• Title/Summary/Keyword: Nursing administration research

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The Effects of Organizational Politics and Conflicts on Quality of Communication among Nurses (조직 내 정치와 구성원 간 갈등이 의사소통의 질에 미치는 영향에 관한 연구: 간호조직을 대상으로)

  • Cheong, Jong One
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.285-293
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    • 2021
  • Politics and conflicts within organizations are natural phenomena found in any type of organization, affecting organizational outcomes and output variables. Nevertheless, there are not many previous studies on politics and conflict within nursing organizations. Therefore, in this study, we would like to analyze how the internal politics and conflicts, which have been excluded from the previous studies related to nursing organizations, affect the quality of communication between nurses. Data were collected from 310 nurses in an university hospital. Using SPSS21, the data were analyzed by descriptive statistics, Pearson's correlation analysis, and multiple regression analyses. As results of the analyses, the organizational politics and relationship conflict have negative effect on the quality of vertical and horizontal communication, and task conflict has a positive effect on them. Organizational politics and relationship conflict have negative effects on quality of formal communication. Organizational politics and conflicts did not significantly affect the quality of informal communication. These results suggest that active, managerial efforts should be executed to overcome the negative effects of organizational politics and emotional conflicts among nurses. Furthermore, empirical research on organizational politics and conflicts within nurses organizations should be expanded.

Impact of Healthcare Accreditation Using a Systematic Review: Balanced Score Card Perspective (의료기관인증의 효과에 대한 체계적 문헌고찰: Balanced Score Card 관점으로)

  • Park, Il-Tae;Jung, Yoen-Yi;Park, Seong-Hi;Hwang, Jeong-Hae;Suk, Seung-Han
    • Quality Improvement in Health Care
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    • v.23 no.1
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    • pp.69-90
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    • 2017
  • Purpose: The purpose of this study was to analyze the impact of healthcare accreditation and to provide empirical evidence to validate positive effectiveness. Methods:Six electronic databases (KERIS, KoreaMed, NDSL, Ovid-medline, Embase, Cochrane library) were accessed in May 2016. Keywords used were 'accreditation' and 'Joint Commission on Accreditation of Healthcare Organization (JCAHO)'. Of the initially identified 3,008 articles, 60 studies on healthcare accreditation were selected based on inclusion criteria that are hospital accreditation, accreditation by disease and clinical center accreditation. These were retrieved and analyzed. Result: The 60 study results were on the impact of healthcare accreditation. Results were classified into four perspectives of Balanced Score Card (Financial, Customer, Internal Process, Learning & Growth). In internal process perspective, results revealed that healthcare accreditation has made a positive impact on "care process and procedure". In learning & growth perspective, healthcare accreditation has made a positive influence on "leadership", "organizational cultures" and "change mechanisms". However, it revealed that healthcare accreditation does not directly affect financial performance. It is also difficult to reach a definitive conclusion that healthcare accreditation programs affect patient satisfaction of customer and clinical outcome of the internal process. Conclusion: Healthcare accreditation programs provide positive impact on change of care process and building communication-oriented hospital culture. However, more rigorous and diverse research is needed on financial effects and clinical outcomes of healthcare accreditation.

