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Factors Influencing Nursing Service Quality of Nurses in Long Term Care Hospitals

요양병원 간호사의 간호 서비스 질 영향요인

  • Received : 2021.11.21
  • Accepted : 2022.01.20
  • Published : 2022.01.28

Abstract

The purpose of this study is to identify factors affecting nursing service quality for nursing hospital nurses and An attempt was made to confirm the correlation between nursing work environment, human-centered care, and work stress on nurses in nursing hospital. The data was collected using questionnaire filled out by 129 nurses at nursing hospitals in G city area from August 20 to September 10, 2019. As a result of the study, factors influencing the quality of nursing services among nursing hospital nurses were married, Practice Environment of Nursing Work, and human-centered care. Based on these results, hospital management will need to make efforts to improve the organizational system to create a desirable nursing working environment in nursing hospital.

본 연구는 요양병원 간호사를 대상으로 간호 서비스 질에 영향을 주는 요인을 파악하여 간호서비스 질 향상에 도움이 되고자 시도되었다. 또한 간호 근무 환경, 인간중심 돌봄, 직무스트레스와 간호서비스 질의 상관관계를 파악하고자 한다. 본 연구는 G지역에 근무하는 요양병원 간호사 129명이 대상이었으며, 자가 설문지를 사용하였다. 연구도구는 간호 근무환경, 인간중심 돌봄, 직무스트레스, 서비스 질을 사용하였고, 수집된 자료는 SPSS 24.0으로 분석하였다. 연구 결과 요양병원 간호사들의 서비스 질의 영향요인은 기혼, 간호 근무환경, 인간중심 돌봄으로 확인되었으며, 간호 서비스 질을 49.9% 설명하였다. 이중 간호 근무환경은 간호 서비스 질에 가장 큰 영향요인으로 확인되었고, 간호사의 근무환경 개선이 필수적으로 선행되어야 간호 서비스 질이 향상될 수 있음을 시사한다. 더불어 위의 결과를 토대로 병원 경영진은 바람직한 간호 근무환경을 조성하기 위한 조직 구조 개선을 통한 제도 개선에 나서야 하며, 인간중심 돌봄에 대한 병원 구성원의 인지 정착과 인간중심 돌봄 확대를 위한 다양한 프로그램 개발에 노력해야 할 것이다.

