한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제37권1호
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  • Pages.97-110
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  • 2023
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  • 1226-0290(pISSN)
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  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
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요양병원 간호사의 간호역량과 근무환경이 간호서비스 질에 미치는 영향

Effect of Competence and Work Environment of Nurses on Nursing Service Quality in Long-term Care Hospitals

  • 김하얀 (충남대학교 대학원 간호학과 / 유성한가족 요양병원) ;
  • 김현리 (충남대학교 간호대학)
  • Kim, Ha-yan (Graduate School of Nursing, Chungnam National University) ;
  • Kim, Hyun-Li (College of Nursing, Chungnam National University)
  • 투고 : 2023.02.15
  • 심사 : 2023.04.25
  • 발행 : 2023.04.30
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초록

Purpose: This study sought to determine the effect of the competence of nurses and their, work environment on the quality of nursing service in long-term care hospitals using the Donabedian model as a theoretical framework. Methods: This descriptive investigative study analyzed nursing competency, the work environment, and nursing service quality in a group of 182 nurses directly in charge of patient care at long-term care hospitals in special cities, metropolitan cities, and small and medium-size cities. The data were analyzed using IBM SPSS/WIN 27.0 version. Results: In long-term care hospitals, nurses' competence (r=.674, p<.001) and work environment (r=.444, p<.001) were correlated with quality of nursing service, and the nurses' competence was correlated with the work environment (r=.443, p<.001). The factors affecting the quality of nursing service in long-term care hospitals were competence, the work environment, and the age of nurses. Conclusion: In this study, both competence and the work environment of nurses were observed to be important factors in improving nursing service quality in long-term care hospitals. Therefore, efforts aimed at enhancing these factors are necessary to ensure the high quality of nursing service in these hospitals.