Effects of Low-Dose Aspirin Therapy on Thermoregulation in Firefighters

  • McEntire, Serina J.;Reis, Steven E.;Suman, Oscar E.;Hostler, David
    • Safety and Health at Work
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    • v.6 no.3
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    • pp.256-262
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    • 2015
  • Background: Heart attack is the most common cause of line-of-duty death in the fire service. Daily aspirin therapy is a preventative measure used to reduce the morbidity of heart attacks but may decrease the ability to dissipate heat by reducing skin blood flow. Methods: In this double-blind, placebo-controlled, crossover study, firefighters were randomized to receive 14 days of therapy (81-mg aspirin or placebo) before performing treadmill exercise in thermal-protective clothing in a hot room [$38.8{\pm}2.1^{\circ}C$, $24.9{\pm}9.1%$ relative humidity (RH)]. Three weeks without therapy was provided before crossing to the other arm. Firefighters completed a baseline skin blood-flow assessment via laser Doppler flowmetry; skin was heated to $44^{\circ}C$ to achieve maximal cutaneous vasodilation. Skin blood flow was measured before and after exercise in a hot room, and at 0 minutes, 10 minutes, 20 minutes, and 30 minutes of recovery under temperature conditions ($25.3{\pm}1.2^{\circ}C$, $40.3{\pm}13.7%\;RH$). Platelet clotting time was assessed before drug administration, and before and after exercise. Results: Fifteen firefighters completed the study. Aspirin increased clotting time before and after exercise compared with placebo (p = 0.003). There were no differences in absolute skin blood flow between groups (p = 0.35). Following exercise, cutaneous vascular conductance (CVC) was $85{\pm}42%$ of maximum in the aspirin and $76{\pm}37%$ in the placebo groups. The percentage of maximal CVC did not differ by treatment before or after recovery. Neither maximal core body temperature nor heart rate responses to exercise differed between trials. Conclusion: There were no differences in skin blood flow during uncompensable heat stress following exercise after aspirin or placebo therapy.

A Study of Influence on the Psychological State of Hospital Employees through Convergence Career Management Systems (병원의 융복합적 경력관리제도가 직원의 심리상태에 미치는 영향)

  • Kim, Hyeon Young;Yim, Myung-Seong
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.119-129
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    • 2015
  • The purpose of this study is to show how much career management systems of hospital affect the psychological states of hospital employees. The research was dealing the issues about hospital's career management systems which affect exhaustion, cynicism, and job engagement. We found that job rotation has a negative significant effect on exhaustion. In addition, job rotation also negatively influence cynicism. On the other hand, career education and training has a positive effect on job engagement. Career management support systems and evaluation of career development, however, do not have significant effect on dependent variables. Thus, effective career management systems for hospital organizations are job rotation and career education and training programs. Finally, based on the analyzed results, this study has provide useful information for hospital management to establish efficient and productive human resources-management systems in order to increase in job engagement and reduce exhaustion and cynicism of employees as well.

The Convergence Study of Life Stress and Health Clinic User Satisfaction in Female Students: focused on the one women's University (여대생의 생활 스트레스 및 보건실 이용 만족도에 관한 융합적 연구: 일개 여대를 중심으로)

  • Lee, Jin Hee
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.89-96
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    • 2016
  • This study comprised descriptive research the life stress and user satisfaction of female students who use University health clinic. From October 29 to November 11 2014, the 203 data were analyzed using t-test, ANOVA and Scheffe with SPSS 21.0. The highest score were in 'study', the lowest were in 'friend'. There were significant different in 'Future' and 'study' by major departments, 'friend' different by grade. 'Lover' was higher in drinking group, in total and 'value' were higher by meal habit, in 'friend' was higher in group binge. The motivations of use were high in medical treatment and InBody. Most satisfaction item were free administration and emergency medical treatment. Thus it is necessary to different design to reduce life stress in female university students and to operate effectively in university health clinic.

A Study on the Effect of Convergence Career Management Systems on Job Engagement and Career Commitment (융합경력관리시스템이 직무몰입과 경력몰입에 미치는 영향에 관한 연구)

  • Kim, Hyeon Young;Yim, Myung-Seong
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.23-31
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    • 2015
  • The aim of this study is to show how much career management system of hospital affect the psychological state and career effectiveness for hospital employees. The research was dealing the issues about hospital's career management system which affect organizational engagement. Moreover, these psychological factors have to be analyzed in the relation of career effectiveness. Finally, based on the analyzed results, this study has provide useful information for hospital management to establish efficient and productive human resources-management measures in therms to increase in organizational engagement and career commitment of employees as well. Questionnaires were distributed to employees who are working in hospital located in Seoul city. We found that career management support systems have a significant effect on job engagement. In addition, job engagement influences significantly career commitment. Conclusion and implications are discussed.