Keywords

References

  1. Statistics Korea. (2019). Long-Term Care Survey 2019. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=354919
  2. Nursing Hospital COVID-19 Response Manual. http://kagh.co.kr/NewsSite/View/Covid19/18538/50.nm
  3. M. A. Lee & Y. H. Yom. (2007). A comparative study of patients' and nurses' perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: a questionnaire survey. International journal of nursing studies, 44(4), 545-555. DOI : 10.1016/j.ijnurstu.2006.03.006
  4. J. Y. Yoon, T. Roberts, B. J. Bowers & J. Y. Lee. (2012). A Review of Person-centered Care in Nursing Homes. J. of the Korea Gerontological Society, 32(3), 729-745. http://www.tkgs.or.kr/html/?pmode=search
  5. S. H. Lee. (2009). Multi-level Analysis of Factors related to Quality of Services in Long-term Care Hospitals. J. of Korean Academy of Nursing, 39(3), 409-421. https://www.researchgate.net/publication/26335202_Multi-level_Analysis_of_Factors_related_to_Quality_of_Services_in_Long-term_Care_Hospitals https://doi.org/10.4040/jkan.2009.39.3.409
  6. J. Y. Lee, S. W. Lee & E. G. Oh. (2020). Conceptualization of Person-Centered Care in Korean Nursing Literature. Korean Journal of Adult Nursing 32(4), 354-363. https://kjan.or.kr/pdf/10.7475/kjan.2020.32.4.354
  7. E. T. Lake. (2002). Development of the Practice Environment Scale of the Nurse Work Index. Research in Nursing & Health 25(3), 176-88. DOI : 10.1002/nur.10032
  8. M. Bucholtz & K. Hall. (2005). Identity and interaction: a sociocultural linguistic approach. SAGE journals, 7(5), 585-614. https://bucholtz.linguistics.ucsb.edu/sites/secure.lsit.ucsb.edu.ling.d7_b/files/sitefiles/research/publications/BucholtzHall2005-DiscourseStudies.pdf
  9. Y. J. Lee & K. A. Seomoon. (2016). Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention. Journal of digital convergence . 14(6), 355- 362. https://www.koreascience.or.kr/article/JAKO201621650493069.pdf https://doi.org/10.14400/JDC.2016.14.6.355
  10. J. S. Kim & S. Y. Jeong. (2014). Predictors of Emotional Labor and Job Stress on Burnout of Nurses in Long-term Care Hospitals. J. of Korean Gerontological Nursing. 16(2), 130-140. https://www.jkgn.org/m/journal/view.php?number=15 https://doi.org/10.17079/jkgn.2014.16.2.130
  11. Y. H. Lee & C. J. Kim. (2006). The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses. Journal of Korean academy of nursing. 36(6), 925-932. .https://scienceon.kisti.re.kr/srch/selectPORSrchArticle.do?cn=JAKO200604623603778&dbt=NART https://doi.org/10.4040/jkan.2006.36.6.925
  12. R. J. Jang, Y. S. Kang & Y. M. Kim. (2016). The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses. J of The Korea Academy Industrial Cooperation Society, 17(6), 326-337. DOI : 10.5762/KAIS.2016.17.6.326
  13. M. A. Lee & E. J. Kim. (2016). Influences of Hospital Nurses perceived reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave. J. of Korean Academy of Nursing, 46(3), 364-374. DOI : 10.4040/jkan.2016.46.3.364
  14. M. Y. Lee, S. H. Yoon & Y. C. Cho. (2016). Relationship between Psychosocial Factors, Job Stress Contents, Fatigue Symptoms and Quality of Nursing Services among General Hospital Nurses. J. of the Korea Academia-Industrial cooperation Society. 17(8), 569-581. DOI : 10.5762/KAIS.2016.17.8.569
  15. M. Bucholtz & K. Hall. (2005). Identity and interaction: a sociocultural linguistic approach. SAGE Journals, 7(5), 585-614. DOI : 10.1177/1461445605054407
  16. Y. J. Lee & K. A. Seomoon. (2016). Influences of Interpersonal Problems and Character of Nurses on Quality of Nursing Service. J. of Korean Academy of Nursing Administration. 24(5), 445-454. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07587591 https://doi.org/10.11111/jkana.2018.24.5.445
  17. D. Edvardsson, D. Fetherstonhaugh, R. Nay & St. Gibson. (2010). Development and initial testing of the Person-centered Care Assessment Tool (P-CAT). International Psychogeriatrics, 22(1), 101-108. DOI : 10.1017/s1041610209990688
  18. Y. R. Tak, H. Y. Woo, S. Y. You & J. H. Kim. (2015). Validity and Reliability of the Person-centered Care Assessment Tool in Long-term Care Facilities in Korea. Journal of Korean academy of nursing. 45(3), 412-419. DOI : 10.4040/jkan.2015.45.3.412
  19. E. H. Cho, M. N. Cho, E. Y. Kim, I. Y. Yoo & N. J. Lee. (2011). Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses. J of Korea Academy Industrial Cooperation Society, 41(3), 325-332. http://kiss.kstudy.com/thesis/thesis-view.asp?key=2933041
  20. P. Hingley & C. L. Cooper. (1986). Stress and the nurse manager. John Wiley & Sons, London & New York,. DOI : 10.1002/smi.2460030120
  21. H. L. Kang. (2010). A Study of Occupational Satisfaction, Stress and Customer Orientation of Upper-scale General Hospital Nurses. Journal of Korean Academic Society of Occupational Heath Nursing, 19(2), 268-277. https://www.dbpia.co.kr/Journal/articleDetail?nodeId=NODE08864704
  22. M. A. Lee. (2010). A Study of the Perception Gap on Nursing Service between Consumers and Providers. Journal of Korean academy of nursing. 31(5), 871-884. http://kiss.kstudy.com/thesis/thesis-view.asp?key=1813503 https://doi.org/10.4040/jkan.2001.31.5.871
  23. Y. H. Lee & C. J. Kim. (2006). The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses. Journal of Korean academy of nursing. 36(6), 925-932. https://scienceon.kisti.re.kr/srch/selectPORSrchArticle.do?cn=JAKO200604623603778&dbt=NART https://doi.org/10.4040/jkan.2006.36.6.925
  24. G. H. Sa & G. E. Lee. (2016). Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals. J of Korea Academy Community Health Nurs, 27(4), 309-318. DOI : 10.12799/jkachn.2016.27.4.309