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KMID : 0614820000060010019
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Journal of Korean Academy of Nursing Administration
2000 Volume.6 No. 1 p.19 ~ p.29
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The Relationship among Structure, Process, and Outcome Dimensions of Nursing Department in Hospitals
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Jo Mi-Kyung
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Abstract
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The purpose of this study was to analyze the relationship and the importance of relevant variables among structure, process, and outcome dimensions of nursing department in hospitals.
The subject for this study was the iegistei-ed nu~rses(N=400) working in medical, intensive care. and surgical units at 5 general hospitals with more than 500beds in Chungnam and Chungbuk. The research design was cross-sectional correlation among the variables based on their self descri~~tion. The survey instrument was based on eleven structured questionnaires. The data were collected from April 26 to May 26. 1999. The SPSS/ PC+ ptogtam and LISREL 8.12a program were used to analyze the data. Based on the data collected, the following results wete obtained.
The relationship among structural, procedural. and outcome dimensions
1. Structural dimension had a relationship with procedural dimension relating to decision-making of caiegiving and working conditions, in particular, participation of the problem identiftcation.
2. The extent of participation in decision-making had a relationship with organizational commitment and gtoup effectiveness through the selection process among the total decision-making pt-ocesses.
3. The structural dimension had a large direct effect rather than indirect effect through decision making processes on organizational commitmentand group effectiveness.
The relationship of structure. process. outcome dimensions was partially supported by this study. The information obtained from sutveys in the field form the basis fot the following recommendations fir improving organizational effectiveness with in the nursing department in an hospitals.
1) Establishment of decentralized structure. environment, and culture in organizational settings would be desirable so that their members may actively participate in decision-making process.
2) Continuous education and training of nurses with theoretical knowledge and skill of decision-making. practical knowledge, and upright role percE~ption should be highly emphasized for persons in nursing schools and in on-the job training.
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