• 제목/요약/키워드: organizational intervention

검색결과 135건 처리시간 0.023초

오류보고 촉진전략이 간호사의 오류보고에 대한 태도, 환자안전문화, 오류보고의도 및 보고율에 미치는 효과 (The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate)

  • 김명수
    • 대한간호학회지
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    • 제40권2호
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    • pp.172-181
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    • 2010
  • Purpose: The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses. Methods: A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, $\chi^2$-test, t-test, and ANCOVA with the SPSS 12.0 program. Results: After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report. Conclusion: The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.

간호사의 이직의도에 영향을 미치는 예측 요인 (The Risk Factors Influencing Turnover Intention of Nurses)

  • 정정희;김경희;김지수
    • 간호행정학회지
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    • 제14권1호
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    • pp.35-44
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    • 2008
  • Purpose: This study was done to identify the risk factors influencing turnover intention of nurses. Method: The participants in this descriptive survey on causal relations were 756 nurses who were working at a tertiary university hospital in Seoul. The data were put in to multiple regression analysis to build a prediction model. Results: Turnover intention according to general features were shown as following.: Age, Clinical careers, Educational level, Marital status, Economic status(Yearly income). The relationship between turnover intention and job stress had positive correlation. But the relationship between turnover and other factors that job satisfaction, internal marketing, and organizational commitment had negative correlation. The causal factors of turnover intention were organizational commitment, the factors of organizational support and patient/caregiver relationships among subcategories of job stress and the factor of professional position among subcategories of job satisfaction. Conclusions: The findings of study suggest that board intervention program should be provided to prevent problems of turnover. It is also recommended that a program be developed that can help control the variables identified in this study along with follow up study to verify the model.

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장애아동의 가족탄력성에 영향을 미치는 요인에 관한 연구 (A Study of Family Resilience Level of Family of Children with Disabilities and Its Predictors)

  • 김미옥
    • 한국사회복지학
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    • 제47권
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    • pp.34-70
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    • 2001
  • Little empirical study has been conducted concerning family resilience of family of children with disabilities. The purpose of this study is to examine the variables that may influence the level of family resilience and family resilience level of family of children with disabilities. This study used the sampled of 363 family of children with disabilities selected from 17 community rehabilitation centers. The measurement of family resilience composed of the base of Walsh(1998)'s theory. And using confirmatory factor analysis, it was confirmed that the scale has three factor such as belief system, organizational pattern and communication process. This study showed that using 5 points scale, mean of belief system is 3.62. And mean of organizational pattern is 3.38 and mean of communication process is 3.73. In identifying predictor of the family resilience, this study used variables from the following aspects: perspective of disability of children, intra-aspect of family, extra-aspect of family. Using Regression analysis, it was found that attitude of family of disability and spouse relationship influenced all sub-aspect of family resilience. Specially, helping of professional influenced belief system, accept of disability influenced organizational pattern. And positive expectation of family of disability influenced communication process. This finding give us significant practical implications for social work intervention & the direction of future research in family resilience.

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요양병원 간호사의 간호역량 영향요인 (Influential Factors Associated with Nursing Competency of Nurses in Long-term Care Hospitals)

  • 김연정;박정숙
    • 동서간호학연구지
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    • 제25권1호
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    • pp.81-89
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    • 2019
  • Purpose: This study aimed to investigate influencing factors on nursing competency of nurses in long-term care hospitals. Methods: A descriptive research design was used with a convenience sample of 150 nurses. Data were collected from Feb 15 to Mar 8, 2017 using self-reported questionnaires and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 18.0 program. Results: The mean scores of self-efficacy, organizational citizenship behavior and nursing competency were 3.84 out of 5, 3.77 out of 5 and 3.80 out of 5, respectively. Nursing competency was positively correlated with self-efficacy (r=.63, p<.001) and organizational citizenship behavior (r=.64, p<.001). Factors influencing on nursing competency were self-efficacy (${\beta}=.38$, p<.001), organizational citizenship behavior (${\beta}=.37$, p<.001) and Clinical career(${\beta}=.14$, p=.011), which explained 51% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to increase the nursing competency for nurses in long-term care hospitals.

