의료기관의 서비스지향성 측정도구의 신뢰도와 타당도 평가

이명하(Myung Ha Lee),박숙경(Sook Kyoung Park),이옥주(Ok Joo Lee) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.4

The purpose of this research was to develop and test the validity and reliability of the Service Orientation Scale for Health Care Organization. Methods: The Service Orientation Scale for Health Care Organization, SERV*OR, was developed through forward-backward translation methods. Internal consistency and reliability, construct and criterion validity were calculated using SPSS Statistics WIN 17.0. Survey data were collected from 283 clinical nurses in a general hospital in J province. Results: The Service Orientation Scale for Health Care Organization showed reliable internal consistency with Cronbach`s α`s for the total scale ranging from .85~.91. Factor loading of the 30 items on four sub-scales ranged from .67~.83. The sub scales were named service leadership, service system, customer focus, and service control. Item convergent and discriminant validity were also established for the Service Orientation Scale for Health Care Organization. Criterion validity showed a significant correlation with customer orientation. Conclusion: The findings of the study demonstrate that the Service Orientation Scale for Health Care Organization has satisfactory construct and criterion validity, and reliability and can be used to measure service orientation.

병원의 조직문화유형과 조직유효성의 관계

이명하(Myung Ha Lee) 한국간호행정학회 1998 간호행정학회지 Vol.4 No.2

뇌졸중 환자의 주간 재활간호센터에 대한 요구

고선화,이명하,Ko, Sun-Hwa,Lee, Myung-Ha 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

In order to provide information for the establishment and maintenance of a rehabilitation day care center for stroke patients. this study is to assess needs for the rehabilitation day care center of the stroke patients and to identify the factors influencing the needs for the center. The data were collected face-to-face interview with 223 stroke patients. using a structured questionnaire. from September 24. 2001 to November 20. 2001. Major findings are as follows. 1. Most of the participants($94.6\%$) needed rehabilitation day care center for stroke patients. $95.5\%$ of participants were willing to use the rehabilitation day care center. 2. Also the score of the needs for the center's health services was $2.84\pm60$ out of 4.00. In regards to the sub-contents. while the physical exercise therapy showed the highest mark($3.54\pm71$) in the needs. the following marks showed physical therapy($3.48\pm79$), training for the memory. thinking and judgment($3.30\pm93$). training for ADL($3.09\pm99$). health education program($3.04\pm93$). In the meantime. the expected effects from the use of the center are $2.89\pm61$ out of 4 and its sub-contents showed that the center would promote their physical and mental well-being($3.30\pm74$) and the center would be more effective than in home care($3.12\pm70$). 3. Meanwhile. the desired frequency of use in the future and distance had significant interrelation with their families living together(p<.05). In addition those who paid to use it differentiated significantly according to their ages and the types of insurance they had(p<.05). 4. The needs in degrees of speech disorder therapy and hobbies & amusements. the patients with other disease had significantly higher degrees than those patients without it (p<.05). Also in regard to the need degrees for physical therapy. healthy education programs and individual counseling including their families. the degrees of the patients with speech disorders were significantly lower than those of the patients without the disorder (p<.05). On the other hand. the patients with speech disorders were significantly higher than those patients without it in the need degree of the speech disorder therapy (p=.000). And the needs in degree concerning about speech disorder therapy. physical exercise therapy. training for ADL. medicinal substances therapy and family education were negatively correlated with the ADL (r=-.236$\sim$.305, (p<.005). 5. Finally. the expected effect of using the rehabilitation day care center showed significant differences statistically according to whether or not they had other disease (p<.05). In conclusion. the study showed the stroke patients were willing to use the center and had a high requirements for it and they especially had relatively high need degrees for the physical exercise therapy. physical therapy. training for memory. thinking and judgment. and healthy education program. And significant factors for the use of the center were their ages. types of insurance. family cohabitation. complications and speech disorders. ADL and so forth. Accordingly. the rehabilitation day care center needs to be established for the stroke patients and the center should develop rehabilitation care programs. which are individual and special programs customized for each patient's characteristics and health conditions.

일 종합병원 퇴원환자의 가정간호요구조사

최화영,이명하,Choi, Hwa-Young,Lee, Myung-Ha 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

The purpose of this study is to provide a basic data of home health care nursing centered in the hospital by analyzing home health care needs. Data were collected from June 15. 2000 to June 23. 2000 through questionnaires taken by 208 patients to be discharge in a general hospital. The Home Health Care Need instruments used for collecting data was developed by the researcher. The data obtained were analyzed using frequency. percentage. mean. standard deviation. Chi-square test. t-test. one-way ANOVA. Pearson's correlation coefficients. Cronbach's alpha coefficients and Factor Analysis. The results of the study were as follows: 1. The perception of home health care nursing were 65.4% of subjects had never heard about home health care service and 2.4% of subjects knew about the methods & contents in detail. About the demands of home health care, 58.2% of the subjects were willing to use home health care and 41.8% weren't. 2. Regarding the areas of home health care needs. basic nursing care area was the highest. Education/ counselling, exercise/ hygiene. therapeutic nursing care was orderly. Injection and medication management of basic nursing care area were the highest. 3. In relation to characteristic-related diseases and home health care needs. as for the discharge type, the existence of sores, paralysis showed significant differences with home health care needs in the area of exercise/ hygiene(p<,05). Home health care needs in the area of therapeutic nursing care and exercise/ hygiene showed significant differences with the existence of pain. Home health care needs in the area of therapeutic nursing and basic nursing areas were significantly different in the use of catheter/ assistant instrument(p<.05). Home health care needs in the area of therapeutic nursing. exercise/ hygiene and basic nursing care showed significant difference with diagnosis(p<,05). In conclusion, awareness about home health care nursing were very low, home health care needs in the area of basic nursing was the highest. Home health care needs showed significant difference with discharge type, sores, paralysis, existence of pain, use of catheter/ assistant instrument and diagnosis.

