DOI QR코드

DOI QR Code

Analysis on Satisfaction of Nursing Services for Elderly hospitalized in Attended Ward and General Ward

입원 노인환자를 대상으로 안심병동과 일반병동의 간호서비스 만족도 비교

  • Received : 2014.03.24
  • Accepted : 2014.05.08
  • Published : 2014.05.31

Abstract

This study is to provide basic data for the improvement of nursing services. A survey was done of 135 patients over the age of 65 in a general ward and an attended ward of a hospital in Seoul from December 5 to December 31, 2014 in order to assess their satisfaction with the nursing services. It was found that appropriately staffed nursing services as in attended wards showed greater patients' satisfaction than ordinarily staffed nursing services in general wards(t=3.45, p=.001). Significantly higher satisfaction levels were shown with the nursing services of the attended wards in the subcategories: professional technic(t=2.96, p=.004), training(t=.30, p=.001), and confidence(t=3.79, p<.001). Among the subcategories, confidence was the highest satisfaction factor followed by professional technic and education. The results suggest the need of securing an appropriate number of nursing staff in a ward to enhance patients' satisfaction.

본 연구는 적절한 간호서비스 개선을 위한 기초자료를 제공하기 위해 실시하였는데. S시에 소재한 병원의 안심병동(보호자 없는)과 일반병동에 입원한 65세 이상 135명의 노인환자들에게 2013년 12월 5일부터 31일까지 간호서비스 만족도를 조사하였다. 연구결과, 적정 간호인력을 배치하여 간호사가 간호서비스를 직접 제공한 안심병동(4.41점)은 일반병동(4.07점)보다 간호서비스 만족도가 높았다(t=3.45, p=.001). 안심병동과 일반병동 간 하부 영역별 차이를 살펴보면, 전문기술 영역(t=2.96, p=.004), 교육 영역(t=3.30, p=.001), 신뢰성 영역(t=3.79, p<.001) 모두에서 안심병동이 유의하게 높게 나타났다. 안심병동의 간호서비스 만족도 하부영역 중에서는 신뢰성 영역이 가장 높았고, 전문기술 영역, 교육 영역 순이었다. 이를 근거로 간호서비스의 만족도를 높이기 위해서는 적정 간호인력을 확보하는 것이 필요하다.

Keywords

References

  1. J. B. Kim, & Y. J. Choi, Public health dentistry, Seoul: Komoonsa, 2012.
  2. N. M. Hwang, B. H. Choi, H. T. Park, & D. J. Kim, A study of institutionalization of caregiver service, Seoul: Korea Institute for Health and Social Affairs, 2006.
  3. S. G. Lee, S. I. Park, & Y. K. Lee, General features of caregiving relatives of patients admitted in general hospitals, Chungnam Medical Journal, Vol. 25, No. 1, pp. 117-128, 1998.
  4. K. O. Chung, Consumer satisfaction with paid caregiving in general hospitals according to type of paid caregiver, Journal of Korean Academy of Nursing Administration, Vol. 10, No. 3, pp. 375-386, 2004.
  5. E. A. Cho, A study on international of hospital caregivers' through reconstruction of caregiving, Unpublished master's thesis, Kyungnam University, Changwon, 2007.
  6. H. J. Lee, How about family-less hospital?, Journal of Korean Institute of Healthcare Architectur, Vol. 13, No. 1, pp. 79-81, 2007.
  7. H. H. Gil, Job analysis of the nursing care service in hospital without a guardian, Unpublished master's thesis, Hanyang University, Seoul, 2011.
  8. Y. I. Kim, Evaluation and present of health care policy, Journal of Korean Society of Hospital Pharmacists, Vol. 11, No. 2, pp. 90-94, 1994.
  9. J. Kang, The nursing care service in hospital without a guardian from: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&M ENU_ID=0403&CONT_SEQ=288740&page=1
  10. S. J. You, Increasing the use of nursing staff in hospitals instead of relying on family members' assistance, Perspectives in Nursing Science, Vol. 6, No. 1, pp. 77-82, 2009.
  11. R. Kim, Seoul city to run 'hospitals without guardians' from: http://koreatimes.co.kr/www/news/nation/2012/07/113_115831.html
  12. S. K. Park, A study on the inpatient environment conditions of medical institutions, Cheongwon: Korea health industry development institute, 2012.
  13. S. K. Park, A. R. Jung, & H. S. Jung, A handbook of statistics of medical resources, Cheongwon: Korea health industry development institute, 2013.
  14. S. J. You, & Y. K. Choi, Institutionalization of a patient-sitter program in acute care hospitals, Journal of Korea Contents Association, Vol. 13, No. 6, pp. 370-379, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.06.370
  15. J. Kang, Directions of Institutionalization for comprehensive nursing services, Attended Ward Hospital Symposium Celebrating the 1st Anniversary, pp. 85-92. 2014.
  16. S. H. Park, Analysis of direct nursing activity and patient outcomes related to graded fee of nursing management for inpatient, Journal of Korean Academy of Nursing, Vol. 33, No. 1, pp. 122-129, 2003. https://doi.org/10.4040/jkan.2003.33.1.122
  17. Y. M. Kim, S. H. Cho, K. J. June, S. A. Shin, & J. Y. Kim, Effects of hospital nurse staffing on in-hospital mortality, pneumonia, sepsis, and urinary tract infection in surgical patients, Journal of Korean Academy of Nursing, Vol. 42, No. 5, pp. 719-729, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.5.719
  18. S. J. Yu, (A) Demonstration project for the nursing care improvement, Seoul: Ministry for health, welfare and family affairs, 2008.
  19. S .H. Cho, & H. R. Kim, Family and paid caregivers of hospitalized patients in Korea. Journal of Clinical Nursing, Vol. 15, pp. 946-953, 2006. DOI: http://dx.doi.org/10.1111/j.1365-2702.2006.01342.x
  20. K. D. Min, Comparison of the admission patient's satisfaction between public and private medical center, Master's thesis, Ajou University, Suwon, 2005.
  21. E. J. Yang, The comparison of contentment and its importance in nurse service which both patients and nurses can feel, Unpublished master's thesis, Kyunghee University, Yongin, 2002.
  22. L. H. Aiken, S. P. Clarke, D. M. Sloane, J. Sochalski, & J. H. Silber, Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of American Medical Association, Vol. 288, pp. 1987-1993, 2002. DOI: http://dx.doi.org/10.1001/jama.288.16.1987
  23. H. S. Jang, A comparative study on satisfaction level of the inpatients cared by family members and professional caregivers, Unpublished master's thesis, Mokwon University, Daejeon, 2002.
  24. S. O. Cha, & J. H. Park, Reason for guardians attending on patients of university hospital, their nursing role and problems associated with their attendance, Journal of Korean Public Health Association, Vol. 17, No. 1, pp. 50-71, 1991.
  25. M. S. Song, A study on managing caregivers in general hospitals, Unpublished master's thesis, Hanyang University, Seoul. 1992.

Cited by

  1. Comparison of satisfaction and need on nursing service perceived by the patients and nurses vol.26, pp.1, 2015, https://doi.org/10.7465/jkdi.2015.26.1.169