• Title/Summary/Keyword: Nursing services

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Factors Affecting Quality of Nursing Services and Intention to Revisit as Perceived by Hospitalized Patients and Nurses in Medium Sized Urban Hospitals (일 지역 중소 종합병원 입원환자와 간호사가 지각한 간호서비스 질과 의료기관 재이용 의도에 영향을 미치는 요인)

  • Kim, Ki Sook;Ha, Eun Ho
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.2
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    • pp.103-114
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    • 2009
  • Purpose: The purpose of this study was to investigate factors which affect the quality of nursing services and intention to revisit as perceived by hospitalized patients and nurses in medium sized urban hospitals. Methods: The SERVQUAL scale, a measurement of overall nursing services and intention to revisit a medical institution, was used. The sample consisted of 223 patients and 239 nurses from four medium sized hospitals in I city. Frequencies, t-test, One-way ANOVA, Pearson correlation coefficient and Stepwise method regression were used to analyze the data. Results: For expectation, nurse and patient perceptions were similar, but for performance, patient perception was significantly higher than nurse perception for five factors. The factors affecting intention to revisit the hospital were those recommending, satisfaction with medical and nursing services. Conclusion: The findings indicate that differences between expectations and performance for both patients and nurses need to be reduced in order to elevate patient satisfaction. A precondition for intention to revisit and increased satisfaction is the development of marketing strategies as well as intervention programs in nursing.

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Patient's Satisfaction with Nursing Care Services in Military Hospital Emergency Department (군병원 응급실 간호서비스에 대한 환자만족도)

  • Park, Ju-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.4
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    • pp.541-554
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    • 2006
  • Purpose: The purpose of this study is to provide basic data for the improvement of the quality in the emergency nursing services by investigating the expectation level and actual received level with nursing care and identifying the factors that influence patient satisfaction with the emergency nursing care in the military hospitals. Method: Using a self report questionnaire, data were collected from 150 patients who had been admitted in military hospitals emergency department. The data collection was done between April 17 and April 30, 2006. At least, 145 questionnaires were analyzed and used in this study. Results: The average sum score was 61.93 out of 76 with standard deviation 9.590. The mean of the patient's expectation levels with the overall emergency nursing services was $(3.25{\pm}.504)$ out of the highest score 4. the average sum score was 63.27 out of 76 with standard deviation 9.902. The mean score of the patient's actual levels with the overall emergency nursing services was $(3.33{\pm}.521)$ out of the highest score 4. Conclusion: nursing management strategies must be established to remove patient's dissatisfaction factors and to improve the emergency nursing care quality through continuous measurement and assessment of the patient's satisfaction with emergency nursing services in military hospitals.

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A Study of Nurses' Perception of the Visiting Nursing Services of Long-term Care Insurance (노인장기요양보험 재가간호서비스에 대한 방문간호사의 인식)

  • Kwon, Min-Young;Lim, Ji-Young;Lee, Young-Whee;Kim, Hwa-Soon
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.5-18
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    • 2010
  • Purpose: The purpose of this study is to understand nurses' perception of visiting nursing services of long-term care insurance. Method: The descriptive survey study involved 188 nurses selected by the convenient sampling of visiting nurses who participated in professional education sessions. Results: Of the 188 participants, 149 (79.3%) were aware of long-term care insurance. Awareness of aspects of long-term care services was 78.7% for facility service, 77.7% for ordinary visiting care service, 85.1% for visiting nursing service and 77.7% for visiting bathing service. Concerning visiting nursing service provision, the majority of the study subjects considered nurse-aid not to be the appropriate route for delivery of services including nasogastric tube exchange, tracheostomy tube management and stitch removal. Conclusion: Continuous evaluation and research on the standards and requirements of the nursing workforce is needed to secure and maintain the high quality of visiting nursing services. Exhaustive studies concerning task division and workforce separation according to nursing services type and level of difficulty should be done to develop the appropriate job description for visiting nursing service staff.

A Study on the Activity of Occupational Health Nurses in Occupational Group Health Service (보건관리대행기관 산업보건간호사의 업무에 관한 조사)

  • Kim, Ja Hee
    • Korean Journal of Occupational Health Nursing
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    • v.3
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    • pp.5-20
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    • 1993
  • This study was aimed to investigate the actual condition of the performance of the occupational health nursing services, and to analyze a main cause which affects on the execution of its duties for occupational health nurses in occupational group health service. It had been surveyed by responsed data from the 105 respondents out of 180 persons. The results were as follows : 1. In performance of occupational health nursing services by the number of assigned plant, participation rate of health examination tended to significantly increase with decreasing the number of assigned and it was observed that the visiting rate of every month was also significantly higher on touring inspection of work plant, recommendation of facility improvement for work environment, understanding the modification of manufacturing process, and inspection of welfare and sanitation facilities. 2. While they executed their nursing services according to duration of service, the more, their duration of service was, the higher, participation rate of health examination, health check in returning to work for injured workers, talk with other health managers on promoting welfare, service evaluation for a year plan, record of health statistic, and experience of first aid service were. And it was found out that the visiting rate of every month was also significantly higher on touring inspection of work plant. 3. In regard to occupational health nursing services by age, the participation rate of health examination and the experience of first aid service were significantly higher as the age increased. And also the visiting rate of every month was significantly higher on touring inspection of work plant, compared with young ones. 4. In performance of occupational health nursing services by the time required visiting plant, The shorter, the time required visiting plant was, the higher, the visiting rate of every month was, on time of health consultation for diseased workers, and inspection of welfare and sanitation facilities. 5. The subjects of health education were mostly liver disease and occupational hearing loss and video tape was used mostly in health education, monthly health education was the highest in 1-3 times(74.5%) and its duration was the highest in about 60 minutes(33.3%). 6. Vaccination of hepatitis among the specific health services was the highest accounting for 64.7%.

