Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Hospital Workers' Experience with Hospital Evaluation Program: A Focus Group Study

의료기관 평가에 관한 병원 종사자들의 경험: 포커스 그룹 연구

  • Yi, Myung-Sun (College of Nursing & Research Institute of Nursing Science, Seoul National University) ;
  • Oh, Ji-Hyeon (College of Nursing, Seoul National University) ;
  • Hwang, Hye-Min (College of Nursing, Seoul National University) ;
  • Kwon, Eun-Jin (College of Nursing, Seoul National University) ;
  • Lee, Jeong-Hee (QA Part, Management Innovation Department, Seoul National University Bundang Hospital) ;
  • Park, Eun-Young (Department of Nursing Science, Gachon University of Medicine and Science)
  • 이명선 (서울대학교 간호대학) ;
  • 오지현 (서울대학교 간호대학) ;
  • 황혜민 (서울대학교 간호대학) ;
  • 권은진 (서울대학교 간호대학) ;
  • 이정희 (서울대학교 분당병원 경영혁신실 QA파트) ;
  • 박은영 (가천의과학대학교 간호학과)
  • Received : 2011.01.12
  • Accepted : 2011.08.04
  • Published : 2011.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to understand and describe the hospital workers' experience related to the hospital evaluation program implemented in Korea between 2004 and 2009. Methods: During 2010, data were collected using focus group interviews. Four focus group interviews were held with a total of 28 hospital workers participating. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: Nine themes emerged from the analysis: 1) Positive change in the necessity of the evaluation; 2) Improvement in the hospital system, facilities, and human resources; 3) Unity through cooperation among departments; 4) Nursing work overload; 5) Lack of physicians' awareness and responsibilities; 6) Unfair and unrealistic evaluation items; 7) Lack of credibility of the outcome; 8) Shifting responsibility for negative outcomes to the workers; 9) Lack of pragmatic utility. Conclusion: The results of the study demonstrate that the hospital evaluation program played a key role in improving some work environments and communication among departments. At the same time, they show various negative themes resulting from the context of very authoritarian hospital systems and a connection-oriented society in Korea.

Keywords

References

  1. Bae, J. I. (2009). A study on hospital staff: A perception of and attitudes toward the medical institute accreditation system- Focused on those working for the public hospital. Unpublished master's thesis, Yonsei University, Seoul.
  2. Brink, P. J., & Wood, M. J. (1989). Advanced design in nursing research, Thousand Oaks, CA: Sage Publications.
  3. Cavanagh, S. (1997). Content analysis: Concepts, methods and applications. Nurse Researcher, 4(3), 5-16.
  4. Denzin, N. K. (1989). Strategies of multiple triangulation. In N. K. Denzin (Ed.), The research act: A theoretical introduction to sociological methods (3rd ed., pp. 234-247). New Jersey: Prentice Hall.
  5. Downe-Wamboldt, B. (1992). Content analysis: Method, applications, and issues. Health Care for Women International, 13, 313-321. https://doi.org/10.1080/07399339209516006
  6. Greenfield, D., & Braithwaite, J. (2008). Health sector accreditation research: A systematic review. International Journal for Quality in Health Care, 20, 172-183. doi:10.1093/intqhc/mzn005.
  7. Greenfield, D., Pawsey, M., Naylor, J., & Braithwaite, J. (2009). Are accreditation surveys reliable? International Journal of Health Care Quality Assurance, 22, 105-116. doi: 10.1108/09526860910944601
  8. Han, W. S. (2007). The effect of the hospital evaluation program to business performance in medical service organization- General hospital employee point of view. Unpublished doctoral dissertation, Konyang University, Daejon.
  9. Health Insurance Review & Assessment Service. (2010). Development of standard for evaluation of appropriateness of health insurance: Department for efficacy of resource utility. Seoul: Health Insurance Review & Assessment Service.
  10. Kim, E., Kang, M., Kim, Y., Park, J. H., & Park, J. H. (2007). Opinions and strategies on the national hospital evaluation program. Journal of Korean Academy of Nursing Administration, 13, 40-52.
  11. Kim, S. C. (1994). How can hospitals improve quality in hospital quality assessment program? Journal of Korean Society of Quality Assurance of Health Care, 1(2), 30-33.
  12. Kreuger, R. A. (1994). Focus groups: A practical guide for applied research (2nd ed.). Thousand Oaks, CA: Sage Publications, Inc.
  13. Lecompte, M. D., & Goetz, J. P. (1982). Problems of reliability and validity in ethnographic research. Review of Educational Research, 52(1), 31-60. https://doi.org/10.3102/00346543052001031
  14. Lee, S. (1994). Background of hospital quality assessment. Journal of Korean Society of Quality Assurance of Health Care, 1(2), 2-10.
  15. Lee, S. H. (2005). Problems and opinions on the national hospital accreditation program 2004. Journal of Korean Hospital Association, 9, 32-42.
  16. Lee, S. M., Kim, J. Y., & Cho, W. H. (2008). Opinions on the national hospital accreditation program 2007. Journal of Korean Society of Quality Assurance of Health Care, 14(2), 89-100.
  17. Ministry of Health & Welfare, & Korea Health Industry Development Institute. (2004). Guidelines for hospital services evaluation programme. Seoul: Korea Health Industry Development Institute.
  18. Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Thousand Oaks, CA: Sage Publications.
  19. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  20. Spradley, J. (1979). The ethnographic interview. New York: Holt, Rinehart, & Winston.
  21. Stewart, D. W., & Shamdasani, P. N. (1990). Focus groups: Theory and practice. Thousand Oaks, CA: Sage Publications, Inc.
  22. Yi, G. E. (2009). A study on the recognition of mid sized hospital employee about the hospital evaluation. Unpublished master's thesis, Catholic University of Pusan, Busan.
  23. Yoo, M., & Chung, M. (2008). The relationship among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. Journal of Korean Academy of Nursing Administration, 14, 260-267.

