• 한국병원경영학회지
• /
• 제7권1호
• /
• pp.1-18
• /
• 2002

Empowerment is a multifaceted concept which can be described somewhat differently. In general, it is defined as the motivational concept of autonomy and self-efficacy. Recently, this concept of empowerment is applied to improve organizational staff's job satisfaction and organizational commitment in many organizations. Empowerment in service organizations has certainly generated more publicity than any other organizations. The objective of this study is to measure the degree of hospital administrative staff's empowerment using Spreitzer(1995)'s empowerment theory, and also to analyze the relationship of empowerment and job satisfaction and organizational commitment. Spreitzer argues that the work empowerment is composed of 4 dimensions (meaning, competence, self-determination, and impact) and each dimension influences employee's job satisfaction, organizational commitment, and organizational performance in the end. In order to carry out this study, data were collected by self-administered Questionnaires from 181 hospital administrative staff at 3 university hospitals in Inchon and Kyunggi-Do. The response rate is 86%. The Collected data were analyzed with SPSS statistical package V10.0. The major findings of this study are as follows: First, the degree of hospital administrative staff's empowerment is a high level point at the 7 Likert Scale. Second, the reliability of 3 variables, empowerment, job satisfaction and organizational commitment, was statistically satisfied(Cronbach's alpha>0.80). Third, as a result of correlation analysis, four components of empowerment, job satisfaction and organizational commitment showed a positive relationship. Finally, multiple regression analysis was conducted to find the impact of empowerment on job satisfaction and organizational commitment. In the case of job satisfaction, the meaning and competence factors have a positive effect(P<0.05). And the case of organizational commitment, the meaning and impact components have a positive relation(p<0.05). These results showed that the workplace empowerment is significantly related to employee's job satisfaction and organizational commitment.

• 디지털융복합연구
• /
• 제20권5호
• /
• pp.119-128
• /
• 2022

오늘날 중국의료기관에 종사하는 구성원의 업무량은 여전히 증가하고 있으며 이에 따라 초과근무도 증가하고 있다. 초과근무의 빈도는 조직신뢰와 직접적인 관계가 있다. 기존의 연구는 대부분 초과근무를 하나의 변수로 보고 연구해 왔다. 이를 기반으로 본 연구는 초과근무를 자발적 및 비자발적 초과근무로 구분하였다. 중국의료기관에 존재하는 초과근무 현상이 구성원의 조직신뢰에 어떤 영향력을 미치는지에 대해 연구할 필요가 있다. 또한, 개인성취가 초과근무와 조직신뢰 사이에서 매개변수로서의 매개효과를 탐구했다. 본 연구의 분석결과를 통해 구성원의 자발적 초과근무와 비자발적 초과근무는 모두 조직신뢰에 긍정적인 영향을 미치는 결과를 보여주었다. 또한, 본 연구의 결과는 개인성취가 초과근무(자발적/비자발적)와 조직신뢰 사이에서 매개효과가 있음을 보여준다. 전반적으로 본 연구는 의료진의 초과근무(자발적/비자발적)가 조직신뢰에 미치는 영향을 탐색하는 데 중점을 두고 구성원의 조직신뢰를 높이려는 방안을 제시하였다.

• 중환자간호학회지
• /
• 제16권1호
• /
• pp.71-86
• /
• 2023

Purpose : This study aims to investigate the status of delirium intervention in adult intensive care unit (ICU) patients and the perception of this delirium by medical staff. Methods : This retrospective study involves 185 patients, whereas, a descriptive survey is conducted with 197 medical staff members. Results : The delirium group includes 100 patients (54.1%). The incidence of delirium is 64.9% in the medical ICU, 65.9% in the surgical ICU, 42.4% in the neuro ICU, and 46.5% in the cardiac ICU. The percentages of delirium prevention intervention differs between the two groups: 65.0% in the delirium group and 95.3% in the non-delirium group. The medical staff recognize that delirium is a common problem in the ICU (100.0%) and requires active medical intervention (98.5%). Conclusion : The length of stay at the ICU is longer in the delirium group than in the non-delirium group. It is necessary to standardize delirium prevention and treatment protocols to be equally applicable to all ICU patients.

• 한국도서관정보학회지
• /
• 제24권
• /
• pp.301-334
• /
• 1996

This study is aimed at examination and analysis of current status of university library's line and staff organization especially the private university's. Motivation for this study is based on the following facts : First, the library work now is changing from the conventional one to automated one. Second, librarians in the front line must be trained in the newly set work because of the separation of work process in automated libraries. Methodologies of this study, apart from theoretical aspects, were visiting and interviewing librarians at 30 university libraries, examining the current status and problems of the line and staff organization of the university libraries. The result from the study is as follows: First, interviewing reveals that 35% of the 75 private university library is having 'associate directorship by librarian' system. Benefits from this system are described, recommending other University libraries adopt this system. This system su n.0, pplements the weak point of concurrent director's office of lay professor, as well as encourages librarian's morale by promotion. Second, the current organization of the university libraries are to be reformed. Namely, 1) the name of each division must be newly and a n.0, ppropriately set of changed suiting for the work of automated library, thus reforming the division. This must be conducted via collection of opinions of the Korean Library and Information Science Society' and associated organizations. 2) Newly formed division(for example, administrative division or division of operation and management, division conducting digital library work, etc.) must be added to the line and staff organization. 3) For information service division, there must be a certain number of subject specialists. 4) Status of the directorship of university library, librarianship, issue of renaming of university library are also described.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권2호
• /
• pp.489-494
• /
• 2015

