• Journal of Korean Academy of Nursing Administration
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• v.11 no.3
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• pp.233-241
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• 2005

Purpose: The purpose of this study was to understand the components of successful leadership and organizational structural barrier to apply leadership perceived by head nurses. Method: We collected the data using interviews from August 1 to August 31 in 2003. The participants of this study were 19 head nurses from two university hospitals in Pusan. Result: Three categories of successful leadership in nursing organization were identified; leadership, opportunity, authority. Leadership category included accepting nurses' opinions, providing comfortable work environment, and interpersonal harmony. Opportunity category included verbal convincing for professional development and emotional support. Authority category included accomplishment and competence. Head nurses included autonomy, incentives, and equal opportunity across to different discipline as power category. Barriers identified by head nurses were lack of opportunity and power from hospital level. They seem to be frustrated when they don't have enough support from hospital. Conclusion: We think that head nurses have to apply effective leadership to achieve organizational goal and harmonious nursing environment. Based on the barriers identified in the study, interdisciplinary managemental intervention can lead better quality of care and nurses' work satisfaction which could further enhance hospital productivity and quality of care.

• Journal of Korean Critical Care Nursing
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• v.14 no.1
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• pp.14-27
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• 2021

Purpose : This study examined the effects of work environment and organizational culture on tertiary hospital nurses' turnover intention. Methods : A cross-sectional design was used, with a convenience sample of 371 hospital nurses from 16 units of three tertiary hospitals in South Korea. Data were collected through a self-report survey conducted during September and October 2016. Data were analyzed using the chi-square test, Fisher's exact test, independent t-test, and binary logistic regression analysis. Results : A total of 43.7% of the participants were identified as having turnover intention within 1 year. Factors related to turnover intention among hospital nurses were age, marital status, and total clinical career. Furthermore, a relationship-oriented organizational culture showed a negative association with turnover intention. Conclusion : These findings suggest it is important to provide appropriate motivational programs and incentives for nurses according to their clinical career to decrease turnover intention. Moreover, establishing a relationship-oriented organizational culture will also help to reduce the turnover intention of tertiary hospital nurses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.527-535
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• 2015

This study was conducted to compare and analyse work-related injuries, physical and mental health status of nurses according to working environment. The subjects were 192 nurses working at a university hospital in Seoul. After analyzing each categories of health status by working environment and work-related injuries, meaningful differences were found physical and mental health status. And shift work was significantly related to work-related injuries compared to non-shift work. In addition, it was confirmed that nurses have negative influences from night work in physical and mental health compared to other work pattern. Thus, it would be necessary to improve working system with considering their health problems caused by working environment and work-related injuries. And we will have to be a study for effective night work and additional support for night workers.

• Journal of Korean Academy of Nursing Administration
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• v.18 no.4
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• pp.414-423
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• 2012

Purpose: The purpose of this study was to investigate the impact of the unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Methods: A cross-sectional study was conducted using a questionnaire survey with 308 nurses in 38 nursing units of 6 small and medium sized hospitals, having over 200 beds and under 300 beds and located in B metropolitan city. Data were collected from July 20 to August 10, 2011. Data were analyzed using hierarchical multiple regression. Results: The mean turnover intention in nurses of small and medium sized hospitals was $3.52{\pm}0.53$. Factors affecting turnover intention in the nurses included age, work unit, monthly income, number of night-duties, work hours per day and unit-level nurse practice environment. The unit-level nurse practice environment accounted for 15% of turnover intention when other variables were controlled. Conclusion: The results of the study indicate that nurse turnover intention is associated with the nurse practice environment at the unit level. Small and medium sized hospitals can improve nurse retention and lower turnover intention by changing the nurse practice environment of unit, such as creating better support services and nurse participation in hospital affairs.

• Korean Journal of Health Education and Promotion
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• v.26 no.4
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• pp.63-70
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• 2009

Objectives: Work stress is associated with increased risk of fatigue. The purpose of this study was to identify the relationship of work stress and fatigue among Medical Insurance Review Nurses. Methods: The subjects of this study were 117 nurses in charge of medical insurance review. A structured questionnaires were employed to evaluate the nurses' sociodemographics, work stress and fatigue. The data were analysed through frequency, percentile, mean, standard deviation, Chronbach's $\alpha$, Pearson's correlation coefficient, and multiple regression. Results: Mean scores of work stress and fatigue of participants were 3.29 and 1.97 respectively. Work stress was correlated with fatigue significantly (r=.39). There were effects on fatigue by work performance satisfaction and the frequency of insurance request among sociodemographics. Job conflicts with doctors which was a domain of work stress was increased fatigue. Conclusion: The results of this study suggest that work performance satisfaction, the frequency of insurance request and job conflicts with doctors are significant predictors of fatigue. Thus, a strategy to enhance nurses' work environment and to reduce work stress through developing interpersonal relationship is recommended.

