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Work Experience of Nurses in Charge of Adequacy Evaluation of Small and Medium Sized Hospitals

중소병원 적정성 평가를 담당하는 간호사의 업무경험

  • Nam, Sohee (Department of Nursing, Gangneung-Wonju National University) ;
  • Jeon, Jaehee (Department of Nursing, Gangneung-Wonju National University) ;
  • Heo, Yeon Jeong (Infection Prevention and Control Unit, H Plus Yangji Hospital)
  • 남소희 (국립강릉원주대학교 간호학과) ;
  • 전재희 (국립강릉원주대학교 간호학과) ;
  • 허연정 (에이치플러스 양지병원 감염관리실)
  • Received : 2021.08.12
  • Accepted : 2021.09.08
  • Published : 2021.10.31

Abstract

Purpose : This study aimed to comprehensively understand the work experience of the person in charge of the adequacy evaluation of small-and medium-sized hospitals and explore its meaning and essence in-depth. Methods : This was a descriptive qualitative study. The study participants were 10 nurses who understood the purpose of this study and participated voluntarily. Data collection was conducted via in-depth interviews in January 2021. The interviews were conducted 1-2 times per participant and lasted approximately 40-50 minutes per session. Data analysis was performed using a qualitative content analysis. Results : The work experience of the person in charge of the adequacy evaluation of small-and medium-sized hospitals included four themes: "difficulty in preparing for evaluation," "negative views on evaluation," "lack of a support system," and "positive improvements and changes due to an evaluation." Conclusion : Based on the above results, an education program and support system should be developed to strengthen the competence of nurses in charge of the adequacy evaluation of small- and medium-sized hospitals.

