• Title/Summary/Keyword: Nursing Organization

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Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication (국내외 간호사 인력정책의 현황과 과제)

  • Lee, Taewha;Kang, Kyeong Hwa;Ko, Yu Kyung;Cho, Sung-Hyun;Kim, Eun-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.106-116
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    • 2014
  • Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.

Development of Performance Measure Indicators in Hospital Nursing Units (균형성과표를 이용한 병원 간호단위의 조직성과 평가지표 개발)

  • Kang Kyeong-Hwa;Kim In-Sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.3
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    • pp.451-460
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    • 2005
  • Purpose: The purpose of this study was to develop performance measure indicators for hospital nursing units based on a Balanced Scorecard (BSC). Method: This study was a methodological study, The development process consisted of 3 stages. The first stage was setting up strategies for nursing units from a nursing department's mission and vision. The second stage was developing performance measure indicators after a validity check. The third stage was modifying developed performance measure indicators and classifying them. Results: 7 strategies were set up according to 4 perspectives of a BSC. 15 performance measure indicators for hospital nursing units were developed, and the indicators were divided into 8 independent indicators and 7 shared indicators according to the degree of performance responsibility. In addition, they were classified into two groups, 7 leading indicators and lagging indicators. Conclusions: The result of this study suggests that performance measure indicators for hospital nursing units provide a framework and method for nursing organizations' performance management. Also, the developed indicators are expected to provide valuable information for successful organization management.

Enneagram Personality Types, Nursing Professional Attitudes and Job Satisfaction of the Nurses (간호사의 에니어그램 성격유형별 간호전문직 태도와 직무만족)

  • Yang, Soo;Cha, Jung-Hee;Yang, Nam-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.3
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    • pp.299-310
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    • 2004
  • Purpose : The purpose of this study was to examine the enneagram personality types, nursing professional attitudes and job satisfaction of the nurses. Method: The subjects for this study were 93 nurses who did the enneagram workshop. Demographic characteristics, enneagram personality types, nursing professional attitudes and job satisfaction were measured. The data were analyzed through the SPSS 10.0 window program by were of frequency, percentage, t-test, ANOVA. Result : The highest of nurses' enneagram personality types was type 6 and type 5 and 8 were not existed. The triad of enneagram was consist of head type 40.9%, heart type 39.8%, gut type 19.3% orderly. Nursing professional attitudes and job satisfaction of nurses were positive. Nursing professional attitudes in type 2 were the highest but in type 9 were the lowest. also job satisfaction in type 1 were the highest but in type 2 were the lowest. But statistically nursing professional attitudes and job satisfaction no significant difference according to types of nurses' enneagram. Conclusion : According to the above findings, enneagram will utilize not only instrument for investigation of nurses' personality types but also human resource management program for understanding of nurses. And suggest that the further research is need to identify more variables related to the types of nurses' enneagram for enneagram' utility in nursing organization.

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A Review of Practical Use and Research Trends on Nursing Management Minimum Data Sets (NMMDS) (Nursing Management Minimum Data Sets (NMMDS) 연구의 최신 동향)

  • Jung, Myun Sook;Park, Jung In;Delaney, Connie W.;Westra, Bonnie L.
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.405-413
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    • 2014
  • Purpose: The purpose of this study was to review articles on Nursing Management Minimum Data Sets (NMMDS) and to suggest strategies to improve practical use of NMMDS in nursing management. Methods: A systematic search for articles published until 2013 was undertaken using the following biomedical databases: CINAHL, PubMed, and Google scholar. Seventeen articles were fully reviewed. Results: The results showed that studies were related to updating NMMDS reflecting current EHR use, mapping NMMDS to standardized national databases, and validating, translating and evaluating NMMDS for international uses. NMMDS has three dimensions and was developed reflecting the needs of nurse managers. Conclusion: The study findings provide a summary of recent trends in NMMDS. These results can serve as basic information to promote practical use of NMMDS in the healthcare organization to provide nursing management data for nurse managers.

