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The Relation of Communication Types of Nurses, Satisfaction on Nursing Services and Intent to Revisit the Hospital Perceived by Patients Admitted to Comprehensive Nursing Care Service

간호·간병통합서비스를 이용한 입원환자가 인식한 간호사의 의사소통유형, 간호서비스 만족도 및 병원재이용 의도의 관계

  • 김소영 (진주보건대학교 간호학과) ;
  • 김동원 (진주보건대학교 간호학과) ;
  • 이선미 (진주보건대학교 간호학과)
  • Received : 2017.08.10
  • Accepted : 2017.11.03
  • Published : 2017.11.30

Abstract

This study was conducted to identify communication types of nurses, satisfaction with nursing services and intent to revisit the hospital by hospitalized patients, and to investigate factors influencing intent to revisit the hospital at a time of expansion of comprehensive nursing care service. The subjects consisted of 123 hospitalized patients in sixgeneral hospitals with more than 100 beds in Gyeongsangnam-do. Data were collected by a self-report questionnaire from July 1 to July 30, 2017. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression. There were significant differences in intend to revisit the hospital depending on age(F=9.83, p<0.001), gender(t=-3.82, p<0.001), marital status(t=2.24, p=0.028), education(F=11.92, p<0.001) and days of hospitalization(F=7.81, p<0.001). Intent to revisit the hospital indicated a significantly positive correlation between informative(r=0.609, p<0.001) and affiliative(r=0.536, p<0.001) communication types and satisfaction with nursing services(r=7.97, p<0.001), as well as a significantly negative correlation with authoritative communication types(r=-0.356, p<0.001). Factors influencing intent to revisit the hospital were informational communication type(${\beta}=0.38$, p=0.003) and satisfaction with nursing services(${\beta}=0.84$, p<0.001). Based on these findings, it is necessary to develop various educational programs and conduct systematic education to facilitate effective communication between nurses and patients in order to improve the quality of nursing service and satisfaction of patients admitted to comprehensive nursing care services.

본 연구는 간호 통합서비스가 확대 실시되고 있는 시점에 맞추어 입원환자가 인식한 간호사의 의사소통유형과 간호서비스 만족도, 병원 재이용 의도를 파악하고, 병원 재이용 의도에 영향을 미치는 영향요인을 규명하고자 시도하였다. 연구대상자는 경상남도에 소재한 간호 간병서비스를 제공하는 100병상 이상의 6개 종합병원의 입원환자 123명을 대상으로 하였다. 자료 수집은 2017년 7월 1일부터 7월 30일까지의 기간 동안에 자가 보고형 설문조사를 하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 t-test와 ANOVA, Person's correlation coefficients, hierarchical regression으로 분석하였다. 연구결과는 다음과 같다. 대상자의 병원 재이용 의도 정도는 연령(F=9.83, p<.001), 성별(t=-3.82, p<.001), 배우자 유무(t=2.24, p=.028), 학력(F=11.92, p<.001), 입원기간(F=7.81, p<.001)에 따라서 통계적으로 유의한 차이가 있었다. 병원 재이용 의도는 정보 제공적(r=.609, p<.001), 친화적(r=.536, p<.001) 의사소통 유형과 간호서비스 만족도(r=.797, p<.001)간에 유의한 정적 상관관계가 있었으며, 권위적 의사소통 유형(r=-.356, p<.001)간에는 유의한 부적 상관관계가 있었다. 병원 재이용 의도에 영향을 미치는 요인은 정보 제공적 의사소통 유형(${\beta}=.38$, p=.003)과 간호서비스 만족도(${\beta}=.84$, p<.001)이었다. 따라서 간호 간병통합서비스 입원환자의 간호서비스 질과 고객만족을 향상시키기 위해서는 간호사와 환자의 효과적인 의사소통을 위한 다양한 교육 프로그램 개발과 체계적인 교육이 필요하다.

