• Korea Journal of Hospital Management
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• v.7 no.1
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• pp.64-87
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• 2002

The purpose of this study is aimed to grasp the factors, which may influence the harmonized organizational efficiency of the objects of hospital structure as well as its structural constituents of each departments of administration, nursing, and para-medical personnels, in order to provide basic data enable to contribute in the development of hospital. The survey data involved in the study was derived from 385 personnels working in 5 medium and small sized hospitals in Seoul area. The main finding of the study can be summarized as follows; 1. The organizational efficiency in accordance with the general characteristics of subjects in order of male, over 30 years of age, university graduates, long-term tenure and high position is higher, whereas, in as much as wage and well trained personnels in administration departments are higher, its organizational efficiency is higher in comparison with those of nursing and para-medical departments. 2. The organizational efficiency in accordance with satisfaction and the motive contributional factors is higher as much as the high satisfactory level in every departments in general. 3. The organizational efficiency in accordance with the factors of job characteristics is higher in as much as difficulty of the jobs is lesser, however there was not statically significance between administration and para-medical departments. In as much as the job circulation is intact, job standard level is higher and the more job responsibility the higher organizational efficiency, while the more workload and the more work feud resulted lower organizational efficiency. It was obvious that the higher professional expertise as well as the training and application level are improving the organizational efficiency. 4. The organizational efficiency in accordance with the factors of structural characteristics was higher in as much as the intercommunication was smooth and the structural formalization level are higher, however there was not statically significance between the participation level of decision making and the organizational efficiency. 5. In as much as higher educational level of over university graduates, management of organization and the job level are satisfied, the psychological motive contributional level is higher, while the lesser job difficulty, the smooth job performance, the higher level of professional expertise, the higher structural formalization level, the smooth intercommunication, have affected as major influence factors of the structural characteristics of organizational efficiency. 6. As the management of hospital organization, the job level and personal relation are satisfied or psychological motive is provided, especially when there are no difficult jobs or smooth job circulation and no job feud are prevailing, it was apparent that the organizational efficiency is improving accordingly. The nursing departments has high educational standard and is satisfied in the management and job level of hospital organization as there are no difficult jobs while the level of hospital's organizational formality is high and the intercommunication is smooth, which are improving the organizational efficiency. The para-medical departments is also satisfied the management and job level of hospital organization and it was apparent that the organizational efficiency is higher in as much as the level of job standardization is high and the intercommunication is smooth. As a result of this study, in order for improving the organizational efficiency of the medium and small sized hospitals, the management and job level as well as personal relation are preferably satisfied, whereas the level of job circulation, job responsibility, the expertise and formalization of organization, intercommunication and etc. should be satisfied, and, therefore, it is advisable to buildup discriminated organizational management and environment for different division on the basis above factors. Since this study is carried on several hospitals in Seoul area, there is a certain limit to generalize its result to all domestic hospitals, nevertheless the gallop poll was made by developing the questionnaires with reasonability and reliability. Especially, as the study was carried by analyzing the comparison of influence factors' difference of organizational efficiency in accordance with the divisional characteristics of the medium and small sized hospitals.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.5
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• pp.2695-2702
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• 2014

This study was conducted in order to the investigate factors associated with turnover intention and the relationship among nursing professionalism, job satisfaction and turnover intention of nurses working in a small and medium-Sized hospital. From Oct 2011 to Jun 2012, "I" City, a nurse 240 working in a small and medium-Sized hospital. Average nursing professionalism score $3.23{\pm}.44$, $2.81{\pm}.47$, average job satisfaction score points, and the average turnover intention score was $2.70{\pm}.87$ points. Clinical experience, number of hours worked by the difference in the turnover intention was significan,. turnover intention is to describe the main variables job satisfaction(${\beta}$ = .533) than the other relevant factors, the most showed a lot of influence. Through this study, to reduce turnover intention need to continuously study on job the satisfaction of nurses in small-medium sized hospital.

• The Korean Journal of Health Service Management
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• v.8 no.3
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• pp.75-87
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• 2014

The purpose of this study was to identify job satisfaction and organizational commitment depends on their organizational cultures. A survey, including the Organizational Culture Scale, Job Satisfaction Scale and Organizational Commitment Scale, was administered to 276 nurses working at 4 small to medium sized hospitals in B city. The dominant organizational culture of nursing organization was relation-oriented culture. The mean score of job satisfaction and organizational commitment was 2.68 and 4.25 respectively. Job satisfaction and organizational commitment were positively correlated with innovation-oriented, task-oriented and relation-oriented culture. Organizational commitment was negatively correlated with rank-oriented culture. Innovation-oriented, clinical career, relation-oriented and rank-oriented culture were variables influencing on job satisfaction and innovation-oriented and rank-oriented culture were major variables influencing organizational commitment. In conclusion, innovation-oriented and rank-oriented culture had a significant influence on nurses' job satisfaction and organizational commitment. Therefore, we have to develop strategies to enhancing the innovation-oriented culture and to reducing the rank-oriented culture.

