• 대한간호학회지
• /
• 제40권6호
• /
• pp.892-902
• /
• 2010

Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

• 아동학회지
• /
• 제31권1호
• /
• pp.163-177
• /
• 2010

The purpose of this study was to examine the maintenance of an evaluation accreditation indicator according to child care center teachers' participation in decision making. The subjects of this study were 139 teachers from 12 accredited national, public, private, and corporate child care centers in Seoul and North Gyeongsang Province. The TIP-2 (Teacher Involvement and Participation Scale V.2) and Accreditation Indicator for Child Care Centers were used to measure teachers' participation in decision making and accreditation indicator maintenance. Frequency, mean, standard deviation, one-way ANOVA and scheffe test were used for data analyses. The results revealed that the teachers who rated middle and high level in terms of their participation in decision-making showed higher levels of maintenance of the evaluation accreditation indicator than those with low levels of participation. This finding suggests that teachers' participation in decision making is an important factor for maintaining the quality of child care centers.

• 간호행정학회지
• /
• 제13권1호
• /
• pp.82-97
• /
• 2007

Purpose: This study was to investigate the relationships among nurse managers' participation in decision-making process relation to human resource management and the influencing factors. Method: The subjects were 198 nurse managers who were in general hospitals over 900 beds. The data were collected from January 13 to March 13, 2006. The SPSS PC+ 12.0 program was used to analyze the data. Result: The nurse managers had greater participation in the identification phase of decision making than selection phase. The mean scores of three phases were significantly different. The satisfaction of decision making was evaluated. The higher participation in decision making, the higher satisfaction of decision making. Nurse managers' decision style tended to be more participative than autocratic. Personal and organizational factors(age and decentralization) influenced positively on participation in decision making. Decentralization and span of control influenced positively on satisfaction in decision making. Conclusion: It is necessary to permit the participation in decision making for nurse managers.

• 아동학회지
• /
• 제38권1호
• /
• pp.139-151
• /
• 2017

Objective: The purpose of this study was to explore the structural relationships among parents' and teachers' autonomy support, children's basic psychological needs, and children's participation in decision-making. Methods: The participants were 687 elementary school students (5th and 6th grades) in Seoul and Gyeonggi-do. The data were analyzed using SEM. Results: First, parents' and teachers' autonomy support had a direct effect on children's participation in decision-making. Second, parents' and teachers' autonomy support had an indirect effect on children's participation in decision-making through the children's basic psychological needs. Third, children's basic psychological needs mediated the effects of parents' and teachers's autonomy support and children's participation in decision-making. Conclusion: The findings suggest the importance of the mediating effect of children's basic psychological needs, between parents' and teachers' autonomy support and children's participation in decision-making. The findings can be used as an important basis for prospective research and practices for improving children's participation in decision-making.

• 대한간호학회지
• /
• 제34권2호
• /
• pp.270-277
• /
• 2004

Purpose: The purpose of this study was to investigate the relationship between decision-making factors(theoretical knowledge, expertise, empowerment, intuition) and participation in proportion to nurses's clinical experience. Method: Data was collected by quota sampling from July 10, 2001 to August 22, 2001 from 132 clinical nurses who work for 3 General hospitals. Data was analyzed using SPSSWIN 10.0 with crosstab, ANOVA, and stepwise multiple regression. Result: Expertise(F=34.347, p=.000), empowerment(F=29.316, p=.000), and participation(F=3.276, p=.041) were significantly different among 3 clinical experience groups. Clinical experience correlated with expertise(r=.551, p=.000) and empowerment(r=.492, p=.000), and Decision-making participation also correlated with expertise(r=.351, p=.000) and empowerment(r=.265, p=.002). Decision-making participation is effected by theoretical knowledge(under 3.00yr clinical experience), expertise(3.01-5.00yr), and empowerment(above 5.01yr). Conclusion: These findings indicate that factors(theoretical knowledge, expertise, or empowerment) on decision-making participation varies as nurses's clinical experience differs. Therefore, decision-making needs bilateral agreement between staff nurses and nurse managers rather than the responsibility of one.

