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Hong, Hwang, Kim, and Park: Balanced Scorecard for Performance Measurement of a Nursing Organization in a Korean Hospital
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(1): 45-54.

Published online: 29 February 2008

DOI: https://doi.org/10.4040/jkan.2008.38.1.45

Balanced Scorecard for Performance Measurement of a Nursing Organization in a Korean Hospital

Yoonmi Hong1, Kyung Ja Hwang2, Mi Ja Kim3, Chang Gi Park4

1Associate Professor, Department of Nursing, Kwandong Universty, Gangneung, Korea.

2Director of Nursing Department, Myongji Hospital, Kwandong Universty, Goyang, Korea.

3Professor and Dean Emeritus, College of Nursing, Universty of Illinois at Chicago, Chicago, USA.

4Senior Health Economist, College of Nursing, Universty of Illinois at Chicago, Chicago, USA.

Address reprint requests to: Hong, Yoonmi. Department of Nursing, College of Medicine, Kwandong University, 522 Naegok-dong, Gangneung 210-701, Korea. Tel: 82-33-649-7619, Fax: 82-33-649-7620, ymhong@kwandong.ac.kr

Received 12 July 2007       Accepted 2 November 2007

Copyright © 2008 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators.

Methods

Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC.

Results

Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value >1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool.

Conclusion

High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.

Keywords: Nursing, Performance Evaluation, Indicators, Reliability, Validity

Figures and Tables

Table 1
General Characteristics (N=259)
jkan-38-45-i001
Table 2
Reliability Test Results
jkan-38-45-i002
Table 3
Rotated Component Matrix
jkan-38-45-i003

Extraction method: Principal component analysis.

Rotation method: Varimax with kaiser normalization.

A rotation converged in 8 iterations.

Table 4
Comparison of Original and Revised BSC
jkan-38-45-i004

BSC=balanced scorecard.

Table 5
Model Fitness Test Results
jkan-38-45-i005

Ho: the model fits the data perfectly.

*not available means the saturated state.

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