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KMID : 0614820040100010037
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Journal of Korean Academy of Nursing Administration
2004 Volume.10 No. 1 p.37 ~ p.48
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Relationship Between Nursing Organizational Structure and Nursing Outcome
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Lee Eun-Ju
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Abstract
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Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses´ job satisfaction, nurses´ clinical experiences, nurses´ unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication).
Method: The subjects consisted of 86 hysterectomy patients and 28 nurses in gynecology unit. Data were collected from May 16. 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson´s correlation coefficient, path analysis.
Result: Relationship between organizational structure and process ; Bed/nutse ratio was negatively re-lated to nurses´ job satisfaction(r-- .37, p<.05), and nurses´ clinical experiences(r--- .~, p<00). Decentraliaation(r--.42, p<.05) and communication(r--.61, p<.00) were positively related 1:o nurses´ clinical ,experiences. Relationship between process and nursing outcome ;There was a significant relationship between nurses´ .unit experiences and patient satisfaction(r-.63, p<.00), nurses´ job satisfaction and physiologic a~daptation(r= .44, p<.05), nurses´ unit experiences and physiologic adaptation(r-.64; p<.00). Relationship between organizational structure ´and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r--.86, p<.00 ; r=.ffi, p000) and physiologic adaptation(r=,51, pC01, t=.64, p<00).
Conclusions: Nurses´ unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses´ unit experience, nurses´ job satisfaction, communication were significant variables for patient physiologic adaptation.
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KEYWORD
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Organizational Structure, Nursing Outcome
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