• 수산해양교육연구
• /
• 제17권3호
• /
• pp.293-304
• /
• 2005

The purpose of this study is to analyze middle school teachers' perception of their participation in decision-making processes at their schools. 507 middle school teachers in the Pusan metropolitan area were involved in this study through a questionnaire to examine the actual state of participation of teachers in decision-making processes. The results of the above mentioned analyses are as follows: First, the degree of actual participation in the decision-making process for each field in terms of school management is lower than that of expected participation in general. Second, the variable which influences the actual participation the most is seen in the jurisdiction of the related fields. However, as an exception, expertise is the most influential variable on actual participation in terms of teaching activities.

• 수산해양교육연구
• /
• 제20권2호
• /
• pp.286-296
• /
• 2008

This study aims to examine the relationship between teachers' parcitipation levels in the decision making process and the organizational effectiveness in the middle schools. To achieve this objectives, 559 teachers of 18 middle schools in Busan were involved through a questionaire. The results are as follows: First, teachers consider their participation in decision-making to be low. Second, teachers view the effectiveness of school systems higher than average. Third, the correlation between teachers' participation and the system effectiveness (including job satisfaction, organization adaptability and job achievement) was positively high. When teachers' participation levels were divided into 3 groups - low, middle, and high-, the system effectiveness appeared highest with the high- level participation group. These results suggest the need for teacher participation in decision making to enhance the effectiveness of school systems.

• 간호행정학회지
• /
• 제17권3호
• /
• pp.357-367
• /
• 2011

Purpose: The purpose of this study was to examine the influence of decentralization, participation in decision making, job satisfaction on organizational commitment among hospital nurse managers. Method: The data were derived from the self-reported questionnaire responses of 198 nurse managers from January to March, 2006 at four general hospitals over 900 beds in Seoul and Gyungi province and analyzed by frequency and percentage, t-test, ANOVA and Sheffe's test and stepwise multiple regression. Result: Mean of decentralization was 3.53${\pm}$0.52, participation in decision making was 5.04${\pm}$0.83, job satisfaction 3.54${\pm}$0.48, and organizational commitment was 5.30${\pm}$0.76. There were significant differences between participation in decision-making and career of manager, field of practice, span of control, especially in staffing decision. A significant correlation was found between organizational commitment and decentralization (r=.22, p<.001), participation in decision making (r=.40, p<.001), job satisfaction (r=.64, p<.001). The job satisfaction has the highest significant predictor of organizational commitment ($R^2$=43%). Conclusions: Nursing managers' job satisfaction and organizational commitment will be promoted by granting participation in decision-making.

• 가정과삶의질연구
• /
• 제20권1호
• /
• pp.75-86
• /
• 2002

The purpose of this study is to analyse the change of agricultural labor participation and decision-making involvement of rural women in Korea from 1960s to 1990s. For analysis of these changes, I used the data surveyed and collected by different researchers during those times. During last 40 years, rural society and the mode of agricultural production rapidly changed according to the development of Korean industry. Agricultural labor participation of rural women increased since the mid 1970s. Their agricultural labor expanded into full ranges of farming. Their decision-making involvement also expanded into all divisions of farming. However, they did not have decision making power as much as they contributed to farm labor The expansion of rural women's labor within the sphere of farm production has not substantially altered the decision-making power structure within the farm household.

• 한국의료질향상학회지
• /
• 제24권1호
• /
• pp.40-52
• /
• 2018

Purpose: This study aimed to identify the factors influencing on patients' participation in their treatment decision making, and influences of patients' experience on their health status. Methods: Data from the 2015 Korea National Health and Nutrition Examination Survey were used for the analysis. Multivariate logistic regression analysis was conducted to identify the factors influencing on patients' participation in their treatment decision making. The influences of patients' experience on their health status were analyzed using multiple linear regression analysis. Results: Of the 4,497 respondents, 3,698 (82.2%) respondents mostly participated in their treatment decision making. Those who experienced enough visit duration, physicians' explanation easy enough to understand, or more opportunities to ask were more likely to participate in their treatment decision making. After controlling for their sociodemographic factors and health status, those who had better experience during the outpatient visits were more likely to have better self-rated health or quality of life. Conclusion: To improve patients' health outcomes and satisfaction of health care uses, it is necessary to provide better experiences and expand the opportunities for participation in treatment decision making during their hospital visits.