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Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
Yu, Mi , Kim, Se Young , Ryu, Ji Min
J Korean Acad Nurs 2023;53(2):236-248.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22110
AbstractAbstract PDF
Purpose
Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established.
Methods
Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p= .741), normed χ2 (χ2/df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%.
Conclusion
Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.
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Original Articles
Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
Juhang Kim, Ji Young Lim
J Korean Acad Nurs 2019;49(5):586-600.   Published online October 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.586
AbstractAbstract PDF
Purpose

This study aimed to develop a web-based cost management program for visiting nursing centers (CMP-VNC), using time-driven activity-based costing (TD-ABC), and to analyze effects of the program.

Methods

The CMP-VNC was developed using the combined prototyping approach and system developing life cycle method following four stages: need analysis with comprehensive literature reviews and focus group interviews, design and development of program algorithm, evaluation of the developed program validity using experts and users group, and application and effects analysis. The non-equivalent control group pretest-posttest design was used to analyze the effects of the program. The program demonstration was conducted for four weeks with 60 visiting nurses in 35 visiting centers.

Results

The web-based program was developed. It has five interfaces with basic and special functions using TD-ABC, namely, input, visiting nursing activity, visiting nursing activity cost, cost efficiency, and cost calculation report. The experimental group showed significantly higher cost perception and cost confidence than control group.

Conclusion

We found that the CMP-VNC can be an effective tool to increase visiting nurses’ competency of costing and enhance efficiencies of visiting nursing centers.

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Predictors of Job Performance, Work Satisfaction, and Productivity among Korean Hospital Nurses
Hae Jung Lee
Journal of Korean Academy of Nursing 2001;31(4):571-583.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.571
AbstractAbstract PDF

PURPOSE: The purpose of this study was to examine the levels of burnout experienced by Korean hospital nurses (N=198), and to identify predictors of their nursing outcomes such as job performance, work satisfaction, and productivity. METHOD: Hierarchical multiple regression was used to identify predictors of each nursing outcomes. Included predictors were nurses' general characteristics, work- related characteristics (role stress and perceived control), and burnout. Results: Korean nurses experienced higher levels of burnout compared to the cutoffs suggested by Maslach and Jackson (1986) and to those in the USA. For each nursing outcome, predictor variables explained 39% of the variance in role performance, 30% of the variance in work satisfaction, and 38% of variance in productivity. Higher personal accomplishment, lower role ambiguity, being staff nurses, and lower emotional exhaustion were related to higher job performance, and higher productivity. Lower role conflict and role ambiguity were also related to higher work satisfaction. CONCLUSION: Based on the findings of this study, managemental interventions for nurses to reduce their burnout experience are needed. Further study in this area is warranted.

Citations

Citations to this article as recorded by  
  • Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
    Mi Yu, Se Young Kim, Ji Min Ryu
    Journal of Korean Academy of Nursing.2023; 53(2): 236.     CrossRef
  • Influence of Emotional Intelligence, Communication, and Organizational Commitment on Nursing Productivity among Korean Nurses
    Hyo Geun Geun, Eunok Park
    Journal of Korean Academy of Community Health Nursing.2019; 30(2): 226.     CrossRef
  • Association between sleep quality and nurse productivity among Korean clinical nurses
    Eunok Park, Hyo Young Lee, Claire Su-Yeon Park
    Journal of Nursing Management.2018; 26(8): 1051.     CrossRef
  • The effects of emotional labor and nursing organizational culture on the empowerment among psychological nurses
    Myoungjin Kwon, Younghee Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(3): 2038.     CrossRef
  • Mediation and Moderation Effects of Job Embeddedness between Nursing Performance and Turnover Intention of Nurses
    Eun Hee Kim, Eunjoo Lee
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(8): 5042.     CrossRef
  • Factors Associated with Customer Orientation and Nursing Productivity
    A-Ram Yeo, Haejung Lee, Hyekyung Jin
    Journal of Korean Academy of Nursing Administration.2014; 20(2): 167.     CrossRef
  • Structural Equation Modeling on Nursing Productivity of Nurses in Korea
    Se Young Kim, Eun-Kyung Kim, Heon Man Lim, Mi Young Lee, Kwang-Ok Park, Kyoung A Lee
    Journal of Korean Academy of Nursing.2013; 43(1): 20.     CrossRef
  • A Study on the Relationships between Occupational Therapists' Burn-out, Professional Self-concept, and Self-efficacy
    Sang-Hui Hwang
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1728.     CrossRef
  • Do types of organizational culture matter in nurse job satisfaction and turnover intention?
    Jae San Park, Tae Hyun Kim
    Leadership in Health Services.2009; 22(1): 20.     CrossRef
  • A Study on the Experiences of Nurse Coroners
    Jin Sook Han, In Sook Park
    Journal of Korean Academy of Nursing.2008; 38(2): 310.     CrossRef
  • Predictors of life satisfaction of Korean nurses
    Haejung Lee, Sunkyung Hwang, Jeongsoon Kim, Barbara Daly
    Journal of Advanced Nursing.2004; 48(6): 632.     CrossRef
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Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness
Yoon Goo Noh, Myun Sook Jung
J Korean Acad Nurs 2016;46(6):824-835.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.824
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the paths of influence that a hospital's ethical climate exerts on nurses' organizational commitment and organizational citizenship behavior, with supervisor trust as the mediating factor, and verify compatibility of the models in hospital nurses.