• Korean Journal of Occupational Health Nursing
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• v.20 no.3
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• pp.337-345
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• 2011

Purpose: This study was conducted to evaluate the relationships among the service education satisfaction, service involvement, and customer orientation of hospital employees after yearly-planned MOT service education. Methods: The data collection was done through the questionnaire survey in a university hospital located in D city from March 15 to 31, 2010. The statistical analysis was done by SPSS/WIN 18.0 program. Results: The enrolled employees were two hundred and seventy six. Among the characteristics of employees, adequate work load, good payment, reasonable promotion system, suitability of work aptitude and good relationships with staff improved the service education satisfaction, customer orientation, and service involvement of hospital employees. For the customer orientation, old age and lower educational background were positive factors. The correlations among the service education satisfaction, customer orientation, and service involvement of hospital employees were significant. The factors that affect customer orientation and service involvement were found to be age, suitability of work aptitude and service education satisfaction. Conclusion: In conclusion, customer orientation and service involvement were related with the satisfaction of employees for working condition and service education. In terms of good medical service quality, plans for maintaining adequate working environment and systematic service education should be established.

• Journal of the Korean Society of Clothing and Textiles
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• v.31 no.5 s.164
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• pp.717-728
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• 2007

The purpose of this study is to suggest hospital clothing design which reflects ubiquitous info-communications technology as changing hospital environment in the information-oriented era of the 21st century. The methods of this study are documentary research of previous studies, observation research and deep interviews. Seoul national university hospital is selected as a target of observation for this study. Doctors, nurses, pharmacists, and patients who are the representative jobs in the hospital are interviewed from on July, 13, 2006 to on August, 1, 2006. According to observation research, the computers, OCR, and PACS are applied from registration to dosage through all courses of diagnosis. However, the most inconvenient problems to patients are the location of medical offices and confusion of reservation. Also, the needs and inconveniences of doctors, nurses, pharmacists, and patients are almost solved by using RFID technology as a result of deep interviews. They prefer wearing devices as an accessory to wearing devices as a clothing directly. In conclusion, suggested UFC design for hospital clothing with info-communications technology promotes efficiency, accuracy, convenience of work to medical personnel in changing hospital environment as the flow of the information-oriented era of the 21st century.

• Safety and Health at Work
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• v.11 no.4
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• pp.466-478
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• 2020

Background: Job training influences the overall working environment and worker's well-being. The purpose of this study is to find the relationship between job training and subjective well-being in accordance with occupations and understand the influence of task characteristics-work creativity and task variety (WCTV)-on the effect of training. Methods: A cross-sectional study based on the Fifth Korean Working Conditions Survey was conducted on 50,205 workers in the Republic of Korea. The World Health Oorganization-5 well-being index was used to measure their subjective well-being. The relationship between job training and subjective well-being was divided in accordance with the level of WCTV. Results: Training paid for by employer showed a negative effect on subjective well-being when received for more than 3 days (OR 0.88, p<0.01) in the last 12 months. Training paid for by oneself showed a positive linkage with well-being when the level of training was 1-3 days (Odds ratio = 1.55, p<0.001). This result showed different aspects in accordance with the level of WCTV. For the high WCTV group, the aforementioned results were reaffirmed, but for the group with low WCTV, job training did not show a statistically significant result on well-being. On-the-job training was not related to subjective well-being regardless of the level of WCTV. Conclusion: Job training had different effects on subjective well-being depending on the type and frequency of training, as well as the WCTV. It is imperative to comprehensively apply different types of job training in accordance with the characteristics of occupations to uplift workers' well-being.

• Journal of East-West Nursing Research
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• v.27 no.1
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• pp.22-31
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• 2021

Purpose: This study aims to examine the relationships between the self-leadership, role conflict, nursing work environment, and quality of nursing service in comprehensive nursing care service wards and identify the factors that affect the quality of nursing service. Methods: The data were collected from 158 nurses working in comprehensive nursing care service wards from three general hospitals with 200 beds or more in Seoul, Korea. The data were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson's correlation coefficient, and multiple linear regression analysis of enter method using SPSS/WIN ver 22.0 program. Results: The factors of quality of nursing services were self-leadership (β=.44, p<.001), nursing work environment (β=.17, p=.014), and the work experience in comprehensive nursing care service wards (β=-.15, p=.035) explaining 32% of the total variance. Conclusions: The results indicated that self-leadership, work experience in the comprehensive nursing care service wards, and nursing work environment affect the quality of nursing services of nurses in the comprehensive nursing care service wards. It is necessary to make efforts for seeking various intervention strategies and improving nursing work environment.

• Journal of The Korean Radiological Technologist Association
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• v.27 no.2
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• pp.49-56
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• 2001

Ⅰ. Purpose : This study has its aim at protecting the health of workforces .of a general hospital, improving their working environment, increasing the efficiency of their work, maintaing pleasant working conditions for them and preventing occupational dis