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      • SCOPUSKCI등재

        시간제 간호사 및 인턴간호사의 직무만족도에 관한 비교연구

        최숙자,Choi, Sook-Ja 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.1

        Recently, Korean health care industry managers are paying more attention to customer oriented service, the rationalization of business administration, and quality control of service to adjust their business to outer environment since IMF bailout program. They are focusing on the cost reduction through remodeling the size and structure of man power, viz. labor flexibility. Nurses are not free from this juncture and contingent nurses are increasing fast. This article intends to verify the actual condition of two types of contingent nurses -part-time nurses and internship nurses-and to compare their job satisfaction to provide basic resource for efficient management of nurse man power. The concrete goals of this article are; Firstly, to verify the actual condition of their employment. Secondly, to compare their job satisfaction. And Thirdly, to the relation between employment condition and job satisfaction. To accomplish these research goals, a statistical survey was executed, in which 384 questionnaires - 66 for manager nurses, 318 for contingent nurses-were given to nurses working at 66 general hospitals-which have at least 100 beds-in Seoul. Among them, 121 questionnaires-of 28 general hospitals-were returned. Then, the data coded and submitted to mean, standard deviation, T-test, variance analysis (ANOVA), correlation analysis, multiple regression analysis with SAS program. The research results of the contingent nurses are followings: 1. Two types of contingent nurses shows similar age spans: they are mostly 21 - 30 years old and unmarried. But internship nurses have high level of educational career. Part - time nurses spread at general beds, out -patient part, intensive care part, operation part, etc, but internship nurses work mostly at general beds. 2. Two groups shows difference in actual employment condition: average employment career of part -time nurses is 7.0 months but internship nurses' is 2.0 months: average duty-on days per month of part - time nurses are 23.7 days but internship nurses' are 24.8 days. But there are little difference in average working time per day: 7.7 hours for part -time nurses and 0 hours for internship nurses. 3. The average wage per month for part -time nurses is 836,026 won but for internship nurses is 557,428 won-66.7% of part-time nurses'. Both groups are enjoying little additional pay. 4. Both groups are getting job not so much through advertisement of newspaper or hospitals as through acquainted person or college. 5. Both groups show very high level of job satisfaction: 3.2195 for part -time nurses and 3.2881 for internship nurses. But they show very low satisfaction on payment level compared with other categories and two groups show meaningful difference(P<.0001). 6. The multiple regression test reveals the factors related with job satisfaction: wage level, working part(OR or ICU), age, job career, and motive of contingent job-taking('because I can take care of family duties at the same time') influence positively: motive of contingent job-taking('because I can work regularly without alternation') influences negatively.

      • KCI등재

        DRG(Diagnosis-Related Group)를 이용한 포괄진료비 지불제도의 선택 참여에 따른 재원일수 변화

        최숙자,권순만,강길원,문상준,이진석 한국보건행정학회 2010 보건행정학회지 Vol.20 No.2

        This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences accordingto the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

      • 정신분열증환자의 발현몽의 특징에 관한 연구

        최숙자,강민희 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.1

        To examine the characteristics of the dreams of schizophrenia, especially on the aggressive and sexual impulse which reflect the weakening of the ego in the dreams, the author analyzed 88 dreams of schizophrenic patients and 97 dreams of the normal control. The result are as follows, 1. As to the categories of the dream ego's object. the rate of he dreams with human objects were lower in the dreams of male schizophrenic group. Same trends were found in the dreams of female schizophrenic group, it was statistically not significant. 2. As to the content of the dream ego's object, relatives appeared more frequently in the dreams of schizophrenia, and friends in the dreams of normal control. 3. Schizophrenic patients tended to have higher score in the Hostility scale than normal control group. 4. There were no significant difference in the rate of dreams with sexual contents between two group. 5. Depression and dysphoria, was frequent affects after dream in the normal control group.

      • KCI등재

        계층적분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정

        최숙자,고수경,김정희,이상이 한국보건행정학회 2006 보건행정학회지 Vol.16 No.1

        This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors(group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.

      • KCI등재후보
      • 한국 고등학생의 영어학습책략 사용에 대한 연구

        최숙자,조정순 한국현대언어학회 2001 언어연구 Vol.17 No.1

        The purpose of this study was to investigate the use of teaming strategies of Korean high school students learning EFL, and the factors related to the use of the learning strategies such as individual characteristics, motivation, and English achievement. Language learning strategies were measured by The ,Strategy Inventory for Language Learning(SILL, Oxford, 1990), motivation was measured by The Attitude arid Motivation Test Battery(Gardner, 1985), and English achievement was determined by the subjects' midterm English test scores. Participants were 616 students from five different high schools in Cheon-an, Choong-nam. The major findings are as follows: (1) There was a significant difference in the use of learning strategies according to individual characteristics such as sex, the first place of English learning, learning method, teaming frequency, learning period, and learning hours per day; (2) There was a close relationship between the use of learning strategies and motivation; and (3) There was a significant difference in the use of teaming strategies according to English achievement. These findings suggest that the use of teaming strategies is closely correlated with individual characteristics, motivation, and English achievement, and that interactions among these variables play an important role in the process of successful English learning. Therefore active use of learning strategies should be encouraged to help students to become more independent and self-directed, and to participate in English learning more effectively.

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