Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Perceptions of patient-centered care and patient-centeredness experiences of patients and nurses in comprehensive nursing care units at general hospitals

종합병원 간호간병통합서비스 병동 입원 환자와 간호사의 환자중심간호에 대한 인식과 환자중심성 경험

  • Received : 2019.04.02
  • Accepted : 2019.09.03
  • Published : 2019.09.30
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Abstract

Purposes: This study aimed to compare the perception between nurses and patients about comprehensive care services and to evaluate patient-centeredness experiences at comprehensive nursing care units. Methodology: We enrolled 267 nurses and 184 patients from comprehensive nursing care units of seven general hospitals. We performed data collection and analysis using structured questionnaires and SPSS/PC 23.0 program, respectively, with frequency, percentage, mean, standard deviation, and ${\chi}^2$. test. Findings: We observed a significant difference in perception about comprehensive nursing care services between nurses and patients(p < .001). While the patient-centeredness experience score was the highest in the nursing service, it was the lowest in patient right assurance. Regarding patients' right assurance, "easy-to-express complaints" and "opportunity to participate in decision making" exhibited the lowest score. Practical Implication: This study suggests that it is imperative to assess the above-mentioned problems comprehensively to enhance patient centeredness at comprehensive nursing care units.

Keywords

References

  1. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the Twenty-First Century. Washington DC: National Academy Press; 2001.
  2. Cleary PD. Evolving concepts of patient-centered care and the assessment of patient care experiences: Optimism and opposition. J Health Politics, Policy and Law 2016;41(4):675-696. https://doi.org/10.1215/03616878-3620881
  3. The World Health Report 2000: Health Systems: Improving Performance. Geneva: World Health Organization; 2000.
  4. Park CS. Measuring patient experience in OECD countries in the area of quality of care. Health Insurance Rev & Assess Serv(HIRA) 2014;8(2):63-73.
  5. Survey of the 2017 Medical Service Experience. Sejong: Ministry of Health and Welfare; 2017.
  6. National Health Insurance Service. Standard Guidelines for Comprehensive Nursing Care Service. Rev. 2017 ed. Wonju: National Health Insurance Service; 2017.
  7. Boo EH, An KH, Park BK, Hong NS, Son JY, Park MH, et al. Study of the Performance Evaluation and Improvement on Comprehensive Nursing Service. Research Report. Koyang, Kyonggi: National Health Insurance Service (NHIS) Ilsan Hospital Institute of Health Insurance & Clinical Research; 2015 December. Report No.: 2015-20-029.
  8. Jung SM, Yoon SH. Comparative analysis research of inpatient satisfaction with nursing on comprehensive nursing service units & general units and nurses' work stress. J Korean Acad of Nurs Adm 2017;23(3):229-238. https://doi.org/10.11111/jkana.2017.23.3.229
  9. Choi HJ, Han AR, Park YM, Lee JH, Tae YS. Hospitalization experience of patients admitted to nursing care integrated service wards in small and medium-size general hospitals. J Korean Acad Nurs Adm 2018;24(5):396-409. https://doi.org/10.11111/jkana.2018.24.5.396
  10. Kim JH, Kim SJ, Park ET, Jeong SY, Lee EH. Policy issues and new direction for comprehensive nursing service in the national health insurance. J Korean Acad Nurs Adm 2017;23(3):312-322. https://doi.org/10.11111/jkana.2017.23.3.312
  11. Ministry of Health and Welfare. Status of Implementation of Comprehensive Nursing Care Service 2019 [Internet]. Sejong: [cited 2019 June 10]. Available from http://www.mohw.go.kr/react/gm/sgm0601vw.jsp?PAR_MENU_ID=13&MENU_ID=1304020402&CONT_SEQ=327656.
