju;Ahn, Young Mi;Kim, Yoon Jung;Park, Sun Ah;Lee, Kyoung Sook;Kwon, Su Jin;Oh, Geum Sook;Kim, Myung Ae
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.57-69
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    • 2011
  • Purpose: This study aimed to investigate the types of nursing organizational culture and its relationships with nurses' satisfaction with life, and job satisfaction. This study was eventually aimed to create healthier and more positive nursing organizational culture. Methods: This study utilized a descriptive correlational method to explore mediating effects of the types of nursing organizational culture on nurses' satisfaction with life and their job. Data were collected from a total of 1,801 nurses who have worked for more than 3 years in 35 different hospitals with more than 100 beds. Using SPSS 17.0 and Sobel Test Calculator, t-test, one way ANOVA, Duncan test, multiple regression and sobel test were used for data analysis. Results: The analysis showed that the nurses had a hierarchical organizational culture. Also the subjects' job satisfaction was significantly correlated with innovation, relation, and hierarchy-oriented factors and satisfaction with life. Conclusion: Innovative organizational culture is a leading factor in determining nurses' professional satisfaction. In view of the above it is recommended that strategies for creating innovative organizational culture and its application to nursing practice.

The effects of a change of leadership of the 2nd generation management on internal environment and organizational effectiveness in hospitals (병원 2세경영의 리더십 변화가 내부환경 및 조직유효성에 미치는 영향)

  • Kim, Hun-Chul;Kim, Young-Hoon;Kim, Han-Sung
    • Korea Journal of Hospital Management
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    • v.20 no.1
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    • pp.1-12
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    • 2015
  • This study aims to examine the effect of a change of leadership on internal environment and organization effectiveness and suggest measures on effective organizational management by analyzing a change of leadership before and after 2nd generation management. There was analysis of a difference of leadership type, organizational structure, organizational culture, management resources, job satisfaction, and organizational commitment between the period of the founders and the period of 2nd generation successors by collecting data from employees of 6 hospitals in Seoul. Also there was analysis of the effect of a change of leadership on internal environment and organizational effectiveness. According to the analysis, it was demonstrated that the factor affecting job satisfaction during the period of the founder was complexity of organizational structure, and there were no factors affecting organizational commitment. In contrast, during the period of the 2nd generation successors, it was revealed that transformational leadership, centralism of organizational structure, and human resources of management resources affect job satisfaction, and transformational leadership, complexity of organizational structure, hierarchical culture of organizational culture, and human resources of management resources affect organizational commitment. Further, after the succession from the founders to 2nd generation successors, as transformational leadership increased, job satisfaction rose, and as developmental culture was reinforced and human resources increased, organizational commitment was heightened. Furthermore, as transformational leadership increased and developmental culture was reinforced, organizational commitment was heightened. Namely, as transformational leadership was reinforced resulting from the succession to 2nd generation, employees' job satisfaction and organizational commitment increased, with circumstances aiming for the actual change.

A Study on the Relationship Between Nursing Organizational Culture and ICUs Team Effectiveness (중환자실의 간호조직문화와 팀효과성에 관한 연구)

  • Kim, Moon-Sil;Hong, Eun-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.83-96
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    • 2004
  • Purpose: The purpose of this research is, by investigating organizational characteristics, types of nursing organizational culture and team effectiveness in ICU, to ascertain the type of nursing organizational culture and the organizational characteristic that can improve the team effectiveness. Method: The research targeted 427 nurses from 33 ICUs of 14 general hospitals which have more than 250 beds and the data were gathered by using self-report questionnaires from April 10, 2003 to April 24, 2003. For this research, the following tools were used; the tool for measuring organizational characteristics and organizational cultures and the tool for measuring team effectiveness. Result: The most significant nursing organizational characteristic in ICU is the centralization. The organizational culture in ICU is generally rank-oriented culture. There was a significant difference (p<.01) in four types of organizational cultures; relation-oriented, innovation-oriented, rank-oriented and task-oriented. Verifying influence power of organizational cultures upon team effectiveness of ICU, relation-oriented culture had 49.2% of an influence upon team effectiveness, innovation- oriented and relation-oriented culture had 60.4% of an influence, and rank-oriented, innovation-oriented and relation-oriented culture had 61.2% of an influence. The organizational culture profiles according to the types of nursing organizational cultures in 33 ICUs were found by a cluster analysis. They were classified into five culture profiles; strong balance culture profile, weak balance culture profile, innovation-oriented and task-oriened culture profile, strong relation culture profile and strong rank culture profile(p<0.5). According to me organizational culture profiles, a significant difference of team effectivenesses(coworker satisfaction, team performance perception, team satisfaction and team commitment) was found(p<.01). The strong balance culture profile had the best team effectivenesses. Conclusion: For nursing culture management, a nursing administrator should identify the relevant nursing organizational culture at first by utilizing an innovative team-leader. After identifying the organizational culture, the administrator should make strategic plans and practices that can distinguish good organizational cultures to be expanded from ones to be sublated so that a strong balance culture can be developed.

