Changes of Job Stress after the Adoption of a Computerized Order Communication System and Its Related Factors in Hospital Employees

Kam, Sin; Park, Ki Soo; Kim, Seong Ah; Kim, Jung Mi; Lee, Chae Yong; Jung, Sang Jae; Jung, Jae Jin

Journal of Korean Society Quality Assurance Health Care 2006;12(1): 18.
Published online May 30, 2006.

일개 종합병원의 처방전달시스템 도입전후 직원의 직무스트레스 변화

감신¹, 박기수², 김성아³, 김정미¹, 이채용³, 정상재³, 정재진⁴

¹경북대학교 보건대학원
²경상대학교 의과대학 예방의학교실
³포천중문의대 예방의학교실
⁴포천중문의대 내과학교실

Changes of Job Stress after the Adoption of a Computerized Order Communication System and Its Related Factors in Hospital Employees

Sin Kam¹, Ki Soo Park², Seong Ah Kim³, Jung Mi Kim¹, Chae Yong Lee³, Sang Jae Jung³, Jae Jin Jung⁴

¹Graduate School of Public Health, Kyungpook National University
²Department of Preventive Medicine, College of Medicine, Gyeongsang National University
³Department of Preventive Medicine, College of Medicine Pochon CHA University
⁴Department of Internal Medicine, College of Medicine Pochon CHA University

Abstract

Background
This study was carried out to examine the changes of job stress after adoption of order communication system(OCS) and its related factors.
Methods
Two hundreds and twenty one employees in a university hospital were surveyed 4 months before and 1 year after the OCS had been adopted. Author used Korean version of Karasek's job content questionnaire(K-JCQ) to evaluate job stress. The questionnaire developed by Doll's was used to assess the satisfaction for the OCS.
Result
With the adoption of OCS, the scores of skill discretion increased significantly from 29.9 to 30.8 that meant job stress was decreased. In use of OCS, direct user group showed significant increase of skill discretion, whereas the indirect user group showed significant increase in psychological job demand, and it was statistically significant when compared to direct user group(p<0.05). Among the changes in job stress, skill discretion score change was significantly different by age(p<0.05). This study revealed that there was statistically significant relationship between the change of skill discretion score and time computer use, level of satisfaction for content of provided information(p<0.05). And psychological job demand score change was significantly different by time of computer use(p<0.05).
Conclusion
Adoption of OCS into hospital may increase job stress, but when it is adopted wisely and appropriately, it may enhance skill discretion of each individual, and decision authority while reducing psychological job demand.

Key words Job stress;Order communication system;