  12. Do YK, Kim JE, Lee JY, Lee HY, Cho MW. A Study on the Development of Patient-centered Evaluation Model. Research Report. Seoul: Seoul National University R&DB Foundation, Health Insurance Review & Assessment Service(HIRA); 2015 May. Report No.: G000E70-2015-87
  13. Shin 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. J Korean Acad Nurs Adm 2015;21(5):469-479 https://doi.org/10.11111/jkana.2015.21.5.469
  14. Kim SY, Kim DW, Lee SM. 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. J Korea Acad Indus Coop Soc 2017;18(11):321-331. https://doi.org/10.5762/KAIS.2017.18.11.321
  15. Jung YA, Sung KM. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. J Korean Acad Nurs Adm 2018;24(1):30-39. https://doi.org/10.11111/jkana.2018.24.1.30
  16. Seo SY. Introduction of patient experience assessment for patient centrality measurement. Health Insurance Rev & Assess Serv(HIRA) 2017;11(3):25-28.
  17. Ministry of Health and Welfare. National Health and Medical Care Survey 2017 [Internet]. Sejong: [cited 2019 June 18]. Available from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&page=1&CONT_SEQ=344184
  18. 2017 Patient Experience Evaluation Result. Health Insurance Review & Assessment Service: 2017.
  19. Hwang BD, Kim YJ. Evaluation of patient-centered healthcare provision in hospitals and general hospitals -based on patient experience assessment. The Korean J Health Serv Manag 2018;12(3):1-11. https://doi.org/10.12811/kshsm.2018.12.3.001
  20. Ministry of National Health and Welfare. OECD Health Report [internet]. Sejong: Ministry of National Health and Welfare; 2018 [cited 2018 Mar 25]. Available from http://www.bioin.or.kr/InnoDS/data/upload/industry/d454fe5527314511a8c91aefeb384a86.pdf
  21. ho SH, Song KJ, Park IS, Kim YH, Kim MS, Gong DH, et al. Development of staffing levels for nursing personnel to provide inpatients with integrated nursing care. J Korean Acad Nurs Adm 2017;23(2):211-222. https://doi.org/10.11111/jkana.2017.23.2.211
  22. Lee MK, Jeong DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. J Korean Acad Nurs Adm 2015;21(3):287-296. https://doi.org/10.11111/jkana.2015.21.3.287
  23. Natioanl Law Information Center. Medical Service Act [internet]. Sejong: Natioanl Law Information Center; 2019 [cited 2019 mar 25]. Available from http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95#J4:2
  24. National Health Insurance Service. Standard Guidelines For Comprehensive Nursing Care Service. Rev. 2017 ed. Wonju: National Health Insurance Service; 2017.
  25. Hospital Nurses Association. 2018 Annual Report[Internet]. Seoul: Hospital Nurses Association ; 2018 [cited 2018 Mar 25]. Available from http://www.khna.or.kr/web/information/resource.php
  26. Yoon HS, Lim JY, Kang MJ. Comparison of expectation-perception between patient and nurse on nursing care service in comprehensive nursing care wards. The J Korea Contents Assoc 2017;17(3):507-522. https://doi.org/10.5392/JKCA.2017.17.01.507
  27. Jung YA, Sung KM. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. J Korean Acad Nurs Adm 2018;24(1):30-39. https://doi.org/10.11111/jkana.2018.24.1.30
  28. Park BK, Boo EH, Lee CH, An KH, Yoon HS, Hong NS, et al. Impact analysis and development plan of comprehensive nursing care service. Research Report. Koyang, Kyonggi: National Health Insurance Service (NHIS) Ilsan Hospital Institute of Health Insurance & Clinical Research; 2016 December. Report No.: 2016-20-022.
  29. Park KO, Yu M, Kim JK. Experience of nurses participating in comprehensive nursing care. J Korean Acad Nurs Adm 2017;23(1):76-89. https://doi.org/10.11111/jkana.2017.23.1.76
  30. Donabedian A. Explorations in Quality Assessment and Monitoring, the Definition of Quality and Approaches to Its Assessment. Ann Arbor, MI: Health administration press; 1980.