키워드

참고문헌

  1. Alzate, L. C., Bayer, G. L., & Squires, A. (2014). Validation of a Spanish version of the practice environment scale of the nursing work index in the Colombian context. Hispanic health care international : the official journal of the National Association of Hispanic Nurses, 12(1), 34-42. https://doi.org/10.1891/1540-4153.12.1.34
  2. An, M. S. & Yi, Y. J. (2013). The Predictive Factors on Leave Planning of Nurses Working at Medium-Sized Hospital in the Metropolitan Area. Journal of The Korean Data Analysis Society, 15(1), 323-334.
  3. Baek, K. H. &, Chang, Y. H. (2015). A Study on the Restrictions Imposed on Establishment of and Claims of Unjust Enrichment by Non-Medical Practitioner Hospitals. Korean Journal of Medicine and Law, 23(2), 169-190. https://doi.org/10.17215/kaml.2015.12.23.2.169
  4. Cho, E. H., Choi, M., Kim, E. Y., Yoo, I. Y., & Lee, N.. J. (2011). Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses. Journal of Korean Academy of Nursing. Korean Society of Nursing Science. https://doi.org/10.4040/jkan.2011.41.3.325
  5. Cho, S. Y.(2011). (The) need for medical & nursing services in chemotherapy patients and their families at general hospitals for veterans in Seoul. Unpublished master's thesis. The Graduate school of Hanyang University, Seoul.
  6. Donabedian, A. (1988). The quality of care: how can it be assessed?. Jama, 260(12), 1743-1748. https://doi.org/10.1001/jama.260.12.1743
  7. Hall, L. M. (2005). Indicators of nurse staffing and quality nursing work environments. 2414-8377.
  8. Ji, H. R.(2017). The Effect of ICU Nurses' Competence and Work Environment on the Quality of Nursing Care. Unpublished master's thesis. The Graduate school of Chung-Ang University, Seoul.
  9. Kim, E. J. (2016). Development of an Instrument to MeasureNursing Competence of Nursesin the Long-term Care Hospital. Unpublished doctoral dissertation. The Graduate school of Gyeongsang National University, Jinju.
  10. Kim, H. S. & Kim, K. H. (2019). The Study of Work Environment of Nurses in Long-term Care Hospitals. Journal of the Korea Academia-Industrial cooperation Society, 20(2), 250-258. https://doi.org/10.5762/KAIS.2019.20.2.250
  11. Kwon, J. H. (2018). The Effect of Nursing Competency and Role Conflict on Nursing Professionalism of Nurses in Long Term Care Hospitals. Unpublished master's thesis. The Graduate school of Nambu University, Gwangju.
  12. Kim, M. Sun., Shin, S. H. & Seo,E. (2021). The Influences of Self-Leadership, Role Conflict, Nursing Work Environment on Nursing Service Quality in Comprehensive Nursing Care Service Wards. Journal of East-West Nursing Research..27(1), 22-31. https://doi.org/10.14370/jewnr.2021.27.1.22
  13. Kim, S. M., Jeong, S. H., Lee, M. Ha. & Kim, H. K. (2017). Importance, Performance and Rates of Nurse Performance of Nursing Interventions in Long-term Care Hospitals. The Journal of Korean Nursing Administration Academic Society, 23(4), 359. https://doi.org/10.11111/jkana.2017.23.4.359
  14. Kim, S. B. & Park, Y. R., (2019). Factors associated with Person-centered Care for Elderly in Long-term Care Hospital Nurses. The Journal of Korean Academic Society of Adult Nursing, 31(6), 618-627. https://doi.org/10.7475/kjan.2019.31.6.618
  15. Kim. S. M. & Kang. D. T. (2022, November), 2021 National Health Insurance Statistical Yearbook(ISSN 1738-8945), Wonju: Health Insurance Review & Assessment Service, National Health Insurance Service.
  16. Kim, Y. J. & Park, J. S. (2019). Influential Factors Associated with Nursing Competency of Nurses in Long-term Care Hospitals. Journal of East-West Nursing Research. 25(1), 81-89. https://doi.org/10.14370/jewnr.2019.25.1.81
  17. Korean Statistical information Service.(2021, December). Estimated population by major age group (production age population, elderly population, etc.). Daejeon: Statistics Korea.
  18. Lakanmaa, R. L., Suominen, T., Perttila, J., Ritmala-Castren, M., Vahlberg, T., & Leino-Kilpi, H. (2014). Basic competence in intensive and critical care nursing: development and psychometric testing of a competence scale. Journal of clinical nursing, 23(5-6), 799-810. https://doi.org/10.1111/jocn.12057
  19. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in nursing & health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  20. Lee, M. A. (2003). Journal of KA Study of the Nursing Service Perceived by Consumers and Providers, and the Tool that Measures Nursing Service. Taehan Kanho Hakhoe chi, 33(6), 772-783. https://doi.org/10.4040/jkan.2003.33.6.772
  21. Lee, M. J., Yoon, S. H. & Cho, Y. C. (2016). Relationship between Psychosocial Factors, Job Stress Contents, Fatigue Symptoms and Quality of Nursing Services among General Hospital Nurses. The Korea Academia-Industrial cooperation Society. 17(8), 569-851. https://doi.org/10.5762/KAIS.2016.17.8.569
  22. Lee, S. H. & Oh, J. J. (2017). The Influence of Violence Experience and Emotional Intelligence of Nursing Staff in Long-Term Care Hospitals on the Quality of Nursing Service. The Journal of the Korea Contents Association, 17(8), 693-704. https://doi.org/10.5392/JKCA.2017.17.08.693
  23. Parasuraman, A., Zeithaml, V. & Berry, L. (1994). Reassessment of Expectations as a Comparison Standard in Measuring Service Quality: Implications for Further Research. The Journal of Marketing, 58, 111-124. https://doi.org/10.1177/002224299405800109
  24. Park. S. H.(2001). Analysis of nursing outcome and direct nursing care activity related to nurse-to-patient ratio. Journal of Korean Academy of Nursing, 33(1):122-129. https://doi.org/10.4040/jkan.2003.33.1.122
  25. Park, J. H. (2020). The effect of person-centered care, nursing practice environment and job stress on nursing service quality of nurses in long term care hospitals. Unpublished master's thesis. The Graduate school of Kwangju Women's University, Gwangju.
  26. Park, J. Y. (2021). Legal Regulation for Quality Management in Long-term Care Hospitals. Asia Pacific Journal of Health Law & Ethics, 14 (3), 25-57. https://doi.org/ 10.38046/apjhle.2021.14.3.002
  27. Park, M. H. & Jeon, M. K. (2020). Effects of Job-esteem, Nursing Practic Environment, Communication within Organization on Quality of Nursing Service of Hospital Nurses. Journal of Korean Academy of Nursing, 2020(10), 188-188. https://doi.org/10.15207/JKCS.2022.13.02.331
  28. Park, S. H. & Kang J. Y. (2015). Development and Psychometric Evaluation of the Korean Nursing Work Environment Scale. Journal of Korean critical care nursing. 208(1),50-61. https://doi.org/10.1016/j.anr.2014.06.004
  29. Sagong, H. & Lee, G. E. (2016). Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals. Journal of Korean Academy of Community Health Nursing. Korean Academy of Community Health Nursing. https://doi.org/10.12799/jkachn.2016.27.4.309
  30. Sim, M.R. (2010). Job Satisfaction, Self-Esteem, and Nursing Work Performance among Nursing Personnel in Long-Term Care Hospitals. Unpublished master's thesis. The Graduate school of Chosun University, Gwangju.