Background: Once limited with face-to face courses, health education has now moved into the web environment after new developments in information technology This study was carried out in order to give training to the university academic and administrative female staff who have difficulty in attending health education planned for specific times and places. The web-supported training focuses on healthy diet, the importance of physical activity, damage of smoking and stress management. Materials and Methods: The study was carried out in Sakarya University between the years 2012-2013 as a descriptive and quasi experimental study. The sample consisted of 30 participants who agreed to take part in the survey, filled in the forms and completed the whole training. The data were collected via a "Personel Information Form", "Health Promotion Life-Style Profile (HPLSP)", and "Multiple Choice Questionnaire (MCQ). Results: There was a statistically significant difference between the total points from "Health Promotion Life-Style Profile" and the total points from the sub-scale after and before the training (t=3.63, p=0.001). When the points from the multiple choice questionnaire after and before training were compared, it was seen that the average points were higher after the training (t=8.57, p<0.001). Conclusions: It was found that web-supported health training has a positive effect on the healthy living behaviour of female staff working at a Turkish university and on their knowledge of health promotion.

• 대한의용생체공학회:의공학회지
• /
• 제40권6호
• /
• pp.260-267
• /
• 2019

In the present study, we aimed to demonstrate that MV2000-MT(SU:M2)^® (MV, MEK-ICS, Paju, Korea), a domestic ventilator, is not inferior in terms of usability, safety, and medical staff satisfaction as compared to Hamilton G5 (G5, Hamilton Medical AG, Rhäzuns, Switzerland). A total of 39 patients who applied MV (group M) or G5 (group H) were included in the study sample. Usability was evaluated by the following factors: the number of alarm errors, replacement requirement of breathing circuit, replacement requirement of a right-angle connector, and ease of ventilator weaning. For safety evaluation, the number of ventilator replacements due to malfunction of the ventilator was evaluated. Items for medical staff satisfaction survey were as follows: the number of MV and G5 uses, hardware, and software assessment. In the usability evaluation, the replacement requirement of the right-angle connector was lower in Group M than in Group H (mean ± standard deviation, Group M: 7.39 ± 6.72, Group H: 14.19 ± 10.24, p = 0.021); however, the evaluations of other parts were not significantly different between the two groups. The number of ventilator replacements due to a malfunction of the ventilator did not differ between two groups. The number of MV and G5 uses was 3.0 [3.0-4.0] and 10.0 [5.0-10.0] (median [interquartile range], p < 0.001). Overall, the mean medical staff satisfaction score of Hamilton G5 was higher than that of MV2000-MT(SU:M2)^®. The usability of MV is comparable to that of G5. However, medical staff satisfaction with Hamilton G5 was higher than that with MV2000-MT(SU:M2)^®, and this difference could be due to the difference in the number of uses. In order to improve the penetration rate of the domestic mechanical ventilator, it is necessary to find ways to increase familiarity of medical staff with domestic mechanical ventilators.

• 한국병원경영학회지
• /
• 제10권2호
• /
• pp.1-25
• /
• 2005

This study purports to investigate the determinants of patient satisfaction and intent to revisit at national university hospitals in Korea. A total of 8 independent variables for outpatients, 9 independent variables for inpatients, and an intervening variable of overall patient satisfaction were selected through literature review. The independent variables for outpatients contain the level of satisfaction with physicians, nurses, ancillary staff, administrative procedure, medical cost, physical environment, facility convenience. and health recovery. With regard to the independent variables for inpatients, the quality of ward services was added to those of outpatients. Each variable contains 3 to 8 items measuring the level of satisfaction with various aspects of the variable. The sample used in this study consisted of 879 outpatients and 821 inpatients. Data were collected with interview survey and analyzed using path analysis. The major findings of the study are as follows: 1) The following variables have significantly positive effect on the intent to revisit of outpatients: health recovery, overall satisfaction, satisfaction with physicians, and ancillary staff. 2) The following variables have significantly positive effect on the intent to revisit of inpatients: health recovery, satisfaction with nurses and physicians, overall satisfaction, and administrative procedure. 3) The following variables of admission procedure, satisfaction with ancillary staff, facility convenience, quality of ward services were found to have significantly positive effect only on the level of overall satisfaction, even though they do not have significant total effect on the intent to revisit. The results of the study indicate that national university hospitals in Korea should make an effort to improve the satisfactory level of patients with clinical outcome, services provided by physicians, nurses, and ancillary staff, and the quality of administrative procedure for enhancing the intent to revisit of patients.

