의료기관 내 간호사와 의료기사·행정직원 간 상호관계인식에 관한 연구
A Study on the Relationship Perception among Nurses, Technicians and Administrative Staffs in Medical Institution
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to analyze the relationship among nurses, technicians and administrative staffs including from small offices to large university hospital. Methods: A total of 483 workers in hospitals (245 nurses, 136 technicians and 102 administrative staffs) were recruited for this study. The relationship level was measured with Barrett-Lennard relationship Questionnaire. Results: The results were as follows: 1) Nurses' regard from technicians and technicians’ congruence from administrative staffs was significantly high. 2) Nurses’ regard and understanding from technicians was significantly higher compare to administrative staffs. Technicians' regard and un-conditionality from administrative staffs also higher compare to nurses. Administrative staffs’ regard and congruence from technicians was significantly higher compare to nurses. 3) ‘regard’, ‘empathic understanding’ and ‘congruence’ domain scale were lower in nurses compare to technicians and administrative staffs (9.30±14.46, -.050±10.32, 5.17±9.91). 4) relationship scales were higher in primary care clinics compare to larger hospitals. Conclusion: Nurses, technicians and administrative staffs should recognize the verbal and nonverbal factors that affect their relationship and try to develop relationship enhancing program. Implications and suggestions to further research are discussed.
Abstract
Purpose: This study aimed to analyze the relationship among nurses, technicians and administrative staffs including from small offices to large university hospital. Methods: A total of 483 workers in hospitals (245 nurses, 136 technicians and 102 administrative staffs) were recruited for this study. The relationship level was measured with Barrett-Lennard relationship Questionnaire. Results: The results were as follows: 1) Nurses' regard from technicians and technicians’ congruence from administrative staffs was significantly high. 2) Nurses’ regard and understanding from technicians was significantly higher compare to administrative staffs. Technicians' regard and un-conditionality from administrative staffs also higher compare to nurses. Administrative staffs’ regard and congruence from technicians was significantly higher compare to nurses. 3) ‘regard’, ‘empathic understanding’ and ‘congruence’ domain scale were lower in nurses compare to technicians and administrative staffs (9.30±14.46, -.050±10.32, 5.17±9.91). 4) relationship scales were higher in primary care clinics compare to larger hospitals. Conclusion: Nurses, technicians and administrative staffs should recognize the verbal and nonverbal factors that affect their relationship and try to develop relationship enhancing program. Implications and suggestions to further research are discussed.
참고문헌 (35)
- 이광자, "임상현장의 커뮤니케이션 문제점과 개선방향에 관한 연구", 의료커뮤니케이션, 1(1), pp.33~45 (2006), 대한의료커뮤니케이션학회
- Lee JY, "Characteristics of each medical department in a general hospital, communication between nurses and doctors", pp.2003
- Fagin L, "The doctor-nurse relationship", Adv. Psychiatr. Treat, 10, pp.277~286 (2004)
- Jang YA, "Organizational structure of small sized hospitals and its impacts on the degree of patients'satisfaction: An analysis based on participatory observation for a hospital", pp.2000
- Kim YH, "The Relation of organizational structure and culture perception, conflict experience, commitment of hospital employees in Korea", pp.2001
- 김용순, "전공의와 간호사의료기사간의 인간관계 갈등과 의사소통에 관한연구", 병원경영학회지, 11(2), pp.16~31 (2006), 한국병원경영학회
- Barrett-Lennard GT, "Dimensions of therapist response as causal factors in therapeutic change", Psychological Monographs, 76(43), pp.562~598 (1962)
- Jung BJ, "An Analytical study of the counselor-client interaction in dynamic counseling processes", pp.1986