보건소 직원의 재난대비역량에 관한 연구

이영란(Lee, Yeong Ran),이명하(Lee, Myung Ha) 한국간호교육학회 2016 한국간호교육학회지 Vol.22 No.1

Purpose: The purpose of this study was to explore the levels of disaster preparedness competency in public health workers and identify influential factors on disaster preparedness competency. Methods: The data was collected through self-report questionnaires from a convenience sample of 281 public health workers in 2014 in Korea. The data was analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Results: The mean disaster preparedness competency score was 2.77 and the mean disaster educational needs score was 4.01. Disaster preparedness competency had a statistically significant difference by gender, position, experience of disaster education in workplace, and experience of BLS education. As a result of the multiple regression analysis, disaster preparedness competency accounted for 11.6% of the variance by gender, experience of disaster education in workplace, and experience of BLS education. Conclusion: The results of this study reveal that gender, strengthening education of disasters in the workplace, and education of BLS should be taken into consideration and integrated when developing an effective educational program in order to enhance disaster preparedness competency in public health workers.

혈액투석 환자의 심리사회적 적응 영향 요인

이강선(Lee, Kang Sun),김혜영(Kim, Hye Young),이명하(Lee, Myung Ha) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.1

병원 내·외부고객의 의료 및 간호서비스에 대한 만족도 비교

문인오(Inn Oh Moon),이명하(Myung Ha Lee) 한국간호행정학회 2002 간호행정학회지 Vol.8 No.1

수간호사의 서번트 리더십이 간호사의 조직몰입에 미치는 영향

이선영(Seon Young Lee),이명하(Myung Ha Lee),김현경(Hyun Kyung Kim),박옥례(Ok Lae Park),성병주(Byung Ju Sung) 한국간호행정학회 2015 간호행정학회지 Vol.21 No.5

This study was performed to identify the mediating effect of empowerment in the relationship between head nurses’ servant leadership and organizational commitment among clinical nurses. Methods: A cross-sectional survey design was used. A convenience sample of 249 nurses was recruited from three hospitals located in J province, South Korea. Data were collected by self-report questionnaires, including general characteristics, servant leadership, empowerment, and organizational commitment. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 22.0 program. Results: Head nurses’ servant leadership perceived by clinical nurses significantly influenced their organization commitment. Empowerment partly mediated the effect of servant leadership on organizational commitment. Conclusion: The findings suggest the importance of improving nurse managers’ servant leadership and empowering nurses to increase their organizational commitment.

간호사-의사 협력이 중환자실 간호사의 간호업무성과와 조직몰입에 미치는 영향

권의옥(Kwon, Eui Ok),이명하(Lee, Myung Ha),정석희(Jeong, Seok Hee),김희선(Kim, Hee Sun) 한국간호과학회 간호행정학회 2019 간호행정학회지 Vol.25 No.3

Purpose: This study was done to identify the effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit (ICU) nurses. Methods: A cross-sectional survey was used and data were collected from 203 ICU nurses working in two advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and Hierarchical multiple regression with SPSSWIN 23.0 program. Results: The sub-domains of nurse-physician collaboration were as follows: 3.77±0.51 for sharing of patient information, 3.36±0.65 for decision-making process on the cure or care, and 3.20±0.72 for relationship between nurse and physician. Nurse-physician collaboration was significantly positively correlated with nursing performance and organizational commitment. Regression analysis showed that nurse-physician collaboration explained an additional 24.9%p of nursing performance and an additional 13.4%p of organizational commitment. "Sharing of patient information" and "Relationship between nurse and physician" were significant predictors of nursing performance. ‘Relationship between nurse and physician’ was a significant predictor of organizational commitment. Conclusion: These results provide evidence that the collaboration between nurses and physicians should be enhanced in terms of sharing patient information and mutual respect, to improve nursing performance and organizational commitment of ICU nurses.

고혈압 재가노인의 자가간호 영향요인

정혜민(Jeong, Hye Min),이명하(Lee, Myung Ha),김혜영(Kim, Hye Young) 기본간호학회 2017 기본간호학회지 Vol.24 No.1

Purpose: The purpose of the study was to identify the level of resilience, autonomous motivation, depression and self-care and their correlates in elders with hypertension. Methods: The participants were 200 elders with hypertension living in J, I, and K city. Data were collected through face-to-face interviews using the Resilience Scale, Treatment Self Regulation Questionnaire, Short Form Geriatric Depression Scale, and Hypertension Self-care Scale. Results: Total scores for resilience, autonomous motivation, depression, and self-care were 109.65± 20.78, 38.18±5.99, 8.33±2.61, and 52.06±6.94, respectively. Autonomous motivation, income, acceptance of self and life, resilience, experience of hypertension education, and gender were verified as factors influencing self-care. These factors accounted for 51.6% of self-care. Conclusion: Understanding these factors is essential for developing effective interventions to improve self-care in elders with hypertension.