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KMID : 0614819980040020387
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Journal of Korean Academy of Nursing Administration
1998 Volume.4 No. 2 p.387 ~ p.403
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A Comparative Study of the Function of Nursing Management According to the Position of Nursing Department in Hoapital Organization
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Abstract
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These days our nation is standing on tiptoe of welfare nation, so hospital in authority have done reformation to provide quality medical services.
This effective nursing work to provide quality noising by keeping pace with the reformation of management of hospital for quality medical function might be ~r-ell said to be depending on the degree of function `of nursing management of nursing department.
This essay has been aimed to pr-epar-e the data to build the position:- of nursing organization which can elevate the quality of nursing by clarifying the difference of the degree of the function of nursing management according to the position of nursing department in hospital organization.
135 nurses of 1 general hospital in Seoul which has independent nursing organization of the hospitals of over 600 beds and 155 nurses of 1 general hospital in Seoul which has the nursing organizat_.ort under the management of medical department have been the objects of this study.
The tool of Yoon. Young Ae(1988) has been used by having it amended and complemented and the degree of reliability of the tool was resulted in Cronbach~s Alpha .915:1.
The collected data have been analysed by SPSS program as mean, frequency, chi-square, t-test. F -test(AIvrOVA) and the results are as the follows:
1. Compared result of general characteristics of the two groups by ~´-test showed statistically significant difference between religion Ct´=10.375. p=.015) and educational backgroundLT´=51.222. p=.000).
2. The t-test aimed to compare the degree of function of nursing management according to the position of nursing department, is as the below:
Compared result of the degree of the function of nursing management according to the areas has shown higher point in independent type(Iv1=3.22) than in the type under the management of medical department(~´I=2.85) in the personnel and administrative activities of nursing department, the standard and regulation of nursing duty also showed higher point in independent type(~I=3.57) than in the t}~pe under the management of medical department (\[=3.37) and the education of nursing showed higher point in independent type(M= 3.53) than in the type under the management of medical department(1~I=3.19) and the evaluation of nw sing quality has shown higher point in in-dependent type(1V1=3.33 than in the type under the management of medical department(IV1=3.05).
The area ~hich showed the highest difference of the degree of the function of nursing management between the t-o organizations was in the activities of personnel and administration management of nursing department independent type NI =3.22. the type under the management of medical department(IlI=2.851.
The degree of function of general nursing management sho~~-ed higher in independent type nursing organizati~~n than in the type under the management of medical department by 3.41 in independent type and `3.11 in the type under the management of medical department.
The items which showed the lowest degree of function cf nursing management of both organizations have been suitable nursing man powez and distribution and the reflection of the opinion of nursing department.
In conclusion. the degree of function of nursing management to be able to provide quality nursing for the hospital goal of quality medical works showed visibly higher in independent nursing organization than in the nursing organization under the management of medical department. Therefore it is desirable for the hospital to operate the nursing department in hospital organization by independent type rather than the type under the management of medical department and the chief of nursing depar~,ment of the nursing organization of the type under the management of medical department sho~~ald make effort to reform its structure to be able to establish the position of performing independent nursing management. And also the chief of the nursing organization of independent type should endeavor to build substantial independent type organization more than ever under the viewpoint of securing suitable nursing man power and the low degree of management in the reflection of the opinion of nursing department.
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KEYWORD
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