Keywords

References

  1. B. S. Lee, M. S. Jeong, E. J. Lee, E. K. Cho, S. L. Kang, H. K. Han. Nursing management. pp.3-14, Jeong Dam Media publisher, 2011.
  2. D. H. Yang, D. C. Jeong, W. S. Seo, H. G. Park. A study on the environmental change in korean healthcare industry: redefining the role of healthcare professional and hospitals. pp.2-30, Research Institute for Healthcare Policy publisher, 2009.
  3. National Healthcare Insurance Service. Nursing care integrated service business guidelines. pp.8-17, National Healthcare Insurance Service publisher, 2016.
  4. D. J. Chung, M. S. Jung, J. O. Byeon, "Structural modeling of hospital facilities, medical human power, patient satisfaction, and behavior intention in health care service", Korean Association of Health and Medical Sociology, vol. 19, no. 1, pp. 151-178, 2006.
  5. J. Buchan, B. Steven. The impact of pay increases on nurses' labour market: a review of evidence from four OECD countries. OECD Health Working Papers publisher, 2011.
  6. M. A. Lee, S. W. Gong, S. J. Cho, "Relationship among nursing service quality, medical service satisfaction, and hospital revisit intent", The Journal of Korean Nursing Administration Academic Society, vo. 18, no. 1, pp. 96-105, 2012. DOI: https://doi.org/10.11111/jkana.2012.18.1.96
  7. J. S. Choi, "Nursing service Quality, medical service satisfaction and intent to reuse the hospital services as perceived by health care consumers admitted to small and medium-sized hospital", Unpublished master's thesis, Nam Bu University, Gawngju, 2013.
  8. M. A. Lee, Y. H. Yom, "A comparative study of consumers an providers on nursing service quality, satisfaction, and hospital revisiting intent", Journal of Korean Academy of Nursing Administration, vol. 11, no. 4, pp. 425-437, 2005.
  9. K. J. Lee, "Communication problems and solution at the health care facilities", Korean Academy on Communication in Healthcare, vol. 1, no. 1, pp. 33-45, 2006.
  10. S. H. Kim, "nurse's communication trust in nurses, and satisfaction of nursing service perceived by inpatients", Unpublished master's thesis, Seoul national University, Seoul, 2013.
  11. J. K. Park, "The effects of tour conductor's communication style on the customer satisfaction", Journal of Kyonggi Tourism Research, vol. 10, pp. 11-26, 2007.
  12. S. H. Lee, "Effect of the intrapersonal communication style within the groups on the job satisfaction and intention to move the job", Yonsei University, Seoul, 2013.
  13. S. Y. Jeong, "Satisfaction of patients by nurse's communication style", Unpublished master's thesis, Yonsei University, Seoul, 2007.
  14. P. S. Seo, "The impact of doctors' communication styles on patient satisfaction: empirical examination", Korean Journal of Hospital Management", vol. 7, no. 4, pp. 57-101, 2001.
  15. G. M. Zikko-Baliga, R. F. Kramp, "Management perceptions of hospital quality", Marketing Health Services, vol. 17, no. 1, pp. 28-36, 1997.
  16. H. J. Choi, M. S. Koh, "Comparative study between the patients' satisfaction level of nursing service and revisiting intention of the inpatients according to the wards type -mainly on general wards, anshim units and comprehensive nursing care service wards-", Korean Association of Health and Medical Sociology, vol. 37, pp. 49-64, 2014.
  17. E. Lee, S. S. Chang, "Factors influencing depression of nurses among comprehensive nursing care service ward", Korean Journal of Occupational Health Nursing, vol. 25, no. 4, pp. 340-351, 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.4.340
  18. J. M. Lee, "Comparative study about the clinical nurse's job and turnover intention in nursing care system ward, a general ward", Journal of Social science, vol. 33, no. 1, pp. 1-48, 2016.
  19. E. L. La-Monica, M. T. Oberst, A. R. Madea, R. M. Wolf, "Development of a patient satisfaction scale", Research in Nursing and Health, vol. 9, no. 1, pp. 43-50, 1986. DOI: https://doi.org/10.1002/nur.4770090108
  20. E. J. Yang, "The comparison of contentment and its importance in nurse service which both patients and nurses can feel", Unpublished master's thesis, Kyung Hee University, Seoul, 2002.
  21. M. S. Jung, M. J. Youn, "A study on the consumer's expectation, perception, quality, and satisfaction with the industrial nursing services", Journal of Korean Academy of Community Health Nursing, vol. 12, no. 3, pp. 570-581, 2001.
  22. Y. J. Yang, "Relationships among communication types of nurse, satisfaction of nursing service, compliance, and uncertainty in cancer patients", Unpublished master's thesis, Dong-A University, Busan, 2015.
  23. H. S. Lee, J. W. Oak, "Impact of resourcefulness and Communication style on nursing performance in hospital nurses", The Korean Journal of fundamentals nursing, vol. 19, no. 2, pp. 253-260. 2012. https://doi.org/10.7739/jkafn.2012.19.2.253
  24. M. S. Kim, "Comparison of nursing satisfaction and revisit intention between patients in comprehensive care unit and general nursing units", Unpublished master's thesis, Hanyang University, Seoul, 2017.
  25. B. S. Jang, "Customer expectation, satisfaction and loyalty in the inpatient nursing care service unit", Unpublished master's thesis, Sungshin Woman's University, Seoul, 2017.
  26. S. R. Shin, K. Y. Park, "Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care unit and general care unit", The Journal of Korean Nursing Administration Academic Society, vol. 21, no. 5, pp. 469-479. 2015. DOI: http://dx.doi.org/10.1111/kana.2015.21.5.469
  27. National Healthcare Insurance Service Ilsan Hospital. Analysis of the impact integrated services for nursing care in 2016. National Healthcare Insurance Service. [Cite 2012 December 30], https://www.nhimc.or.kr/cntFileDownLoad.do?DownLoadDir=/down_data/.(acsessed Jul., 20, 2017).
  28. S. Y. Jeong, "Stisfaction of patients by nurse's communication styles", Korean Academy on Communication in Healthcare, vol. 8, no. 1. pp. 35-44, 2013. DOI: https://doi.org/10.15715/kjhcom.2013.8.1.35
  29. Z. Ben-Sira, "The structure of a hospital's image", Medical care, Vol. 21, No, 10, pp. 943-954, 1983. DOI: https://doi.org/10.1097/00005650-198310000-00001
  30. S. I. Choi, D. L. Park, "Relation with hospital quality of service, customer satisfaction, reuse", The Korea Contents Society, vol. 10, no. 6, pp. 344-351. 2010.