• 한국산학기술학회논문지
• /
• 제19권2호
• /
• pp.173-184
• /
• 2018

이 연구의 목적은 39개 공공병원 간호직을 대상으로 하여 직무자체 만족, 의사소통 만족, 평가와 보상체계 만족, 근무환경 만족, 공공병원 역할수행 만족이 환자들의 만족도, 재이용 의향, 타인추천의향 간의 구조적 인과관계를 구조방정식 모형분석을 통해 확인하기 위함이다. 이 연구의 자료는 '2012년 지역거점공공병원 운영평가'를 통해 수집된 2차 자료를 활용하였다. 이 연구의 대상자는 39개 지역거점공공병원의 간호직 2,375명과 환자 3,433명이었다. 간호직의 직무만족도 조사도구는 5개 요인과 13개 항목으로 구성되었다. 환자의 만족도, 재이용의향, 타인추천의향 설문도구는 각 1개 항목, 11점 척도(0점 매우 부정적, 10점 매우 긍정적)로 구성되었다. 이 연구의 자료분석은 SPSS 20버전과 AMOS 20버전을 활용하였다. 모형의 적합도 지수는 입원환자의 경우 ${\chi}^2$ 904.598 (df=81, p<0.001), GFI 0.938, AGFI 0.900, RMSR 0.076의 값을 갖고, 외래환자의 경우 ${\chi}^2$ 869.021(df=81, p<0.001), GFI 0.940, AGFI 0.900, RMSR 0.074값을 가진 권장기준 내 적합한 최적 모형을 도출하였다. 간호직은 공공병원에서 가장 큰 의료인 집단이면서 환자에게 직접 간호를 제공한다. 따라서 간호직의 직무만족도는 환자만족도에 지대한 영향을 끼침으로 환자만족도를 향상시키기 위해 간호직의 직무만족도는 중요하게 고려되어야 할 것이다.

• 디지털융복합연구
• /
• 제16권6호
• /
• pp.251-258
• /
• 2018

종합병원 행정직원의 우울수준(CES-D: Center for Epidemiologic Studies Depression scale)과 관련된 융복합적 요인들을 조사하였다. 설문조사는 2017년 7월 3일부터 2017년 7월 29일까지 임의로 선정된 J지역 9개 종합병원의 재직자 201명에 대하여 무기명 자기기입식 설문지를 사용하였다. 위계적 다중회귀분석 결과, 자아존중감(RES: Rosenberg Self-Esteem Scale)이 낮을수록, 피로(MFS: Multidimensional Fatigue Scale)가 높을수록, 사회심리적 스트레스(PWI-SF: Psychosocial Well-being Index Short Form)가 높을수록 우울이 높았으며 이들의 설명력은 32.5%이었다. 이상의 연구결과를 볼 때, 종합병원 행정직원의 우울수준을 낮추기 위해서는 자아존중감을 높이고, 피로 및 사회심리적 스트레스를 낮추는 노력이 필요하다. 이러한 결과는 종합병원 행정직원의 우울수준을 낮추는 조직인사관리 및 산업보건교육에 활용될 수 있다. 추후연구에서는 종합병원 행정직원의 우울수준에 영향을 미치는 구조방정식 모형의 분석이 필요하다.

• 대한간호학회지
• /
• 제20권3호
• /
• pp.281-299
• /
• 1990

The organization of nursing department Significantly effects the hospital management. Especially, The head nurse is one of the most important position because head nurse is a first-line manager in the hospital level, a middle manager in nursing service organizations level and the top manager in each nursing unit level. This study was attempted to show the ideal model and nile by compare head nurses' role perception with staff nurses' role expectation according to two types of hospital. The survey was conducted among 94 head nurses and 233 staff nurses who are working at 5 different University Hospitals over 600 beds and 93 head nurses and 218 staff nurses Who are working at 12 different General Hospitals between 100∼300 beds in Seoul. The data was collected in a period from 8th September to 13th October in 1989 and the instrument used for this study was based on Han's one and reffered back to many literary sources and revised. The collected data was analysed by computer using S.P.S.S. program as a Mean, Percentage, Cronbach's alpha, Chi-Square, t-test and ANOVA. 1. The study was compared to the difference of the two subject group's general characteristics according to a type of hospital. As a relult, there were significant differences in age, educational background and career. 2. This Study was compared to the difference of the two subject group's role perception and role expection about each question according to a type of hospital. The result of this comparisons as follows : First, These were the most important issue between both groups : “Head nurse has to know about her staff's events and problems and then help them to solve that promptly.” Second, These were the least important issue between both groups : “Head nurse has an interview with patient's family and visitors”, “Head nurse is interested in her staff's privacy.” 3. This study was compared to the differences of each role areas according to a type of hospital. As a result, there were no significant differences both two subject groups except nursing manager role in staff nurses' group(t＝-2.893, df＝449.0, p＝0.004). 4. This study was tested to the difference of the two subject groups according to general characteristics. As a result, All of that there were no significant differences.