간호사의 직무만족에 관한 문헌 분석 (Job Satisfaction among Korean Nurses: A Literature Review)

  • 정경순;정면숙
    • 근관절건강학회지
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    • 제20권3호
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    • pp.235-246
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    • 2013
  • Purpose: This study systematically reviewed the research literature on nurse job satisfaction to suggest directions for further research. Methods: A total of 98 articles published in the journals registered in National Research Foundation of Korea (NRF) from January 2000 to August 2013 were included for the final analysis. Results: The number of published papers related to nurse job satisfaction has increased annually. The most frequently used instrument to measure nurse job satisfaction was 'The Index of Work Satisfaction'developed by Slavitt et al. (1978). 'Personal Perception/Attitude' was the strongest predictor influencing on nurse job satisfaction (41 times, 38.0%). Organizational commitment, turnover intention, nursing performance, job stress, and organizational performance were commonly used as outcome variables related to nurse job satisfaction. Conclusion: Further research is needed to analyze diverse influential factors on nurse job satisfaction. In addition, it is also needed to develop an intervention program which can improve nurse job satisfaction.

Towards an Innovation Policy in the Post Catch-Up Era

  • Hwang, Hye-Ran;Choung, Jae-Yong
    • Asian Journal of Innovation and Policy
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    • 제2권1호
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    • pp.1-19
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    • 2013
  • As the catch-up innovation system was exposed to a new competition environment in which second-tier catch-up countries reduced the gap with Korea and advanced Korean firms entered into the frontier product market, it is experiencing system delay in terms of organizational and policy change. Therefore, innovation policy needs to be reorganized from a dynamic perspective to analyze the problems in the transition period and enable the system to overcome organizational and institutional delays. This article investigates the characteristics of transition periods in terms of external environment changes and internal socio-economic pressures. Based on the analysis of environment changes and catch-up system characteristics, it suggests the framework for policy intervention, direction, and practical principles for post catch-up innovation policy. In particular, it suggests the network-based developmental state and policy implementation in order to overcome the limitation of centralized developmental state of catch-up periods.

보건의료 분야의 제도적 환경 변화와 조직 혁신의 상호작용: 브랜드 공유 병의원 사례를 중심으로 (Institutional Changes and Organizational Innovation in Korean Healthcare Industries: Analysis of the Changes in Networked Clinics)

  • 김광점
    • 한국병원경영학회지
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    • 제spc호
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    • pp.51-60
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    • 2016
  • The forms of healthcare service delivery emerges from the interaction between technological progress and institutional changes. Building a healthcare system which enables effective and efficient patient care is a imperative to a sustainable operation of a society. Identifying of a promising medical technologies and diffusing them consists of the basic tasks of a good healthcare system. Inducing of a promising innovation in healthcare and utilization of the innovation requires a deep understanding of healthcare innovation system and delicate governmental intervention to the effective functioning of the system. Therefore, the support for R&D in healthcare field should be given to social and institutional technologies for the better organization of healthcare delivery and consumption system as well as basic and applied medical sciences.

간호사의 암성 통증관리 수행정도와 관련요인: 개인 및 병원 기관 요인 (Factors Affecting Nurses' Pain Management for Cancer Patients: Personal and Hospital Institution Aspects)

  • 송호정;김광숙
    • 임상간호연구
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    • 제16권3호
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    • pp.25-37
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    • 2010
  • Purpose: The purpose of this study was to examine potential factors related to the management of cancer pain, that is, hospital institutional factors as well as personal aspects of nurses. Methods: This study was a descriptive research study in which 229 RNs working in 2 tertiary medical institutions in Seoul and 4 secondary medical institutions in Seoul, Incheon and Gyeonggi were surveyed. Results: It was found that nurses' knowledge about pain intervention, their working division and their knowledge about the use of analgesics had different effects on their pharmacologic interventions. These 3 variables explained 14.5% of the variance regarding pharmacologic interventions. On the other hand, nurses' knowledge about pain interventions and nursing organization were variables affecting non-pharmacologic interventions by the nurses. These two variables explained 22.1% of the variance regarding non-pharmacologic interventions by the nurses. Conclusion: The findings indicate that nursing organization, one of hospital institutional factors, had significant effects on non-pharmacologic interventions. Therefore, to increase effective pain management by nurses, an organizational system should be established such as placement of nurse practitioners, improvement of nurses' autonomy in pain management, and development and distribution of standardized guidelines.

