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Experience of Nurses Participating in Comprehensive Nursing Care

간호·간병통합서비스를 적용한 병동 간호사의 환자간호 경험

  • Park, Kwang-Ok (Department of Nursing, College of Life Science and Natural Resources, Sunchon National University) ;
  • Yu, Mi (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Kim, Jong-Kyung (College of Nursing, Dankook University)
  • 박광옥 (순천대학교 간호학과) ;
  • 유미 (경상대학교 간호대학.건강과학연구원) ;
  • 김종경 (단국대학교 간호대학)
  • Received : 2016.12.15
  • Accepted : 2017.01.16
  • Published : 2017.01.31

Abstract

Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

Keywords

References

  1. Hwang NM. An analysis of the debates on introduction of public caregivers' services in acute medical centers. Health and Welfare Policy Forum. 2010;170:60-71.
  2. Ahn HS, Kim HJ. Challenges for introducing comprehensive nursing service system for hospitalized patients. Journal of Hospital Management & Policy. 2015;4(1):6-16.
  3. Hwang NM. Institutionalization of care service issues and tasks. Health; Welfare Issue & Focus. 2012;47:1-8.
  4. Hwang NM, Go DK. Status and improvement of caregivers' utilization in general hospital. Korea Institute for Health and Social Affairs Policy Report. Seoul, 1998. Report No.:98-07.
  5. Gil HH, Choi JS. Affecting factors of hospital caregivers on the level of practice, knowledge, and importance of work under no guardian. Korean Journal of Occupational Health Nursing. 2012;21(1):55-65. https://doi.org/10.5807/kjohn.2012.21.1.55
  6. Lee YG. Unaccompanied guardian hospital pilot project presentation materials. National Health Insurance Service Policy report. Seoul, June 2015. Report No: KIHM 28.
  7. Jeong WS. Focus: Enforcement of unacommpanied hospital [Internet], Seoul: Korea Insurance Research Institute KiRi Weekly, 2014;270:5-7.[cited 2016 December 15]. Avaliable from; http://www.kiri.or.kr/html/search1.asp
  8. Ko YK, Kim BJ. An analysis of nurse staffing level and nursing performance in the general unit. Journal of Korean Nursing Administration. 2008;14(4):413-420.
  9. Holden RJ, Scanlon MC, Patel NR, Kaushal R, Escoto KH, Brown RL, et al. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. BMJ Quality and Safety. 2011;20:15-24. http://dx.doi.org/10.1136/bmjqs.2008.028381
  10. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, et al. Outcomes of variation in hospital nurse staffing in English hospitals: Cross-sectional analysis of survey data and discharge records. International Journal of Nursing Studies. 2007;44:175-182. http://dx.doi.org/10.1016/j.ijnurstu.2006.08.003
  11. Ministry of Health and Welfare. 2015. Promotion of nursing personnel support measures to expand comprehensive nursing service. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=324925&page=1
  12. Sin SR, Park KY. Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care units and general care units. Journal of Korean Academy of Nursing Administration. 2015;21:469-479. http://dx.doi.org/10.11111/jkana.2015.21.5.469
  13. Yeun YR. Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses. Journal of the Korea AcademiaIndustrial cooperation Society. 2015;16(1):317-323. http://dx.doi.org/10.5762/KAIS.2015.16.1.317
  14. Lee MK, Jung DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration. 2015;21:287-296. http://dx.doi.org/10.11111/jkana.2015.21.3.287
  15. Lee E, Chang SS. Factors influencing depression of nurses among comprehensive nursing care service ward. Korean Journal of Occupational Health Nursing. 2016;25(4):340-351. http://dx.doi.org/10.5807/kjohn.2016.25.4.340
  16. Im JA. Factors affecting turnover intention of nurses in comprehensive nursing care wards: Job stress, emotional labor and burnout [master's thesis]. Incheon: Gachon University; 2015. p. 1-66.
  17. Lee NS. Comparative study about the clinical nurse's job satisfaction, job stress and turnover intention in a general ward, comprehensive nursing care service ward, and Anshim unit [master's thesis]. Seoul: Samwook University; 2014. p. 1-70.
  18. Lee NI. Phenomenology and qualitative research. Seoul: Hangilsa; 2014. p. 179, 261.
  19. Kim SY, Park KO, Kim JK. Nurses' experience of incivility in general hospitals. Journal of Korean Nursing Administration. 2013;43:453-467. http://dx.doi.org/10.4040/jkan.2013.43.4.453
  20. Colaizzi PF. Psychological research as the phenomenologist views it. In Vaile R & King M (Eds.), Existential phenomenological alternatives for psychology. New York: Oxford University Press; 1978.
  21. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA: Jossey-Bass; 1985.
  22. Kwag WH. Contents and problems of pilot project on comprehensive nursing care service [Internet]. Seoul: Research Institute for Healthcare Policy; 2015 [cited 2015 September 11]. Available from: http://webzine.rihp.re.kr/webzine_201506/a_05_02.html
  23. Shin S-R, Park K-Y. Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care units and general care units. Journal of Korean Nursing Administration. 2015;21:469-479. http://dx.doi.org/10.11111/jkana.2015.21.5.469
  24. Choi JS, Park S. Comparison of job stress, hardness, and burnout of nurses between advanced general hospitals and general hospitals. Journal of the Korea Contents Association. 2012;12 (3):251-259. https://doi.org/10.5392/JKCA.2012.12.03.251
  25. Lee MK, Jung DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Nursing Administration. 2015;21(3):287-296. http://dx.doi.org/10.11111/jkana.2015.21.3.287

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