• The Journal of the Korea Contents Association
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• v.22 no.2
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• pp.578-592
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• 2022

The purpose of this study is to verify the relationship between medical service quality, relationship quality and patient loyalty in domestic nursing hospitals and the mediating effect between medical service quality and patient loyalty. A survey was conducted on 324 inpatients in nursing hospitals, and statistical analysis was conducted on the collected data through questionnaire survey. The following main results were derived. First, among the quality of medical services, the reputation of nursing facility equipment, nursing medical staff, nursing service system, and nursing facility was found to have a significant positive effect on the quality of the relationship, but medical expenses had no significant effect. Second, among the quality of the relationship, both trust and commitment were found to have a significant positive effect on patient loyalty. Third, among the quality of medical services, the reputation of nursing facility equipment, nursing medical staff, nursing service system, and nursing facility was found to have a significant positive effect on patient loyalty, but medical expenses had no significant effect. Fourth, it was found that nursing facility equipment, nursing medical staff, nursing service system, and reputation of nursing facilities, excluding nursing care expenses, all had a positive effect on patient loyalty through the quality of relationships between patients and hospitals.

• Journal of Korean Clinical Nursing Research
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• v.23 no.1
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• pp.110-119
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• 2017

Purpose: The purpose of this study was to test validity and reliability of the Korean-Sieloff King Assessment of Group Outcome Attainment within organization in Korea (K-SKAGOAO), and also to explore the relationship of Korean nursing group power and job satisfaction, organizational commitment, organizational performance. Methods: Participants were 481 nurse managers, nurse unit managers or staff nurses with over 7 years experience. Data were collected by post mail and analyzed using descriptive statistics, ANOVA, Kruskal-Wallis test, Tukey test, and Spearman's correlation. Results: Content Validity Index was over .82 and Cronbach's ${\alpha}$ coefficient for the K-SKAGOAO was .97. The mean score for Korean nursing group power was 136.77 among the total participants, 139.89 among nurse managers, 136.74 among nurse unit managers and 132.47 among staff nurses. These results showed high nursing group power in Korea nursing organization in hospitals. There was also a significant difference according to nurse position (p=.003). Korean nursing group power was positively related to job satisfaction, organizational commitment, and organizational performance. Conclusion: Findings show that the K-SKAGOAO has validity and reliability. Nursing groups can use the K-SKAGOAO to evaluate the nursing group power of each nursing organization and to develop strategies to improve nursing power and nursing outcomes.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.2
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• pp.119-126
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• 2012

Purpose: The purpose of this study is to identify clubhouses general characteristics, core services, funding sources and costs in Korean Clubhouse Model, and to compare with Korean and international clubhouses. We explored the annual budget, cost per member, and cost per visit for 1 year. Methods: The data were collected from 14 Korean clubhouses and analyzed using descriptive statistics and Spearman's rank correlation with the SPSS 14.0 program. Results: The average of clubhouse operating period was 8.2 years. There were an average of 40.4 active members; among them, 84.1% were schizophrenia. In addition, there were an average of 5.8 staff and 15.3 services in each clubhouse. Cost estimates were as follows: annual budget (excluding housing) $223.633, cost per member $5,704, and cost per visit $21.35. There were significant difference among the annual budget, number of staff, number of service, and active members, but hours of Work-Ordered Day and social activities hours were not statistically significant. Conclusion: Findings provide a more understanding of operations, programs, and costs of Korean clubhouses.

• Korean Journal of Occupational Health Nursing
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• v.28 no.3
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• pp.166-175
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• 2019

Purpose: The purpose of the study was to identify factors affecting the innovative behavior of military hospital personnel. Methods: The study involved the analysis of 146 structured questionnaires received from military hospital personnel in D city and S city. Data were collected from January 10 to February 9, 2019. The SPSS/WIN 24.0 program was used for data analysis, which included the t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression analysis. Results: The multiple regression analysis showed that factors affecting innovative behavior of military hospital staff were the natural reward strategies of self-leadership, behavior-focused strategies of self-leadership, and organization-based psychological ownership ($R^2=.30$). Conclusion: The results suggest that to promote innovative behavior in military hospital staff, it is necessary to implement strategies that inspire self-leadership and psychological ownership.