  31. IAPO (International Alliance of Patients' Organizations). Declaration on: Patient Centered Healthcare. London:International Alliance of Patients' Organizations; 2016.
  32. The Institute for Patient and Family Centered Care. Core Concepts of Patient- and Family-Centered Care[Internet]. The Institute for Patient and Family Centered Care;2012[cited 2019 April 1]. Available from http://www.ipfcc.org/about/pfcc.html
  33. Constand MK, MacDermid, JC, Dal Bello-Haas V, Law M. Scoping review of patient-centered care approaches in healthcare. BMC Health Serv Res 2014;14(1):271. https://doi.org/10.1186/1472-6963-14-271
  34. Liberati EG, Gorli M, Moja L, Galuppo L, Ripamonti S, Scaratti G. Exploring the practice of patient centered care: The role of ethnography and reflexivity. Soc Sci & Med 2015;133:45-52. https://doi.org/10.1016/j.socscimed.2015.03.050
  35. Wick EC, Galante DJ, Hobson DB, Benson AR, Lee KJ, Berenholtz SM, et al. Organizational culture changes result in improvement in patient-centered outcomes: implementation of an integrated recovery pathway for surgical patients. J Am Coll Surg 2015;221(3):669-677. https://doi.org/10.1016/j.jamcollsurg.2015.05.008
  36. Goldfarb MJ, Bibas L, Bartlett V, Jones H, Khan N. Outcomes of patient- and family-centered care interventions in the icu: a systematic review and meta-analysis. Crit Care Med 2017;45(10):1751-1761. https://doi.org/10.1097/CCM.0000000000002624
  37. Agency for Healthcare Research and Quality. 2012 National Healthcare Quality Report. AHRQ; 2013.
  38. Shay LA, Lafata JE. Where is the evidence? a systematic review of shared decision making and patient outcomes. Med Decis Making 2015;35:114?131. https://doi.org/10.1177/0272989X14551638
  39. Cho YH, Park YS. The effect of perceived medical services quality by outpatient on the hospital image, satisfaction and re-use intention. The J Korea Contents Assoc 2018;18(4):516-529. https://doi.org/10.5392/JKCA.2018.18.04.516
  40. Korean Nurse Association. The Korean Nurse vol 265. [Internet] Seoul: [cited 2019 Mar 25]. Available from http://webzine.koreanurse.or.kr/Webzine2014/read_article.php?webzine_id=49&sub_cat_id=474&is_sub_no=850&article_id=1112
  41. Jung JH, Lee SH, Kang CH, Shin KH. Employment Impact Assessment in Expanding comprehensive nursing care Services. Research Report. Sejong: Ministry of employment and labor; 2017 December. Report No.: 13-155.
  42. Hong JY, Chae JM, Song MR, Kim EM. A utilization strategy of nursing staff by types of medical institutions- nurse staffing level of medium and small-sized hospitals. J Korea Acad Indus Coop Soc 2017;18(8):162-170. https://doi.org/10.5762/KAIS.2017.18.8.162
  43. Ahn SH, Jung SH, You JH, Lee MA. Nursing tasks and practice environment for nursing work perceived by nurses working on comprehensive wards versus general wards. J Korean Acad Nurs Adm 2018;24(1):10-20. https://doi.org/10.11111/jkana.2018.24.1.10
  44. Jung SM, Yoon SH. Comparative analysis research of inpatient satisfaction with nursing on comprehensive nursing service units & general units and nurses' work stress. J Korean Acad Nurs Adm 2017;23(3):229-238. https://doi.org/10.11111/jkana.2017.23.3.229
  45. Ahn MA, Kwon MJ, Oh SY. A study on the convergent influencing factors of nursing service satisfaction perceived by patients and nurses. J Korea Converg Soc 2017;8(10):135-145. https://doi.org/10.15207/JKCS.2017.8.10.135
  46. Jung YA, Sung KM. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. J Korean Acad Nurs Adm 2018;24(1):30-39. https://doi.org/10.11111/jkana.2018.24.1.30
  47. Jung YH. Compare patient right and consumer right in medical field. Health Policy and Manag 2017;27(1):3-17. https://doi.org/10.4332/KJHPA.2017.27.1.3
  48. Kim CJ, Lee JH. Effect of treatment setting of the medical services on the patient participation : focusing on moderating effect of negative emotion). Manag Inf Syst Rev 2016;35(1):235-251.