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Effects of Organizational Culture, Self-Leadership and Empowerment on Job Satisfaction and Turnover Intention in General Hospital Nurses (간호조직문화, 셀프리더십, 임파워먼트가 종합병원 간호사의 직무만족과 이직의도에 미치는 영향)

  • Choi, Seunghye;Jang, Insun;Park, Seungmi;Lee, Haeyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.2
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    • pp.206-214
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    • 2014
  • Purpose: In this study factors affecting job satisfaction and turnover intention of nurses were explored in the context of organizational culture, self- leadership, and empowerment. Methods: Participants were 286 nurses drawn from 3 general hospitals. Data were analyzed using t-test, one-way ANOVA, Pearson correlation, and hierarchial multiple regression with the SPSS/WIN 18.0 program. Results: Significant differences in job satisfaction and turnover intention were found according to organizational culture types. Significant positive correlations were found between self-leadership, empowerment, task oriented organizational culture, relationship oriented organizational culture, innovation oriented organizational culture and job satisfaction. On the other hand, significant negative relationships were found between empowerment, relationship oriented organizational culture, innovation oriented organizational culture and turnover intention. The factors that enhance job satisfaction were found to be higher innovation-oriented organizational culture. Lower turnover intention was shown to be positively associated with relationship- or innovation oriented organization culture. Conclusion: Innovation oriented organizational culture is needed in order to raise job satisfaction and reduce turnover intention of nurses.

Nurses' Knowledge and Attitude about Incidence Reporting according to Nursing Organizational Culture and Organizational Characteristics (간호조직특성 및 조직문화에 따른 간호사의 사건보고에 대한 지식과 태도 - 일 대학병원을 중심으로 -)

  • Kim, Kyoung-Ja;Oh, Eui-Geum
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.4
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    • pp.581-592
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    • 2009
  • Purpose: This study was designed to describe the nurses' knowledge and attitude about incidence reporting according to nursing organizational culture and organizational characteristics. Methods: The subjects of this study were 783 clinical nurses who were in A university hospital in Gyeonggi-Do. The data were collected from May, 20, 2009 to June, 2, 2009. The collected data were analyzed through descriptive methods, Pearson correlation coefficient, multiple regression in SPSS win(12.0). Results: Nurses' knowledge and attitude about incidence reporting were positively correlated with innovation oriented culture, relation oriented culture, and culture of patient safety. And among characteristics of nursing organization, communication, decision making, centralization were positively correlated with nurses' knowledge and attitude about incidence reporting. But the most correlated factor with nurses' knowledge and attitude about incidence reporting was culture of patient safety. Conclusions: The findings of this study suggest that to encourage reporting incidence, there must be a organizational approach, such as creating a culture of patient safety, active participating decision making, and communication.

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Promoting a nursing organizational culture for Great Workplace(GWP): a Korean experience (GWP 구현을 위한 조직문화 증진활동의 효과)

  • Kim, Young-Mee;Lee, Ji-Ae;Kim, Dae-Hee;Kim, Bo-Yeoul;Lee, Soon-Hyung;Park, Hyun-Mi;Kim, Hye-Sun
    • Perspectives in Nursing Science
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    • v.6 no.1
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    • pp.21-37
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    • 2009
  • The purpose of this GWP project was two-fold:(1) to launch an organizational culture improvement for great workplace (2) to improve the perception of nursing personnel on communication and team work in a surgical nursing department of a teaching hospital in Seoul. Using one group pretest-posttest design, nursing personnel's perception on organizational culture related to communication and team work was evaluated. A 10-item, 5-point scale (1.5) survey was administered to 209 nursing personnel in January 2009 and again to 191 nursing personnel in October 2009. From January 2009, AMANNA team has taken activities focused on trust, pride, and fun. AMANNA is an abbreviation of Korean language, which means wonderful meeting and sharing in English. Monthly activities are as follows: choral concerts by nurse managers, welcome and farewell events, praising members for their services, explaining current circumstances, etc. Special activities are as follows: a New Year's greeting party, a spring picnic, beauty classes, a lecture on drug administration, cultural lectures using videos, and presentations of academic posters and another activity. The reliability of measurement was Cronbach's ${\alpha}$: 0.917(pretest), 0.954(posttest). Most nursing personnel's perception on organizational culture was improved (pretest mean=3.50 and posttest mean=3.78, p<.001). "A sense of belonging" showed the greatest improvement among the 10 items(3.18 vs. 3.56, p<.001). "Trust each other" showed the highest score (mean=3.98) in posttest. Frequency of participation and satisfaction showed a significant relationship(r=0.179, p=.021). We believe that this project has made a contribution towards a positive organizational culture. The keys to this initiative's preliminary success have been the leadership support and flexibility in implementing the interventions tailored to the hospital.