Methods

The sample consisted of 374 nurses recruited from four hospitals in 3 cities in Korea. The measurements included the Ethical Climate Questionnaire, Supervisor Trust Questionnaire, Organizational Commitment Questionnaire and Organizational Citizenship Behavior Questionnaire. Ethical Climate Questionnaire consisted of 6 factors; benevolence, personal morality, company rules and procedures, laws and professional codes, self-interest and efficiency. Data were analysed using SPSS version 18.0 and AMOS version 18.0.

Results

Supervisor trust was explained by benevolence and self-interest (29.8%). Organizational commitment was explained by benevolence, supervisor trust, personal morality, and rules and procedures (40.4%). Organizational citizenship behavior was explained by supervisor trust, laws and codes, and benevolence (21.8%).

Conclusion

Findings indicate that managers need to develop a positive hospital ethical climate in order to improve nurses' trust in supervisors, organizational commitment and organizational citizenship behavior.

Citations

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  • “How does workplace spirituality influence organizational citizenship behavior in the hospitality industry?”: a person-organization fit perspective
    Shalini Srivastava, Pavitra Dhamija, Poornima Madan
    Journal of Asia Business Studies.2025;[Epub]     CrossRef
  • EXAMINING THE MEDIATING ROLE OF ORGANIZATIONAL TRUST ON THE EFFECT OF ETHICAL CLIMATE ON EMPLOYEE VOICE IN THE HEALTH SECTOR
    Gül Bilen, İbrahim Yıkılmaz, Lütfi Sürücü
    Elektronik Sosyal Bilimler Dergisi.2023; 22(88): 2117.     CrossRef
  • Social Influencing Factors of Clinical Nurses’ Patient Advocacy
    Myungji Kim, Hyunkyung Choi
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 363.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
  • Relationships between job burnout, ethical climate and organizational citizenship behaviour among registered nurses: A cross‐sectional study
    Lyu Wang, Xiaoyu Dong, Yan An, Cancan Chen, Marion Eckert, Greg Sharplin, Jennifer Fish, Xiuzhen Fan
    International Journal of Nursing Practice.2023;[Epub]     CrossRef
  • Ethical Climate of Nurses in Korea: A Scoping Review
    Yoon Goo Noh, Oi Sun Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 487.     CrossRef
  • The impact of clinical nurses’ perception of hospital ethical climates on their organizational citizenship behavior
    Lu Wang, Dan Li, Wanhong Wei, Ting Zhang, Wenjuan Tang, Qunfeng Lu
    Medicine.2022; 101(4): e28684.     CrossRef
  • The mediating effect of ethical climate on religious orientation and ethical behavior
    Zahra Marzieh Hassanian, Arezoo Shayan
    Nursing Ethics.2019; 26(4): 1114.     CrossRef
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Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis
Minsung Sohn, Mankyu Choi
J Korean Acad Nurs 2014;44(4):418-427.   Published online August 29, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.4.418
AbstractAbstract PDF
Purpose

Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time.

Methods

Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors.

Results

First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency.