Cited by

  1. 간호사의 국제의료기관평가에 대한 인식과 간호업무성과, 평가 관련 직무 스트레스 및 소진과의 관계 vol.20, pp.1, 2011, https://doi.org/10.11111/jkana.2014.20.1.1
  2. 국제의료기관평가를 경험한 임상간호사의 조직몰입 영향요인 vol.12, pp.6, 2011, https://doi.org/10.14400/jdc.2014.12.6.439
  3. 종합병원 간호사의 의료기관인증제에 대한 인식과 직무 스트레스가 이직의도에 미치는 영향 vol.22, pp.2, 2011, https://doi.org/10.5953/jmjh.2015.22.2.87
  4. 요양병원 인증제 평가를 경험한 간호사들의 직무 스트레스 및 소진이 이직의도에 미치는 영향 vol.17, pp.3, 2011, https://doi.org/10.5762/kais.2016.17.3.438
  5. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses vol.11, pp.6, 2016, https://doi.org/10.1371/journal.pone.0156305
  6. 종합병원 수간호사의 의료기관평가 경험에 대한 근거이론적 접근 vol.22, pp.5, 2016, https://doi.org/10.11111/jkana.2016.22.5.437
  7. 수술실 간호사의 이직의도에 영향을 미치는 요인 vol.17, pp.12, 2011, https://doi.org/10.5762/kais.2016.17.12.352
  8. QI부서근무자들의 의료기관인증제관련 인식이 직무스트레스 및 이직의도에 미치는 영향 vol.17, pp.12, 2016, https://doi.org/10.5762/kais.2016.17.12.659
  9. 중소병원 간호사의 의료기관인증제 인식 및 직무스트레스, 조직몰입이 이직의도에 미치는 영향 vol.18, pp.5, 2011, https://doi.org/10.5762/kais.2017.18.5.160
  10. 기본간호학 교수의 간호교육인증평가에 대한 인식, 직무만족도 및 전과의도 vol.24, pp.2, 2011, https://doi.org/10.7739/jkafn.2017.24.2.157
  11. Incorporating work experience of medical staff into patient safety climate management: a multi-group analysis vol.18, pp.None, 2018, https://doi.org/10.1186/s12913-018-3747-9
  12. 의료기관 대상 평가통합 및 효율화 방안 vol.24, pp.1, 2011, https://doi.org/10.14371/qih.2018.24.1.30
  13. 상급종합병원 간호사의 의료기관인증제에 대한 인식이 직무 스트레스와 이직의도에 미치는 영향 vol.27, pp.3, 2011, https://doi.org/10.5807/kjohn.2018.27.3.180
  14. Factors Influencing Resilience in Long-term Care Hospital Nurses vol.25, pp.5, 2019, https://doi.org/10.11111/jkana.2019.25.5.373
  15. 요양병원 간호사의 직무착근도와 소진이 프리젠티즘에 미치는 영향령 vol.20, pp.2, 2019, https://doi.org/10.5762/kais.2019.20.2.704
  16. Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions vol.31, pp.5, 2011, https://doi.org/10.7475/kjan.2019.31.5.522
  17. 독거노인을 위한 베하스 프로그램을 활용한 지역사회기반 참여연구 리더 경험에 관한 융합적 연구 vol.12, pp.1, 2021, https://doi.org/10.15207/jkcs.2021.12.1.293
  18. 중소병원 적정성 평가를 담당하는 간호사의 업무경험 vol.14, pp.3, 2011, https://doi.org/10.34250/jkccn.2021.14.3.99