• The Korean Journal of Health Service Management
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• v.11 no.1
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• pp.55-66
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• 2017

Objectives : The aim of this study was to ascertain the effectiveness of job embeddedness and emotional intelligence on the performance of nurses working in medium and small sized hospitals. Methods : Data were collected from 283 nurses at 6 hospitals in G city. Structured questionnaires were used to assess the status of job embeddedness, emotional intelligence and nursing performance. The relationship and effectiveness between the factors were analyzed using multiple regression analysis. Results : The scores of job embeddedness, emotional intelligence and nursing performance were 3.02, 4.50 and 3.56, respectively. It was shown that the sacrifice of job embeddedness, self-motion appraisal, others emotions appraisal and the of regulation of emotion were positively correlated with nursing performance. The fit of job embeddedness, however, was negatively associated with nursing performance. The results showed that the status of job embeddedness and emotional intelligence explained the nursing performance($R^2=35%$). Conclusions : It has been shown that job embeddedness and emotional intelligence are important factors to enhance nursing performance. Activities to promote job embeddedness and emotional intelligence might be needed to enhance nursing performance.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.3
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• pp.446-455
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• 2012

Purpose: This study was performed to investigate the level of knowledge, self-confidence, and intention of basic life support (BLS) and identify the reason why clinical nurses lack confidence to initiate BLS at the cardiac arrest scene. Method: A cross-sectional survey was used with questionnaires which authors developed; a BLS knowledge questionnaire and a tool for measuring the level of self-confidence and intention of performing BLS. The subjects consisted of 396 nurses by convenient sampling from ten small to medium sized hospitals in Korea. Data were collected from March to August, 2008. Data were analyzed by the SPSS/WIN 14.0 program with t-test, ANOVA, and Pearson correlation coefficients. Results: The percentile score of BLS knowledge was 40.6%, self-confidence 62.1%, and intention 73.0%. Clinical career rather than BLS knowledge has a significant effect on increasing the self-confidence and intention of performing BLS. A major reason for not performing BLS was lack of confidence in operating an AED (automatic external defibrillator). Conclusion: An effective and continuous training program especially including AED for CPR should be provided with clinical nurses to increase self-confidence and intention of performing BLS and to improve the survival of cardiac arrest patients in the hospital.

• Journal of Korean Clinical Health Science
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• v.3 no.4
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• pp.476-489
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• 2015

Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

• Korean Journal of Occupational Health Nursing
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• v.26 no.1
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• pp.47-54
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• 2017

Purpose: The purpose of the study is to examine the impact of job stress on the patient safety nursing activities among nurses. Methods: The subjects of the study are 258 nurses working at 15 small-medium sized hospitals in D city. Data analysis was done using frequency, percentage, average and standard deviation, t-test, one-way ANOVA, $Scheff{\acute{e}}test$, Pearson's correlation coefficient, stepwise multiple regression. Results: The job stress scored average 3.67 and patient safety nursing activity scored average 4.35. Job stress was positively associated with patient safety nursing activity. It explains 9.49% of the variance. Conclusion: Universal and inevitable job stress among nurses should not exceed optimum level to assure patient safety. So, personal and organizational efforts to manage job stress are needed.

• The Journal of Society for e-Business Studies
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• v.20 no.3
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• pp.89-112
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• 2015

Recently, the business environment of healthcare has changed rapidly due to the entering the mobile era, the intensifying global competition, and the explosion of healthcare needs. Despite of necessity in expanding new IT-based medical services and investing IT resources to respond environmental changes, the small and medium sized hospitals could not realize these requirements due to the limited management resources. CHISSMH is designed and presented in this research to provide high valued clouding medical services with reasonable price. CHISMH is designed and presented in this research to provide high valued medical services with reasonable price through cloud computing. CHISME is designed to maximize resource pooling and sharing through the visualization. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, provide high level services with reasonable pay-per-use price. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, and could provide high level services with reasonable pay-per-use price. CHISME is expected to be base framework of cloud HIS services and be diffusion factor of cloud HIS services Operational experience in CHISSMH with 15 hospitals is analyzed and presented as well.

• Korea Journal of Hospital Management
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• v.29 no.2
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• pp.57-79
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• 2024

Purpose: The present study identified the determinants in the development of intrapreneurial intention in small and medium-sized local hospitals. A careful literature review led to the development of a conceptual model which identified two types of employee competence-individual competence and managerial competence-to influence intrapreneurial orientation positively. It was hypothesized that intrapreneurial orientation predicts intrapreneurial intention and is mediated by intrapreneurial commitment. Methodology/Approach: The target population was chosen from two medical institutions of 'D' Hospital and 'E' Geriatric Hospital in Changwon City, South Korea. Samples were collected from 299 respondents who completed a structured questionnaire. Findings: The results from a structural equation modeling statistical analysis indicated that (1) individual competence and managerial competence positively and significantly predict intrapreneurial orientation, (2) intrapreneurial orientation positively and significantly influences intrapreneurial intention, (3) intrapreneurial commitment partially mediates the relation of intrapreneurial orientation to intrapreneurial intention, and (4) the mediation effect of intrapreneurial commitment was significant in the medical-personnel group, but not in the non-medical group. Practical Implications: Overall findings from the present work provide vital insights into understanding the preconditions for developing employee intrapreneurship in small and medium-sized local hospitals.

• Journal of Korean Clinical Health Science
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• v.2 no.3
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• pp.158-166
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• 2014

Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.