간호사의 코칭행동수준과 감성지능이 조직유효성에 미치는 영향에 대한 융합연구 (A Convergence Study about Influences of Coaching Behavior Level and Emotional Intelligence on Organizational Effectiveness of Nurse)

  • 권정옥;임선영
    • 한국융합학회논문지
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    • 제8권7호
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    • pp.63-73
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    • 2017
  • 본 융합연구의 목적은 간호사의 코칭행동수준과 감성지능이 조직유효성에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 연구대상자는 B, U광역시 4개의 종합병원 간호사이며, 2017년 3월 2일부터 2017년 3월 23일까지 자기기입식 설문지로 조사 후 최종 182부를 IBM SPSS 21.0프로그램을 이용하여 분석하였다. 연구결과 코칭행동수준 $3.28{\pm}0.42$점, 감성지능 $3.27{\pm}0.45$점, 조직유효성 중 조직몰입 $2.89{\pm}0.52$점, 직무만족도 $2.94{\pm}0.53$점, 이직의도 $3.24{\pm}0.56$점이었다. 조직몰입은 코칭행동수준, 감성지능과 정적상관관계가 있었고, 조직유효성에 영향을 미치는 융합요인은 프리셉터 경험(${\beta}=.25$, p=.001), 간호직 만족도(${\beta}=.26$, p<.001), 코칭행동수준(${\beta}=.26$, p<.001)이었고 설명력은 25%이었다. 따라서 간호사의 조직몰입을 높이기 위해서 직무의 특성을 만족시키고, 코칭행동수준을 향상시키는 중재프로그램이 마련되어 적용된다면 조직유효성을 높일 수 있을 것으로 기대한다.

치과의사의 서번트 리더십이 조직문화와 치과위생사의 행복지수에 미치는 영향 (Effect of servant leadership of dentists on organizational culture and the happiness index of dental hygienists)

  • 김나연;배현숙;강유민
    • 한국치위생학회지
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    • 제18권2호
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    • pp.253-267
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    • 2018
  • Objectives: The purpose of this study was to examine how the dentist's servant leadership affects the happiness index of dental hygienists. Methods: The subjects were 221 dental hygienists that have been working at dental clinics or dental hospitals. The data were analyzed using SPSS Version 20.0 (IBM Co., Armonk, NY, USA). An independent t-test and one-way ANOVA analysis were conducted to examine the difference in the happiness index of dental hygienists according to general characteristics. The independent t-test was conducted to examine organizational culture and happiness index according to upper and lower group based on the mean score for servant leadership. Pearson's correlation analysis was used to examine the correlation among key factors. Multiple regression analysis was conducted to identify factors influencing the happiness index of dental hygienists. Results: According to the analysis, there was a statistically significant positive correlation between the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists. However, a stewardship of the dentist's servant leadership factors was not found to have any correlation with the market culture. A multiple regression analysis was performed after including the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists. Meanwhile, the stewardship and community-building effect of the dentist's servant leadership had a statistically significant effect on the happiness index of dental hygienists. Consequently, a higher servant leadership factor in dentists was correlated with a higher happiness index of dental hygienists. Conclusions:The findings show that the dentist's servant leadership affect the happiness index of dental hygienists. Therefore, effective intervention and education programs related to the dentist's servant leadership and sound organizational culture are necessary to enhance dental hygienists' happiness index. Additionally, a follow-up study will determine the causal relationship among the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists, considering organizational members and the environment of the dental clinics.