Lee S H
Kanho Hakhoe Chi. 1990 Dec;20(3):281-99. doi: 10.4040/jnas.1990.20.3.281.
The organization of nursing department significantly effects the hospital management. Especially, the head nurse is one of the most important position because head nurse is a first-line manager in the hospital level, a middle manager in nursing service organizations level and the top manager in each nursing unit level. This study was attempted to show the ideal model and rule by compare head nurses' role perception with staff nurses' role expectation according to two types of hospital. The survey was conducted among 94 head nurses and 233 staff nurses who are working at 5 different University Hospitals over 600 beds and 93 head nurses and 218 staff nurses who are working at 12 different General Hospitals between 100-300 beds in Seoul. The data was collected in a period from 8th September to 13th October in 1989 and the instrument used for this study was based on Han's one and referred back to many literary sources and revised. The collected data was analysed by computer using S.P.S.S. program as a Mean, Percentage, Cronbach's alpha, Chi-Square, t-test and ANOVA. 1. The study was compared to the difference of the two subject group's general characteristics according to a type of hospital. As a result, there were significant differences in age, educational background and career. 2. This Study was compared to the difference of the two subject group's role perception and role expectation about each question according to a type of hospital. The result of this comparisons as follows: First, These were the most important issue between both groups: "Head nurse has to know about her staff's events and problems and then help them to solve that promptly" Second, These were the least important issue between both groups: "Head nurse has an interview with patient's family and visitors", "Head nurse is interested in her staff's privacy". 3. This study was compared to the differences of each role areas according to a type of hospital. As a result, there were no significant differences both two subject groups except nursing manager role in staff nurses' group (t = -2.893, df = 449.0, p = 0.004). 4. This study was tested to the difference of the two subject groups according to general characteristics. As a result, All of that there were no significant differences.
护理部的组织架构对医院管理有着重大影响。特别是护士长是最重要的职位之一，因为护士长在医院层面是一线管理者，在护理服务组织层面是中层管理者，在各个护理单元层面是高层管理者。本研究试图通过比较两种类型医院中护士长的角色认知与护士的角色期望，来展现理想的模式和规则。该调查在首尔的5家床位超过600张的不同大学医院工作的94名护士长和233名护士，以及12家床位在100 - 300张的不同综合医院工作的93名护士长和218名护士中进行。数据收集于1989年9月8日至10月13日期间，本研究使用的工具基于韩氏工具，并参考了许多文献资料进行修订。收集到的数据通过计算机使用S.P.S.S.程序进行分析，分析方法包括均值、百分比、克朗巴哈系数、卡方检验、t检验和方差分析。1. 该研究比较了根据医院类型划分的两个研究对象组的一般特征差异。结果显示，在年龄、教育背景和工作年限方面存在显著差异。2. 本研究比较了根据医院类型划分的两个研究对象组对每个问题的角色认知和角色期望差异。比较结果如下：首先，两组中最重要的问题都是：“护士长必须了解员工的情况和问题，然后迅速帮助他们解决”。其次，两组中最不重要的问题是：“护士长与患者家属和访客面谈”，“护士长关注员工隐私”。3. 本研究比较了根据医院类型划分的每个角色领域的差异。结果显示，除了护士组中的护理管理者角色外（t = -2.893，自由度 = 449.0，p = 0.004），两个研究对象组在其他方面均无显著差异。4. 本研究检验了根据一般特征划分的两个研究对象组的差异。结果显示，所有方面均无显著差异。