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The Mediating Effects of Health Promotion Behavior in the Relationship between Organizational Culture and Job Satisfaction of Hospital managers (병원 관리자의 조직문화인식이 직무만족에 미치는 영향과 건강증진행위의 매개효과)

  • Yun, Dae-Ho
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.497-509
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    • 2017
  • The purpose of the study was to identify the mediating effects of Health Promotion Behavior in the relationship between Organizational Culture and Job Satisfaction of Hospital managers. To analyzed by frequency, t-test, ANOVA, correlation and a hierarchical multiple regression analysis as suggested by Baron and Kenny(1986) using SPSS/WIN 21.0. There was a positive relationship between organizational culture and job satisfaction. There was also a positive relationship between health promotion behaviors and job satisfaction of hospital managers. There was a partial mediating effect of Health Promotion Behavior between Organizational Culture and Job Satisfaction. The result need to develop programs that effectively promote the Health Promotion Behavior of Hospital managers to increase Organizational Culture and maximize Job Satisfaction.

The Effect Nursing Organizational Culture on Job Satisfaction and Turnover Intention in General Hospital : The Mediating Effect of Empowerment (종합병원의 간호조직문화가 간호사의 직무만족과 이직의사에 미치는 영향 : 임파워먼트의 매개효과 검정)

  • Park, Jae-San;Lee, Mi-Soon
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.1-11
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    • 2011
  • The objective of this study is to identify the relationship between nursing organizational culture and job satisfaction and turnover intention. Furthermore this study analyzed the mediating effect of empowerment on the relationship between two variables. Data were collected by self-administered questionnaires. Structural Equation Modeling(SEM) analysis was conducted. The major findings of this study are as follows: nursing organizational culture having a positive effect on empowerment and organizational effectiveness. The empowerment as a mediating role between nursing organizational culture and job satisfaction and turnover intention was statistically significant. This finding showed that desirable organizational culture and improvement of empowerment is necessary to maintain nursing staff's organizational loyalty and eventually to improve total organizational performance.

Influence of Types of Leadership and Organizational Culture on Innovative Behavior of Professional Staff of a General Hospital (리더십유형과 조직문화가 종합병원 구성원의 혁신행동에 미치는 영향)

  • Kim, Hyun Suk;Kang, Kyeong Hwa
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.4
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    • pp.447-456
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    • 2015
  • Purpose: The purpose of the study was to identify factors affecting the innovative behavior of general hospital professional staff. Methods: In the final analysis, the study focuses on the 442 structured questionnaires received from the professional staff (doctors, nurses, medical technicians, and administrative staff) of H Hospital, a public medical foundation. Data were collected from August 1 to 31, 2014. The SPSS/WIN 19.0 program was used for data analysis which included t-test, ANOVA, $Scheff\acute{e}$ test, Pearson correlation coefficients, and multiple regression analysis. Results: Multiple regression showed that factors affecting innovative behavior of hospital professional staff were conditional reward, innovation-oriented culture, education, and job (Adj $R^2=.317$). Conclusion: The results of this study suggest that it is necessary for the leader to demonstrate leadership with innovation and transaction in harmony to cultivate innovative behavior in hospital staff. Also, positive support and role in the hospital organization are fundamental to developing the strengths that each type of culture possess on the basis of the organizational culture of hospital, enabling hospital staff to exhibit their best voluntary innovative behavior.

The Effect Nursing Organizational Culture and Happiness Index on Turnover Intention among Nurses (간호사가 지각한 간호조직문화와 행복지수가 이직의도에 미치는 영향)

  • Kim, Kyoung-Nam
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.61-72
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    • 2014
  • The purpose of this study was to identify the effect nursing organizational culture and happiness index on turnover intention among nurses. The subjects of this study were 377 nurses who were working at 3 general hospitals in B city. The data were collected by structured questionnaire from July 1 to August 28 of 2013. The data collected were analyzed with SPSS Win 20.0 using descriptive methods, t-test, ANOVA, Pearson correlation coefficient and Stepwise multiple regression. Turnover intention were significant negative correlation for affiliative oriented organizational culture(r=-.137, p=.008), happiness index(r=-.290, p<.001). There were significant positive correlation for innovative oriented organizational culture(r=.123, p=.017), rank oriented organizational culture(r=.126, p=.015), task oriented organizational culture(r=.218, p<.001). Factors affecting for turnover intention were happiness index(${\beta}$=-.297, p<.001), rank oriented organizational culture(${\beta}$=.266, p<.001), nursing experience(${\beta}$=.199, p=.009), affiliative oriented organizational culture(${\beta}$=-.142, p=.034). The explained variances for were turnover intention among nurses 17.2%. Based on the study consider to development and education program of happiness index and affiliative oriented organizational culture for nurses in the hospital setting.