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The Study of Critical Indicators Development for Establishing Patient Classification System in the ER (응급실의 환자분류체계 확립을 위한 결정지표 개발 연구)

  • Seong, Young-Hee;Seong, Il-Sun;Lee, Seung-Ja;Kim, Jeong-Ha;Moon, Yu-Jeong;Choe, Yeong-Mi;Lee, Jee-Hyang
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.444-453
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    • 2006
  • Purpose: The purpose of the study was to identify critical indicators for the development of efficient patient classification system in a emergency room. Method: This study involved following five steps. Step 1. Selection of the lists direct nursing services in the ER. Step 2. Measurement of the time of direct nursing services from Aug. 31st to Nov. 30th, 2005. Step 3. Classification of the patients according to the nursing care time. Step 4. The determination the critical indicators for different patient classes. Result: Determinate indicators were as follow: 3 items in the first group (vital sign checking, IV route starting, blood sampling), 3 items in the second group (vital sign checking, fluid infusion, blood sampling), 9 items in the third group (I/O checking, $O_{2}$ inhalation, suction, fluid infusion, IV bolus, Central catheter preparation & management, blood sampling, intubation preparation & management, postmortem management), 7 items in the fourth group (EKG monitoring, BP monitoring, $O_{2}$ inhalation, fluid infusion, using the specific drugs, CPR, postmortem management). Conclusion: This study can help future studies which measure nursing services standard time or assigns value to emergency nursing services.

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Analysis of the Influencing Factors on Quality of Nursing Services in General Hospital Nurses using the Structural Equation Model (구조방정식모형을 이용한 종합병원 간호사들의 간호서비스의 질에 영향을 미치는 요인 분석)

  • Lee, Myung-Jun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.7126-7137
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    • 2015
  • This study explored the quality of nursing services in relation to a nurse's psychosocial factors (type A behavior pattern, self-esteem, locus of control, and anxiety), job stress, and fatigue. This study targeted 503 nurses who currently work at six different general hospitals in Daejeon city, The data was collected by self-administered questionnaire which was surveyed from April 1 to June 30, 2014. As the result of analysis of covariance, psychosocial factors affect the quality of nursing services more than job stress or fatigue. In addition to that, as parts of psychosocial factors, high self-esteem and low fatigue, job stress, and anxiety increase the quality of nursing services. The research above implies that the quality of nursing services of nurses who work at the general hospital has a correlation with not only the psychosocial factors but also job stress, and fatigue.

A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association (지역사회중심 가정간호 시범사업 성과평가를 위한 기초연구- 서울시 간호사회 주관 -)

  • 유호신;이소우;문희자;황나미;박성애;박정숙;최행지;정기순;한상애
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1488-1502
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    • 2000
  • This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

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Nursing Guide for Occupational Health Nurses Working in Small-scale-enterprises (집단보건관리 산업간호사를 위한 간호업무 지침)

  • Yoo, Kyung Hae
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.68-83
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    • 1999
  • Occupational health nursing (OH N) guide book has been perceived as necessary since group occupational health services started. This study aimed to develop the guidebook for occupational health nurses working in small-scale enterprises(SSE). The guide area of nursing services was selected in 10 categories. These areas were 4 Workplace attitude for occupational health nursing', 'Nursing process', 'Workplace environmental monitoring', 'Personal protective devices', 'Record', 'Health counselling', 'Communication', 'Health education', 'Health screening' and 'Health promotion'. The content was mainly constructed with literature review. The pretest was done to find out what OH nurses do feel about their OH nursing services. Figures were used to guide some occupational health nursing services (OHNS). The further research was expected to develop in more extensive depth and quality.

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The Mediating Effect of Trustworthiness in the Relationship between Psychiatric Nurses' Nonverbal Communication and Clients' Satisfaction on the Nursing Services (정신병동 입원환자가 지각한 간호사의 비언어적 커뮤니케이션과 간호서비스 만족도의 관계에서 신뢰감의 매개효과)

  • Wie, Hwee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.382-390
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    • 2009
  • Purpose: The purpose of this study was to determine whether nurses' nonverbal communication predict clients' service satisfaction and to investigate the mediating effects of their trustworthiness between nurses' nonverbal communication and clients' service satisfaction in psychiatric wards. Methods: A convenience sample of 206 psychiatric inpatients was obtained. Participants completed a demographic sheet and three study instruments. Results: There were statistically significant positive relationships between nurses' nonverbal communication, trustworthiness and clients' satisfaction. Trustworthiness was found to partially mediate the relationship between nonverbal communication and clients' satisfaction. Conclusion: Clients' perception of nurses' nonverbal communication, trustworthiness and satisfaction on the nursing services have a strong relationship. Findings contribute to a more comprehensive knowledge base regarding nursing services.

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Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement (간호사의 환자참여 간호서비스 수행정도와 필요성 인식)

  • Lee, Tae Wha;Jang, Yeon Soo;Ji, Yoon Jung;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.120-132
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    • 2019
  • Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.