Conclusion

It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

Citations

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  • Optimising efficiency and patient-centredness in general hospitals: insights from data envelopment and matrix analysis
    Hyunseo Lee, Minsung Sohn, Mankyu Choi
    Journal of Health Organization and Management.2025;[Epub]     CrossRef
  • The influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study
    Yoon Saeng Choi, Su Hyun Kim
    Journal of Korean Gerontological Nursing.2023; 25(2): 116.     CrossRef
  • Uzun Dönemli Bakım Etkinliğinin Değerlendirilmesi: OECD Ülkeleri Üzerinde Bir Araştırma
    Yasin ÇİLHOROZ, İlknur ARSLAN ÇİLHOROZ
    Karadeniz Sosyal Bilimler Dergisi.2022; 14(26): 70.     CrossRef
  • Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China
    Tao Liu, Jixia Li, Juan Chen, Shaolei Yang
    Healthcare.2020; 8(3): 270.     CrossRef
  • Has the long-term care insurance resolved disparities in mortality for older Koreans? examination of service type and income level
    Minsung Sohn, Patricia O'Campo, Carles Muntaner, Haejoo Chung, Mankyu Choi
    Social Science & Medicine.2020; 247: 112812.     CrossRef
  • Efficiency Analysis of East Asian Zinc Smelters and the Effects of Capacity and Bonus Zinc on Efficiency
    Ha Sung Park, Daecheol Kim
    Journal of Open Innovation: Technology, Market, and Complexity.2019; 5(1): 4.     CrossRef
  • Difference in Recognition of Internal Customer Service Quality of Outsourcing Staff in Hospital Using IPA
    Sung-Soo Kim
    Journal of Health Informatics and Statistics.2018; 43(1): 80.     CrossRef
  • Relationship between Medical Service Specialization and Operational Performance in Hospitals: Focusing on Length of Stay and Medical Expense
    Hai-Won Yoo, Kyoung-Hoon Kim
    The Korean Journal of Health Service Management.2016; 10(1): 1.     CrossRef
  • Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
    Hae Sagong, Ga Eon Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309.     CrossRef
  • A Study on Fitness Evaluation for Major Education of Competency Unit Element by the Development and Application of Subject Contents Based on NCS of Health Majoring Students at Junior Colleges
    Min-Ja Kim, Hee-Jung Yang
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 508.     CrossRef
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Structural Equation Modeling on Nursing Productivity of Nurses in Korea
Se Young Kim, Eun-Kyung Kim, Heon Man Lim, Mi Young Lee, Kwang-Ok Park, Kyoung A Lee
J Korean Acad Nurs 2013;43(1):20-29.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.20
AbstractAbstract PDF
Purpose

The purpose of this study was to propose and test a predictive model that could explain and predict nursing productivity.

Methods

A survey using a structured questionnaire was conducted with 360 nurses in Korea. The data were analyzed using SPSS Windows 18.0 and AMOS 19.0 program.

Results

Based on the constructed model, burnout and organizational commitment were found to have direct effects on nurses' turnover intention and nursing productivity. While nursing work environment was found to have indirect effects on nurses' turnover intention and nursing productivity.

Conclusion

This structural equational model is a comprehensive theoretical model that explains the related factors and their relationship with nursing productivity. Comprehensive organizational interventions to improve nursing productivity should focus on improving the nursing work environment. Findings from this study can be used to design appropriate strategies to decrease nurse turnover in Korea. Further studies are needed to prospectively verify these causal relationships with larger samples.

