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의료기관 인증 경험을 통한 간호사의 인식변화에 대한 질적연구 KCI 등재

Nurses’ Perceptions of Change through Healthcare Accreditation: A Qualitative Study

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  • URLhttps://db.koreascholar.com/Article/Detail/447336
구독 기관 인증 시 무료 이용이 가능합니다. 4,800원
대한질적연구학회지 (Korean Association for Qualitative Research)
대한질적연구학회 (Korean Association for Qualitative Research)
초록

Purpose: This study aimed to explore, in depth, the changes in nurses’ perceptions and organizational culture following repeated experiences with healthcare accreditation. Methods: A qualitative content analysis design was employed to explore nurses’ perceptions of healthcare accreditation. In-depth semi-structured interviews were conducted with 14 nurses from a spine and joint specialty hospital in Seoul who had experienced both the third and fourth accreditation cycles. Data were collected from July 9 to July 30, 2025. To enhance analytical depth, the Balanced Scorecard (BSC) framework was adopted as an interpretive lens, encompassing four perspectives: financial, customer, internal process, and learning and growth. Results: Twenty themes were identified and organized into four thematic clusters aligned with the BSC framework (1) ‘The Hospital’s Reputation built on Nurses Burnout’, (2) ‘The Gap between Accreditation Standards and Clinical Realities’, (3) ‘The Need for Process Improvement and Link between Accreditation and Practice’, (4) ‘Fostering a Collaborative Culture and Strengthening Leadership Competence’ Conclusion: From the BSC perspective, healthcare accreditation positively influenced clinical standardization (internal process), hospital reputation (customer), and professional development (learning and growth), but imposed significant resource imbalances (financial) on frontline nurses. To enhance future accreditation effectiveness, policies should establish fair compensation and support systems, apply flexible evaluation criteria reflecting hospital size and resources, and integrate patient and staff satisfaction indicators into the evaluation framework.

목차
서 론
    1. 연구의 필요성
    2. 연구목적
연 구 방 법
    1. 연구설계
    2. 연구자 준비
    3. 연구참여자
    4. 자료수집
    5. 자료분석
    6. 연구의 엄격성 확보
    7. 윤리적 고려
연 구 결 과
    주제모음 1. 간호사의 소진으로 쌓은 병원 이미지 위상(재무적 관점)
    주제모음 2. 인증기준과 현장 실태의 간극(환자관점)
    주제모음 3. 인증 프로세스 개선과 인증과 실행의 연계필요(내부 프로세스 관점)
    주제모음 4. 조직의 협력적 문화 조성과 리더십 역량 배양필요성(학습과 성장 관점)
논 의
결 론 및 제 언
REFERENCES
저자
  • 전재희(국립강릉원주대학교 간호학과 교수) | Jeon Jaehee (Professor, Department of Nursing, Gangneung-Wonju National University,Wonju, Korea)
  • 남소희(영진전문대학교 간호학과 조교수) | Nam Sohee (Assistant Professor, Department of Nursing, Yeungjin University, Daegu, Korea) Corresponding author