DOI QR코드

DOI QR Code

Importance-performance Analysis of Patients' and Nurses' perspectives on Rehabilitation Nursing Services

중요도-수행도 분석을 활용한 입원 환자 재활간호서비스에 대한 환자와 간호사의 인식 비교

  • Received : 2016.02.11
  • Accepted : 2016.06.02
  • Published : 2016.06.30

Abstract

Purpose: This study attempted to understand patients' and nurses' perspectives on the priority of rehabilitation nursing services using Importance-Performance Analysis (IPA). Methods: This study used descriptive research design. Data were collected from 121 patients and 144 nurses using self-reported questionnaires. Statistical analysis included an independent t-test, analysis of variance (ANOVA), and IPA conducted using SPSS/WIN 21.0 version. Results: There were no statistical differences between the patients' and nurses' mean scores on perceptions of the importance (t=-0.83, p=.409) and performance (t=-0.32, p=.751) of rehabilitation nursing services. The IPA matrix showed a difference between patients and nurses in terms of their perceived priority of nursing services. Regarding the perception of patients, "helping a patient to continue to practice bedside physiotherapy and occupational therapy", "providing information on the proper care agency and community resources", and "providing education for the prevention of complications" fell in the "concetrate here" area (2nd quadrant). Conclusion: The results showed that the priorities of patients and nurses did not match in terms of some of the rehabilitation nursing services. Thus, rehabilitation nursing services need to be provided based on the patients' needs. Allocation of resources for the service items that fell in the "concentrate here" area of the IPA need be reconsidered for the quality in nursing care.