A Study on the Factors of the school health Teachers' Self-confidence Affecting the School Nursing Activities in Jeonbuk Province (전북지역 양호교사의 업무수행과 자신감과 그에 영향하는 요인에 관한 연구)

  • Yang, Koung-Hee
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.582-594
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    • 1989
  • The purpose of this study is to analyze the factors affecting the school health teachers' self-confidence. This study was conducted with 87 school health teachers working in Jeonbuk province, from September to December, 1986, The results are follows; 1. Demographic characteristics of school health teachers 1) Age mean ; 34, range; 23-54 2) School Nursing experience mean; 11 years, range; 0-24 3) Clinical experience mean; 1.5 years, range: 0-13 2. Status of school health resources & nursing activities 1) Personnel resource school health teacher: pupils : 1 : 1,436 'classes=1:31 'general teacher=1:39 2) Budget Total school operating budget: School health budget : 100 : 4.2 (52.2 thousand Won) Half of the school health budget expend on medicine. 3) Clinic 80% of all schools have health clinic seperately. 71.32 of all schools have less than $35m^2$, 23.9%, $36-66m^2$. 4) Only 20% of all schools have organization for health 5) Average of clinic visitor for 1 year; 2,084 Major problem is on digestive system. And other problem: respiratory, skin, musculo - skeletal system, dental problem, etc... 6) Literal message for 1 year; 12 times. For health education (4), vaccination (3), examination of parasites (2), etc... 3. The degrees of the school health teachers' self-confidence 1) Program planning & evaluation; 2.9. 2) Clinic management; 2.8 3) Health education; 2.8 4) Management of school environment; 2.7 5) Health care services; 2.5. 6) Operating of school health organization; 2.3 4. Significances to self-confidence on school health nursing activities 1) Program planning & evaluation: home message (r=.228, p<.05) No. of clinic visitor (r=.220, p<.05) expending time for clinic management (r=.229, p<.05) religion (t: 2.5, p<.05) level of school (F=6.3, p<.005) 2) Clinic management: age of school health teacher (r=-.202, p<.05) school health experience (r=-.211, p<.05) salary step (r=.187, p<.05) expending time for clinic management (r=.315, p<0.1) marital status (t=3.97, p<.005) level of school (F=3,139, p<0.5) 3) Management of school environment: level of school (F=3.899, p<.05) expending time for clinic management (r=-,216, p<0.5) 4) Health care service: age of school health teacher (r=-.186, p<.05) marital status (t= 3.67, pH.005) 5) Health education: expending times for clinic management (r=-.252, p<05) level of school (F=5.343, p<.01) 6) Operating of health organization; age of school health teacher (r=-.258, p<.01)salary step (r=.188, p<.05) Based on the above results, the suggestions are as follows; 1. Need to raise ,appointment rate school health teacher. 2. Need to raise self-confidence on school health nursing activities through the inservice education or re-inforcement. 3. Need to secure adequate budget for school health. 4. Participation of school health teacher and support of school master for school health services are required. 5. Need for use the health clinic seperately, adequate facilities and free utilization by visitors.

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A Study for Development of a Tool Measuring Organizational Characteristics in Nursing (병원간호조직의 특성을 측정하기 위한 도구개발 연구)

  • 박성애;윤순녕
    • Journal of Korean Academy of Nursing
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    • v.16 no.3
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    • pp.31-37
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    • 1986
  • The purpose of this study is to develop a ratio scale measuring organizational charateristics in nursing. 599 staff nurses working at 10 educational hospitals in Seoul were participated during the period from July 1 to July 31, 1985. Subjects were instructed to rate at one to five points likert type scale according to the level of positive characteristics affecting the nursing organizational effectiveness. As a result of factor analysis given to 50 items with varimax rotation and rearrangement on the asis of factor loading 0.3, there are 4 factors consisted of 33 items presented: factor 1 : leadership of head nurses and interaction(11 items) factor 2 : leadership of supervisors and top managers(11 items) factor 3 : interaction with supervisors(5 items) factor 4 : organizational climate(6 items) Reliability of the factors were tested by Cronbach's Alpha, and the result was α=0.67∼0.84 Further studies are needed to identify the relationship between this tool and the effectiveness of various organization in nursing.