Keywords

References

  1. Choi I, Hwang HM, Kim JO. The influence of awareness of healthcare accreditation, job stress and organizational commitment on turnover intention of small and medium sized hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2017;18(5):160-8. https://doi.org/10.5762/KAIS.2017.18.5.160
  2. Kim JE, Shin KA, Shin MK, Shin JJ, Lee HH. Challenges in Korea hospital accreditation: focused on post-accreditation management system. Quality Improvement in Health Care. 2018;24(1):1-8. https://doi.org/10.14371/QIH.2018.24.1.1
  3. Korea Ministry of Government Legislation. Criteria for calculation of medical quality evaluation subsidy [Internet]. Sejong: Korea Ministry of Government Legislation; 2021 [cited 2021 July 17]. Available from: https://www.nhis.or.kr/lm/lmxsrv/law/lawFullView.do?SEQ=64&SEQ_HISTORY=38
  4. Kim BY. Performance and challenges in implementing the national quality assessment program. Health Insurance Review & Assessment Service Research. 2021;1(1):23-30. https://doi.org/10.52937/hira.21.1.1.23
  5. Lee SY, Lee JY, Jo MW, Kim HJ, Ok MS, Kim JY, et al. Preparation of evaluation plans to improve medical quality in small and medium size hospitals. medical quality improvement evaluation report. Wonju: Health Insurance Review & Assessment Service (University of Ulsan); 2017 December. Report No.:G000DY2-2017-112.
  6. National Health Insurance Service, Health Insurance Review And Assessment Service. Health insurance statistics statistics [Internet]. Daejeon: Statistics Korea; 2021 [cited 2021 July 17]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&conn_path=I2
  7. National Health Insurance Service, Health Insurance Review And Assessment Service. Health insurance statistics Statistics [Internet]. Daejeon: Statistics Korea; 2019 [cited 2021 July 30]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=358&tblId=DT_358N_H102001
  8. Nam SH, Jeon JH, Heo YJ, Cho SM. The knowledge and education needs of nurses in charge of adequacy evaluation in small and medium-sized hospitals. Journal of Muscle and Joint Health. 2021;28(1):18-29. https://doi.org/10.5953/JMJH.2021.28.1.18
  9. Health Insurance Review Assessment Service. Detailed implementation plan for 2019 (1st) small and medium hospital adequacy evaluation (patient safety and infection control area) [Internet]. Wonju: Health Insurance Review Assessment Service; 2019 [cited 2021 January 2]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020002000100&brdScnBltNo=4&brdBltNo=7477#none
  10. Oh MJ, Lee JM. The role experienced of the executive director of nursing department in small and medium sized hospital. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(2):861-76. http://dx.doi.org/10.35873/ajmahs.2018.8.2.084
  11. Moon JH, Joo GE, Lee J. Grounded theoretical analysis on the hospital accreditation experience of head nurses in general hospitals. Journal of Korean Academy of Nursing Administration. 2016;22(5):437-47. https://doi.org/10.11111/jkana.2016.22.5.437
  12. Kim MO, Kim KH. Effects of recognizing long-term care hospital certification system on job performance after evaluation for certification in nursing staff of long-term care hospitals. Journal of Korean Gerontological Nursing. 2014;16(1):68-76. http://dx.doi.org/10.17079/jkgn.2014.16.1.68
  13. Jeong YJ, Choi SW, Park J, Han MA. The effect of satisfaction among convalescent hospital staff members on patient safety and quality of care after medical institution certification. The Korean Journal of Health Service Management. 2019;13(3):39-51. https://doi.org/10.12811/kshsm.2019.13.3.039
  14. Seo YH, Kim KY, Kim MS. Change in patient safety, quality of medical care, organization culture and hospital management performance after healthcare accreditation system for convalescent hospital. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(9):391-401. https://doi.org/10.5762/KAIS.2018.19.9.391
  15. Choi EJ, Park JW, Cho ML. Factors influencing turnover intention of nurses after evaluation for certification at geriatric hospitals: focused on job stress and burnout. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(3):438-49. https://doi.org/10.5762/KAIS.2016.17.3.438
  16. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  17. Richards L, Morse JM. Read me first for a user's guide to qualitative methods. 3rd ed. Thousand Oaks: Sage Publications; 2007.
  18. Downe-Wamboldt B. Content analysis: method, applications, and issues. Healthcare for Women International. 1992;13(3):313-21. https://doi.org/10.1080/07399339209516006
  19. Lincoln, YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage; 1985.
  20. Jeong SY, Kim OS, Choi JH, Lee SJ. Infection control tasks, difficulties, and educational needs of infection control practitioners in long term care facilities in Korea. Health Social Welfare Review. 2018;38(3):331-62. http://dx.doi.org/10.15709/hswr.2018.38.3.331
  21. Yi MS, Oh JH, Hwang HM, Kwon EJ, Lee JH, Park EY. Hospital workers' experience with hospital evaluation program: a focus group study. Journal of Korean Academy of Nursing, 2011;41(4):468-79. https://synapse.koreamed.org/articles/1002740
  22. Seo JH. Patient safety in small or medium hospitals and clinics: current status. In Health Welfare Policy Forum. 2016;242:84-94. http://repository.kihasa.re.kr/handle/201002/20534
  23. Kwon EK, Lee EJ. Relationship of nurses' perception of the joint commission international hospital accreditation, nursing performance, self-concept and retention intention. Journal of Korean Academy of Nursing Administration. 2017;23(2):118-26. https://doi.org/10.11111/jkana.2017.23.2.118
  24. Kim MR, Kim MS. Awareness, job stress, turnover intention, safety management perception change of nurses in a general hospital-before and after medical institution certification system. The Journal of the Korea Contents Association. 2019;19(1):385-95. https://doi.org/10.5392/JKCA.2019.19.01.385
  25. Hwang JH, Park SH, Choi YK. Quality improvement nurses' experiences of working for healthcare quality in public hospitals. The Journal of the Korea Contents Association. 2017;17(10):19-29. https://doi.org/10.5392/JKCA.2017.17.10.019
  26. Lee BR, Ha YJ. The effects of general hospital nurse's perception of healthcare accreditation on nursing performance. Journal of the Korean Society for Wellness. 2020;15(2):203-16. http://dx.doi.org/10.21097/ksw.2020.05.15.2.203
  27. Hong MH, Park JY. Nurses' perception of accreditation, awareness and performance of infection control in an accredited healthcare system. Journal of Korean Academy of Nursing Administration. 2016;22(2):167-77. https://doi.org/10.11111/jkana.2016.22.2.167
  28. Kim MJ, Choi JS. Effects of perception of the healthcare accreditation, and job stress on turnover intention in nurses. Journal of Muscle and Joint Health. 2015;22(2):87-95. https://doi.org/10.5953/JMJH.2015.22.2.87
  29. Lee HJ, Ha JH, Jung YS, Yun J. Experience of hospital administrative nurses' work adjustment. Journal of Korean Academy of Nursing Administration. 2019;25(5):424-36. http://doi.org/10.11111/jkana.2019.25.5.424