• Quality Improvement in Health Care
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• v.27 no.1
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• Journal of Korean Academy of Nursing
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• v.19 no.2
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• pp.147-159
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• 1989

The main Purpose of this survey was to identify for elements of an effective hospital infection control program for Korea. Nurses and doctors who had participated in an education program for infection control or were re s ponsible for hospital infection control were selected as data informers. The data were collected from 51 subjects by employing a Delphi technique in a series of three rounds from september 1, 1987, to March 31, 1988. IN each round the responses to questionaires were analyzed and the results were communicated back to the individuals. Finally 32 elements of effective hospital infection control program were reduced to 10 elements. 10 elements are as follows ; 1) Hospital administrator's knowledge of importance and necessity for HIC(hospital infection control) 2) Supporting HIC administratively 3) Constituting infection control committee and role of ICC 4) Developing an eductional program and providing a work manual for the hospital infection control staff 5) Educating and informing medical staff about hospital infection 6) Surveillance for hospital infection 7) Developing patient care technique 8) Controlling the hospital environment 9) Executing regular health examination of all medical staff 10) Recruiting the medical staff sufficiently Three rankings of response rate about 32 elements are as follows ; 1) Hiring a full tim staff member for the HIC(66%) 2) Establishing a hospital policy and standards for the HIC(66%) 3) Activating the infection control committee and taking administrative action to support the ICC(63%) In addition the rankings of importance score by Likert 5 scale are as follows ; 1) Washing hands scrupulously(4.88) 2) Nurses participation as key members of the ICC(4.75) 3) Reviewing and evaluating all ongoing aseptic techniques (4.69) In conclusion, first of all, administrative support must be given to hiring a full time staff member and to organization of infection control committee for the HIC in Korea.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2003.05a
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• pp.54-58
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• 2003

The purpose of this study is to clarify the daily living activities of the elderly with dementia and user oriented spatial needs of the staff in the common space of nursing home in Japan. Data was taken from six units of the 2 skilled facilities. The results revealed as follows; 4 types of elderly activities were founded, and physical environmental characteristics affected residents' space usage. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day corner as semi-public space.

• Journal of Korean Academy of Nursing
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• v.38 no.4
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• pp.603-611
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• 2008

Purpose: This study was to determine the mediator or moderator role of empowerment in the relationship between the head nurse's transformational leadership and organizational commitment as perceived by staff nurses. Methods: Data was collected from 451 nurses in a tertiary hospital located in B city by means of structured questionnaires. Data was analyzed with descriptive statistics, Pearson's correlation coefficient and hierarchial multiple regression using the SPSS program. Results: Empowerment showed mediating effects between the head nurse's transformational leadership and organizational commitment as perceived by staff nurses. However, empowerment did not show moderating effects. Conclusion: Nurses' perception of empowerment, the head nurse's transformational leadership and organizational commitment have a strong relationship. This finding suggests the importance of empowering nurses to increase organizational commitment.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.3
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• pp.302-310
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• 2007

Purpose: This study was designed to identify clinical competence and education needs of hospital nurses. Method: A questionnaire was used for data collection which was done form July 1 to July 30, 2005. The respondents were 165 staff nurses in a university hospital. The study instrument were clinical education need scale and Lee(2002)'s clinical competence scale. The data were analyzed using percentages, means, t-test, ANOVA with SPSS-WIN 10.0 program. Result: The results of this study are summarized as follows: The total mean score for clinical competence was 2.57 and education need was 3.30 on a 4 point scale. There was a significant difference in clinical competence according to individual factors of age, marital status, preceptorship experience, present ward, job satisfaction, and total clinical experience. also there was a significant difference in education needs according to preceptorship experience and present ward. Conclusions: Conducting a education needs and clinical competence assessment can provide valuable information that will plan education program and improve staff competence.

• 한국노년학
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• v.36 no.4
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• pp.1157-1176
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• 2016

The purpose of this study was to understand meaning of a meal among Nursing home elderly and staff. The meaning of a mean was explained to participants through observation and in-depth interviews based on Ethnomethodologic method. The meaning of a meal expressed by the Elderly was applied as personal philosophy on diversity and Caregiver also had become a management work on convenient logic. Elderly has been recognized has as hope of health recovery in important elements such as the air life indispensable to life. In contrast, Caregiver was following their will to live formally without any sense of the meaning of life. they are just extending their life. Meaning of Nursing-home elderly was lighthearted. They eat salt with snack to have massive power and escape from the daily life. However, Caregivers have other control measure. From the above result, In the standard operation of the meal, the manual of the laws of the instructions regarding long-term care insurance for the Aged, must reflect the elderly continued proposed the need to have diversity for the education about understanding and acceptance of the elderly.