- Gianakos, "Physicians, nurses, and collegiality", Nursing Outlook, 45(2), pp.57~58 (1997)
- Marjorie Thomas Lawson, "Nurse practitioner and physician communication styles", Applied Nursing Research, 15(2), pp.60~66 (2002)
- Lee JM, "Transference of conflict in a hospital organization", pp.2005
- Campion MA, "Relations between work group characteristics and effectiveness: implications for designing effective work group", Personnel Psychology, 46, pp.823~850 (1993)
- Cochran, Daniel. S., "Effect of organizational size on conflict frequency and location in hospitals", Journal of Management Studies, 20(4), pp.441~451 (1983)
- De Dreu CK, "Task versus relationship conflict, team performance and team member satisfaction: A meta analysis", Journal of Applied Psychology, 88, pp.741~749 (2003)
- Lee KH, "A study on the effect of factors of conflicts in hospital organizations on job recognition: centered about those working for general hospitals in Seoul and Ilsan", pp.2005
- Denton, John A, "Organizational size and structure-A longitudinal analysis of hospital", Sociological Spectrum, 2, pp.57~71 (1982)
- 백승주, "의료기관 행정직원의 의사소통 체험 - 질적 연구 방법론적 접근 -", 텍스트언어학, 34, pp.103~125 (2013), 한국텍스트언어학회
- 박용익, "의료커뮤니케이션 능력 향상을 위한 개론서의 필요성과내용 및 연구방법론", 의료커뮤니케이션, 1(1), pp.7~17 (2006), 대한의료커뮤니케이션학회
- Ryu CK, "A study on the relationship among the staffs of hospital: An empirical research on conflicts among jobs of university hospital in Daegu", pp.2002
- 김지혜, "조직 집단 내 갈등의 선행변인에 대한 연구", 한국심리학회지: 산업 및 조직, 23(3), pp.397~418 (2010), 한국산업및조직심리학회
- James E. George, "Nurse-physician communication break-down: Is it a basis for nurse liability?", Journal of Emergency Nursing, 22(2), pp.144~145 (1996)
- Han EG, "A Path Analysis of Interpersonal Conflicts in Hospital Organizations", pp.2012
- Hughes D, "When nurse knows best: some aspects of nurse", doctor interaction in a casualty department, 1988, pp.10(1), 1~22
- Jehn, Karen A, "A qualitative analysis of conflict types and dimensions in organizational groups", Administrative Science Quarterly, 42, pp.530~557 (2001)
- Mary A. Manderino, "Verbal abuse of staff nurses by physicians", Journal of Professional Nursing, 13(l), pp.48~55 (1997)
- Olivia A. Clarin, "Strategies to Overcome Barriers to Effective Nurse Practitioner and Physician Collaboration", The Journal for Nurse Practitioners, 3(8), pp.538~548 (2007)
- Leesa Micole Van Niekerk, "The impact of the nurse-physician relationship on barriers encountered by nurses during pain management", Pain Management Nursing, 4(1), pp.3~10 (2003)
- Narasimhan M, "Improving nurse-physician communication and satisfaction in the intensive care unit with a daily goals worksheet", Am J Crit Care, 15(2), pp.217~222 (2006)
- Kim HJ, "The influence of organizational characteristics of hospitals on the professional identity on nurse: A study of the nursing delivery system between S hospital and H hospital", pp.1996
- Jehn, Karen A., "Intragroup conflict in organizations: A contingency perspective on the conflict-outcome relationship", Research in Organizational Behavior, 25, pp.187~242 (2003)
- Marie-Catherine Beuscart-Zephir, "Cognitive analysis of physicians and nurses cooperation in the medication ordering and administration process", International Journal of Medical Informatics, 76(1), pp.S65~S77 (2007)
- Donna M. Hallas, "Attitudes and beliefs for effective pediatric nurse practitioner and physician collaboration", Journal of Pediatric Health Care, 18(2), pp.77~86 (2000)
- Lockhart-Wood K, "Collaboration between nurse and doctors in clinical practice", British Journal of Nursing, 9(5), pp.276~280 (2000)
- Chant S, "Communication skills: Some problems in nursing education and practice", Journal of Clinical Nursing, 11(1), pp.12~21 (2002)
- Stöckli M, "Communication during ward rounds in Internal Medicine: An analysis of patient-nurse- physician interactions using RIAS", Patient Education and Counseling, 67(3), pp.343~348 (2007)