Keywords

References

  1. Blank, J. J., Clark, L., Longman, A. J., & Atwood, J. R. (1989). Perceived home care needs of cancer patients and their caregivers. Cancer Nursing, 12(2), 78-84. http://dx.doi.org/10.1097/00002820-198904000-00004
  2. Byeon, D. H., & Hyun, H. J. (2013). Importance and performances of visiting nurse services provided under the long term care insurance system for the elderly. Journal of Korean Academy of Community Health Nursing. 24(3), 332-345. http://dx.doi.org/10.12799/jkachn.2013.24.3.332
  3. Chang, E., Chenoweth, L., & Hancock, K. (2003). Nursing needs of hospitalized older adults: Consumer and nurse perceptions. Journal of Gerontological Nursing, 29(9), 32-41. http://dx.doi.org/10.3928/0098-9134-20030901-07
  4. Chung, Y., Lee, K. J., & Kim, S. K. (2014). A study of utilizing IPA in urban geriatric hospital choice factor. Health and Social Welfare Review, 34(1), 133-158.
  5. Clarke, D. J. (2014). Nursing practice in stroke rehabilitation: Systematic review and meta-ethnography. Journal of Clinical Nursing, 23(9-10), 1201-1226. http://dx.doi.org/10.1111/jocn.12334
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  7. Florin, J., Ehrenberg, A., & Ehnfors, M. (2005). Patients' and nurses' perceptions of nursing problems in an acute care setting. Journal of Advanced Nursing, 29(9), 32-41. http://dx.doi.org/10.1111/j.1365-2648.2005.03477.x
  8. He, T., Du, Y., Wang, L., Zhong, Z. F., Ye, X. C., & Liu, X. H. (2013). Perceptions of caring in China: Patient and nurse questionnaire survey. International Nursing Review, 60(4), 487-493. http://dx.doi.org/10.1111/inr.12058
  9. Kang, E. K., Kim, W. S., Jeong, S. H., Shin, H. I., & Han, T. R. (2007). Desire for rehabilitation services of stroke patients admitted in post-acute rehabilitation facilities. The Journal of Korean Academy of Rehabilitation Medicine, 31(4), 404-409.
  10. Kim, K. S., Kim, J. H., Park, J. I., Cho, B. H., Cho, N. O., Yoo, K. H., et al. (2005). Rehabilitation need on-hospital with disabilities. The Korean Journal of Rehabilitation Nursing, 8(2), 102-109.
  11. Kim, N. H., & Park, J. S. (2015). The factors affecting on turnover intention of nurses working in rehabilitation hospitals. Journal of the Korea Academia-Industrial Cooperation Society, 16(6), 4077-4085. http://dx.doi.org/10.5762/KAIS.2015.16.6.4077
  12. Krabben, T., Molier, B. I., Houwink, A., Rieman, J. S., Buurke, J. H., & Prange, G. B. (2011). Circle drawing as evaluative movement task in stroke rehabilitation: An explorative study. Journal of Neuroengineering Rehabilitation, 8(1), 15. http://dx.doi.org/10.1186/1743-0003-8-15
  13. Kwon, D. K. (2011). The study on the plan of improving the service quality in the food industry by the IPA matrix. Tourism Study, 26(1), 1-31.
  14. Lee, J., Lee, H., Kim, S., & Jang, Y. (2014). Comparison of perceived nurses’ cultural competence of nurses and foreign patients. Journal of Korean Clinical Nursing Research, 20(3), 267-278. https://doi.org/10.22650/JKCNR.2014.20.3.267
  15. Lee, M. A., & Yom, Y. H. (2007). A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey. International Journal of Nursing Studies, 44(4), 545-555. http://dx.doi.org/10.1016/j.ijnurstu.2006.03.006
  16. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  17. Martilla, J., & James, J. (1977). Importance-performance analysis. Journal of Marketing, 41(1), 77-79. https://doi.org/10.2307/1250495
  18. Oh, E. G., Jang, Y. S., Gong, S. L., & Lee, Y. J. (2015). Development of agenda priority for nursing service research and development. Journal of Korean Academy of Nursing Administration, 21 (1), 99-110. http://dx.doi.org/10.11111/jkana.2015.21.1.99
  19. Park, B. I., & Chung, K. H. (2014). Comparison of recognition for nursing services between inpatients and nurses. Journal of Nambu University, 14, 55-68.
  20. Park, J. W., So, H. Y., & Kim, C. H. (2011). Comparison of patient need with nurse perception of importance and performance of rehabilitation nursing service. Journal of Rehabilitation Research, 15(1), 47-69.
  21. Park, J. W., Suh, Y. O., Lee, J. I., & Kim, J. W. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. The Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
  22. Pryor, J. (2009). A nursing perspective on the relationship between nursing and allied health in inpatient rehabilitation. Disability and Rehabilitation, 30(4), 314-322. http://dx.doi.org/10.1080/09638280701256900
  23. Pryor, J. (2012). Scope of practice: What is it, why is it important and how might it be clarified for nurses working in rehabilitation? Journal of the Australasian Rehabilitation Nurses Association, 15(2), 6-12.
  24. Pryor, J., & O'Connell, B. (2008). Incongruence between nurses' and patients' understandings and expectations of rehabilitation. Journal of Clinical Nursing, 18(12), 1766-1774. http://dx.doi.org/10.1111/j.1365-2702.2008.02322.x
  25. So, H., Kim, J., Park, J., & Lim, N. Y. (2009). Task analysis of the job description of rehabilitation nurse based on DACUM. The Korean Journal of Rehabilitation Nursing, 12(1), 16-29.
  26. Suh, M. J., Kim, K. S., Kim, I. J., Cho, N. O., Choi, H. J., & Jeong, S. H. (2001). The need for rehabilitation day care program service of stroke survivor's family. The Korean Journal of Rehabilitation Nursing, 4(2), 207-218.
  27. Tyrrell, E. F., Levack, W. M., Ritchie, L. H., & Keeling, S. M. (2012). Nursing contribution to the rehabilitation of older patients: Patient and family perspectives. Journal of Advanced Nursing, 68(11), 2466-2476. http://dx.doi.org/10.1111/j.1365-2648.2012.05944.x
  28. Wade, D. T. (2005). Describing rehabilitation interventions. Clinical Rehabilitation, 19(8), 811-818. http://dx.doi.org/10.1191/0269215505cr923ed
  29. Zhu, L. (2015). A study on hotel's website service quality by the IPA matrix: Focusing on the budget hotel of China. Unpublished master's thesis, Cheongju University, Cheongju.

Cited by

  1. Performance, Delegation, Job Importance and Education Needs for Tasks of Rehabilitation Nurses vol.20, pp.2, 2017, https://doi.org/10.7587/kjrehn.2017.79
  2. Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children vol.24, pp.4, 2018, https://doi.org/10.4094/chnr.2018.24.4.373
  3. A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit vol.24, pp.1, 2021, https://doi.org/10.7587/kjrehn.2021.1
  4. Impact of Perceived Importance to Rehabilitation Nursing, Role Conflict, and Working Environment on Performance of Rehabilitation Nursing of Nurses in Rehabilitation Hospitals vol.24, pp.1, 2016, https://doi.org/10.7587/kjrehn.2021.86