Correlation Between Self-Esteem of Health Science College Students and Their Empathy for Others (일부 보건계열 대학생의 자아존중감과 타인에 대한 공감능력 간의 상관관계)

  • Park, Sungho;Jang, Cheul
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.203-212
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    • 2019
  • Purpose : The purpose of this study was to determine the correlation between the self-esteem of health science college students and their empathy for others. Methods : A survey was administered to 448 students from the five departments of health science (Occupational Therapy, Physical Therapy, Dental Hygienics, Nursing, and Medical Administration) at a college located in Busan, South Korea, between September 28 and November 2, 2017. To measure their self-esteem and empathy for others, the Self-esteem Scale and the Korean Empathy Quotient (K-EQ) Scale were used. Results : There were statistically significant differences in social skills as a sub-item of empathy skills based on age and department, as well as in emotion as a sub-item of empathy skills based on sex. Self-esteem and all the items of empathy showed meaningful differences based on monthly expenses, while self-esteem and cognition as a sub-item of empathy skills displayed significant differences based on source of monthly income. Noteworthy differences were also found in self-esteem and emotion as a sub-item of empathy skills based on satisfaction with current school life. Self-esteem and empathy skills were shown to have a positive correlation. Conclusion : According to the results of this study, self-esteem and empathy skills had a statistically significant correlation. Further research is needed to investigate how health science college students can improve their understanding of themselves and their empathy for others.

The effect of market attributes on Long-term Care(LTC) Service

  • Jeon, Gwon-Cheol
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.8
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    • pp.119-128
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    • 2020
  • In this research, a survey was done on two hundred and forty-six elders who receive care through LTC to verify the effect of market attributes on the user satisfaction of the Long-therm Care Service. The collected data were analyzed through SPSS 23.0 statistics program. This study reveals the following results: First, in service tangibility, competitiveness, administrative regulation, organizational process, and autonomy in choice all have a positive relation with user satisfaction. Second, in the aspect of credibility, house ownership, competitiveness, administrative regulation, and freedom in choice show a positive-relation with user satisfaction. Third, in responsiveness, the scale of the organization, monthly income, competitiveness, administrative regulation, organizational process, and autonomy in choice have a positive effect on user satisfaction. Forth, in assurance ability, monthly income, competitiveness, administrative regulation, organizational process, and autonomy in choice also positively affected user satisfaction. Lastly, in the aspect of perceptual openness, competitiveness, administrative regulation, organizational culture, organizational process, and autonomy in choice show a positive relationship with user satisfaction.

Relationship among Emotional Labor, Burnout, Social Support and Turnover Intention of Nurse Practitioners in terms of Interdisciplinary Perspectives (융복합 관점에서 임상간호사들의 감정노동, 직무소진, 사회적 지지, 이직의도의 관계)

  • Kim, Ji-Young
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.331-342
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    • 2016
  • The great attention has been shown the importance of human resource management in medical institutions. At this point, studies have stressed employees' psychological factors for maximizing their job performance and minimizing their turnover intention and burnout. This study, therefore, empirically examines the mediating effect of social support on the relationship between emotional labor, burnout, and turnover intention of medical institutions, focusing on nurse practitioners to contribute to hospital management for developing valuable strategies in the human resource sector of medical employees. The empirical results demonstrate: 1) the relationship between emotional labor and burnout of nurse practitioners is mediated by social support; and 2) the relationship between emotional labor and turnover intention of them is mediated by social support. This research results show that more understanding of nurse practitioners' psychological factors in response to decrease their burnout and turnover intention for developing human resource management of nurse organizations. Furthermore, the study could suggest efficient management ways of hospital through interdisciplinary human resource management in terms of business administration and psychology.

A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital

  • Yun, Myeong-Ja;Kim, Young-Ki;Kang, Dong-Mug;Kim, Jong-Eun;Ha, Won-Choon;Jung, Kap-yeol;Choi, Hyun-Woo
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.79-83
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    • 2018
  • Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03-1.10], pregnancy (OR = 2.15, 95% CI = 1.17-3.94), and delivery (OR = 2.02, 95% CI = 1.08-3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27-9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours (${\geq}4hours$) in a standing position (OR = 2.80, 95% CI = 1.08-7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position.