The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

Nursing Activities and Delegation in Long-term Care Settings

요양병원 간호사의 간호행위와 위임실태

  • Received : 2019.09.16
  • Accepted : 2019.10.21
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the nursing behavior and delegation status of nursing hospital nurses and to provide basic data for improving the quality of medical services. The subjects of this study were data collected from July 26 to December 23, 2013, for 140 nurses with more than 3 years of experience in nursing hospitals. Collected data were analyzed by frequency analysis, mean and standard deviation, independent t-test and One way ANOVA of SPSS 20.0 statistical program. Collected data were analyzed by frequency analysis, mean and standard deviation, independent t-test and one way ANOVA of SPSS 20.0 statistical program.. As a result of this study, the case of delegation of nursing behavior was higher in case of no protocol of nursing delegation procedure than in case of having protocol. This study suggests that nursing practice of nursing hospital nurses can be a major factor in declining the quality of medical services in the absence of specified standards or procedures for delegation. Procedures, methods and guidelines are required.

본 연구는 요양병원 간호사의 간호행위와 위임실태를 파악하여 의료서비스의 질향상에 기초적 자료를 제공하고자 하였다. 연구 대상자는 요양병원 3년 이상의 근무경력을 가진 간호사 140명을 대상으로 2013년 7월 26일부터 12월 23일까지 자료수집하였다. 수집된 자료는 SPSS 20.0 통계프로그램의 빈도분석, 평균과 표준편차, Independentent t-test와 One way ANOVA로 분석하였다. 본 연구결과 간호행위 위임실태로는 간호행위 위임절차의 프로토콜이 없는 경우가 프로토콜이 있는 경우보다 높게 나타났다. 이 연구를 통해 요양병원 간호사의 간호행위는 위임에 대한 명시된 기준이나 절차가 없는 상황에서는 의료서비스의 질을 떨어뜨리는 주요요인이 될 수 있으므로 간호업무위임의 법칙, 제도적 근거와 간호업무 위임행위에 대한 절차와 방법, 지침이 마련되어짐이 요구된다.

Keywords

References

  1. Statistics Korea. Korean Statistical Information Service(2018). http://kosis.kr/statHtml/statHtml.do
  2. H. Y. Jung, G. L. Sung. Influential factors on turnover intention of nurses in long-term care hospitals. The Korean journal of health service management. Vol 9, No3, pp. 99-106, 2015 DOI: 2015.9.3.095.
  3. H. S. Kang, G. W. Seung. Influence of Emotional Intelligence and Organizational Commitment on Geriatric Nursing Practice of Nurses in Long-term Care Hospitals. Vol 17, No1, pp. 17-29, 2015
  4. M. R. Sim, G. H. Kim. Job Satisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals. Vol 16, No4, pp. 446-454, 2010 https://doi.org/10.11111/jkana.2010.16.4.446
  5. Y. S. Jung. A Study on the Proble msand t he Effective Operating Plans of Long-term Care Hospitals in Korea. [Master's thesis] Jeon ju University, Jeon ju, 2011
  6. Ministry of Health and Welfare. http://www.mohw.go.kr
  7. Health Insurance Review & Assessment Service. http://www.hira.or.kr
  8. S. E. Park. Nursing Activities and Delegation Status of Registered Nurses in Geriatric Hospital. [Master's thesis] Chung Nam University, Dae Jeon, 2011
  9. NCSBN and ANA. Joint Statement on Delegation. Delegation decision-making tree 1997. http://www.ncsbn.org.
  10. Cox, S. S. How to delegate to UAPs. Travel Nursing. Vol 36, No6, pp. 10-11, 2006. DOI: http://dx.doi.org/10.1097/00152193-200606001-00003
  11. P. Currie. Delegation considerations for nursing practice. Critical Care Nurse Vol 28, No5, pp. 86-87, 2008. https://doi.org/10.4037/ccn2008.28.3.86
  12. M. H. Kim, C. Y. Jeung. A Survey of the Nursing Activities Performed by Nursing Staffs in Long-term care Hospitals. Journal of the korea academia-indurstrial cooperation society. Vol 15, No5, pp. 123-131, 2014.
  13. Y. S. Yang. Nurses' Professionalism and Job Satisfaction on Delegation level of Nursing Activities at the Long-term care Hospital. [Master's thesis] Woo Suk University, Wan Ju, 2013.
  14. Standard Manunal for Certification of lond-term care. Ministry of Health and Welfare. 2013.
  15. M. S. Sung. The Relationships between the Empowerment, ursing Performance, Job Satisfaction and Turnover Intention of Long-term Care Hospital Nurses. Journal of the korea academia-indurstrial cooperation society. Vol 14, No5, pp. 2304-2314, 2013. https://doi.org/10.5762/KAIS.2013.14.5.2304
  16. S. H. Lee. Identification of factors related to quality of service in long term care hospitals using multilevel analysis. [Master's thesis] Yon Sei University, Seoul, 2009
  17. Korea Nurses Association. http://www.koreanurse.or.kr
  18. J. H. Lee. A Study on Problems and Correctives of Geriatric Hospital. [Master's thesis] Jun Bok University, Jeon ju, 2012.
  19. Kirsten N., Ruth A., Carla, Christine, Eleanor S., Deborah. Delegation in long-term care : Scope of practice or job description? The Online Journal of Issue in Nursing, Vol 15, No2, 2010
  20. S. Y. Ha. Effect of terminal care stress of nurses working in long-term care hospitals to turnover Intention. [Master's thesis] Korea University, Seoul, 2018.
  21. Linda McGillis Hall, Diane Doran, George H. Pink. Nurse Staffing Models, Nursing Hours, and Patient Safety Outcomes. JONA. Vol. 34, No. 1, 2004
  22. ANA(2005). Principles for Delegation. http://www.nursingworld.org.
  23. H. S. Kim, G. H. Kim. The Study of Work Environment of Nurses in Long-term Care Hospitals. Journal of the korea academia-indurstrial cooperation society. Vol 20, No2, pp. 250-258, 2019.
  24. Y. H. Kwon, H. Y. Lee, S. S. Hwang. A Study on the Knowledge, Attitude and Nursing practice of the nurses-towards the Elderly in Geriatric Hospitals. Journal of the korea academia-indurstrial cooperation society. Vol 14, No11, pp. 5785-2791, 2013. https://doi.org/10.5762/KAIS.2013.14.11.5785
  25. K. M. Im, J. M. Seo. Task Analysis of the Job Description of Gerontological Advanced Practice Nurses in the Hospital Setting. Grobal Health & Nursing. Vol 4, No1, pp. 37-47, 2014.