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A Study on the Correlation between Perception of Family Environment and Mental Health of Boy's High School Students (청소년의 가족환경지각과 정신건강과의 관계)

  • Oh, Wha-Seon;Kim, Mi-Ye
    • 모자간호학회지
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    • v.3 no.1
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    • pp.25-37
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    • 1993
  • The purpose of this study was to investigate the relation between perception of family environment and mental health of boy's high school students. In order to obtain the appropriate data, a questionnaire was administered to 240 boy's high school 2nd-grade students in Pohang city from March 19 to March 28, 1992. The instruments used for this study were Moos's Family Environment Scale Form R and Kim's Symptom Check List-90. The conclusions were as follows : The level of perception of family environment was lower than mean score. Cohesion, achievement orientation, independence, organization, expressiveness were percepted high but active-recreational orientation, intellectual-cultural orientation were percepted low. Mental health of most respondents was well. The scores of obsessive-compulsive reaction and interpersonal sensitivity were high, the scores of somatization and phobia were low. General characteristic variables significantly related to the level of perception about family environment were father's occupation and mother's education level. There were no significant differences between general characteristic variables and mental health. There were mostly negative correlations between perception of family environment and mental health. Cohesion, expressiveness, independence, intellectual-cultural orientation, active-recerational orientation, moral-religious emphasis, organization were negatively correlated but conflict, achivement orientation, control were positively correlated. Cohesion, expressiveness, conflict, achivement orientation, active-recretional orientation, organization, control were significantly related, but independence intellectual-cultural orientation, moral-religious emphasis were no significant correlation.

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Effects of Satisfaction Level of Doctors from Five University Hospitals on Organization Commitment Level (5개 대학병원들의 의사만족도가 조직몰입도에 미치는 영향)

  • Kim, Jang-Mook;Han, Ju-Rang;Sung, Dong-Hyo
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.1-11
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    • 2014
  • The present study aimed to survey doctors working in five university hospitals about internal customer satisfaction and organization commitment level in order to identify casual relationships through structure equations. According to the analysis, organization management had the biggest impact on internal customer satisfaction level, and the sooner the factor was named personnel, leadership, job, and compensation, the bigger the impact it had on the level. The research model was generally found to be good in terms of goodness of fit, considering the value of $x^2$ calculated as 103.314, the degrees of freedom of 38, GFI 0.924, AGFT 0.868, NFI 0.888, CFI 0.925, and RMSEA 0.086. In conclusion, the internal customer satisfaction level of doctors was significantly proportionate to organization commitment by means of their general satisfaction level, while also being directly proportionate to organization commitment (p<0.05). Meanwhile, statistical significance could not be found when measuring the effects of the doctors' basic characteristics on the levels of internal customer satisfaction and general satisfaction in hospitals.

Factors Affecting Patient-centered Nursing in Regional Public Hospital (지방의료원 간호사의 환자중심간호에 미치는 영향요인)

  • Lee, JaeSook;Kim, Geun Myun;Kim, EunJoo;Chang, Soo Jung
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.185-195
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    • 2020
  • Purpose: This study examines the factors affecting patient-centered nursing among regional public hospital nurses, with a focus on communications, professionalism, organizational culture, and teamwork. Methods: We included 162 nurses working at five regional public hospitals in G province. Data were collected from October 7 through October 19, 2019 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis using SPSS (Version 24.0). Results: The factors affecting patient-centered nursing included an innovation-oriented culture, working in an intensive care unit, hierarchy-oriented culture, and nursing professionalism. These variables explained 43% of patient-centered nursing. Conclusions: These results suggest that enhancing an innovation-oriented culture is necessary for patient-centered nursing and to improve nurses' awareness about the importance of patient-centered nursing. Moreover, organizational efforts are required to increase nurses' professionalism through suitable educational programs in regional public hospitals.

Effects of Learning Activities on Application of Learning Portfolio in Nursing Management Course (간호관리학 교과에서 학습포트폴리오를 활용한 학습활동의 효과)

  • Choi, So Eun;Kim, Eun A
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.90-99
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    • 2016
  • Purpose: This study was conducted to examine effects of a learning portfolio by identifying the learning of nursing students taking a learning portfolio-utilized nursing management class. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 83 senior students taking the nursing management course in one of the Departments of Nursing at 2 Universities. Experimental group (n=42) received a learning portfolio-utilized nursing management class 15 times over 15 weeks (3 hours weekly). Self-directed learning abilities, approaches to learning and learning flow of the participants were examined with self-report structured questionnaires. Data were collected between September 2 and December 16, 2014, and were analyzed using chi-square test, Fisher's exact test, independent t-test and ANCOVA with SPSS/PC version 21.0. Results: After the intervention the experimental group showed significant increases in self-directed learning abilities, deep approaches to learning and learning flow compared to the control group. However, no significant difference was found between groups for surface approaches to learning. Conclusion: Learning activities using the learning portfolios could be effective in cultivating the learning competency for growth of knowledge, technology and professionalism by increasing personal concentration and organization ability of the nursing students so that they can react to the rapidly changing environment.