Citations

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  • Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills
    Gwang Suk Kim, Layoung Kim, Mi-So Shim, Seoyoung Baek, Namhee Kim, Min Kyung Park, Youngjin Lee
    Journal of Korean Academy of Nursing.2023; 53(3): 295.     CrossRef
  • Effect of Job Embeddedness on Turnover Intention of Nurses in Long Term Care Hospitals: The Mediating Effect of Nursing Work Environment
    Sun Mi Ha, Yeong Ju Ko
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 439.     CrossRef
  • A Meta-Analytic Path Analysis on the Outcome Variables of Nursing Unit Managers' Transformational Leadership: Systemic Review and Meta-Analysis
    Sunmi Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing.2020; 50(6): 757.     CrossRef
  • Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
    Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
    PLOS ONE.2019; 14(12): e0226742.     CrossRef
  • Relationship among Nursing Professionalism, Nursing Work Environment, and Patient Safety Nursing Activities in General Hospital Nurses
    Mi-Aie Lee, Sunjoo Kang, Hye Sun Hyun
    Journal of Korean Academy of Nursing Administration.2019; 25(4): 317.     CrossRef
  • Influence of Emotional Intelligence, Communication, and Organizational Commitment on Nursing Productivity among Korean Nurses
    Hyo Geun Geun, Eunok Park
    Journal of Korean Academy of Community Health Nursing.2019; 30(2): 226.     CrossRef
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    Paola Ochoa
    Frontiers in Psychology.2018;[Epub]     CrossRef
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    Mi Soon Ko, Hyunsook Zin Lee, Myung Suk Koh
    Journal of Korean Academy of Nursing Administration.2017; 23(1): 42.     CrossRef
  • Mediating Effect of Social capital between Transformational leadership and Organizational Commitment of Nurses in Hospitals
    Soon-gu Kim, Young-sook Seo
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 282.     CrossRef
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    Jun-Yeong Kwon, Su-Young Lee
    Journal of dental hygiene science.2016; 16(4): 302.     CrossRef
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    Eun-Su Do, Young-Sook Seo
    Journal of Digital Convergence.2016; 14(1): 275.     CrossRef
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    Sook Bin Im, Mi Young Lee, Se Young Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(1): 1.     CrossRef
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    Eunhye Kim, Jinhyun Kim
    Perspectives in Nursing Science.2014; 11(2): 109.     CrossRef
  • Clinical Nurses' Experience of Positive Organizational Culture
    Young-Hee Yom, Sang Mi Noh, Kyung Hee Kim
    Journal of Korean Academy of Nursing Administration.2014; 20(5): 469.     CrossRef
  • Factors Affecting Intensive Care Units Nursing Workload
    Mohammad Karim Bahadori, Ramin Ravangard, Mehdi Raadabadi, Seyed Masod Mosavi, Mohammad Gholami Fesharaki, Fardin Mehrabian
    Iranian Red Crescent Medical Journal.2014;[Epub]     CrossRef
  • Comparison of Hospital Nurses' Recognition of the Team System and Effects on the Nursing Organizational Team System
    Kwang-ok Park, Sung Hee Park, Mi Yu
    Journal of Korean Academy of Nursing Administration.2014; 20(4): 414.     CrossRef
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Analysis of Cost and Efficiency of a Medical Nursing Unit Using Time-Driven Activity-Based Costing
Ji Young Lim, Mi Ja Kim, Chang Gi Park
J Korean Acad Nurs 2011;41(4):500-509.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.500
AbstractAbstract PDF
Purpose

Time-driven activity-based costing was applied to analyze the nursing activity cost and efficiency of a medical unit.

Methods

Data were collected at a medical unit of a general hospital. Nursing activities were measured using a nursing activities inventory and classified as 6 domains using Easley-Storfjell Instrument. Descriptive statistics were used to identify general characteristics of the unit, nursing activities and activity time, and stochastic frontier model was adopted to estimate true activity time.

Results

The average efficiency of the medical unit using theoretical resource capacity was 77%, however the efficiency using practical resource capacity was 96%. According to these results, the portion of non-added value time was estimated 23% and 4% each. The sums of total nursing activity costs were estimated 109,860,977 won in traditional activity-based costing and 84,427,126 won in time-driven activity-based costing. The difference in the two cost calculating methods was 25,433,851 won.

Conclusion

These results indicate that the time-driven activity-based costing provides useful and more realistic information about the efficiency of unit operation compared to traditional activity-based costing. So time-driven activity-based costing is recommended as a performance evaluation framework for nursing departments based on cost management.

Citations

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  • Cost estimation of preventive dental hygiene care using Time-Driven Activity-Based Costing (TDABC)
    Yun-Sook Jung, Bo-Kyoung Oh, Yun-Jung Jang, Sun-Hee Hwang, Seo-Young Yoon, Seong-Eun Baek, Min-Young Kim
    Journal of Korean Society of Dental Hygiene.2024; 24(5): 489.     CrossRef
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    Eunjoo Lee, Hyejin Park
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    Ji Young Lim, Wonjung Noh, Seung Eun Oh, Ok Gum Kim
    Journal of Korean Academy of Nursing Administration.2013; 19(1): 7.     CrossRef
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    Ho-Soon Yoon, Jinhyun Kim
    Journal of Korean Academy of Nursing Administration.2013; 19(4): 449.     CrossRef
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