Browse > Article
http://dx.doi.org/10.22650/JKCNR.2019.25.1.55

Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey  

Park, Hyunsoon (Department of Nursing, Konkuk University Glocal Campus Graduate School)
Kim, Ha Woon (Department of Nursing, Inha University Hospital)
Kim, Hee Jeong (Department of Nursing, Konkuk University Medical Center)
Kim, Soon Ick (Department of Nursing, Seoul Women's Hospital)
Park, Eun Hye (Department of Nursing, Injung Hospital)
Kang, Nam Mi (Department of Nursing, Konkuk University Glocal Campus)
Publication Information
Abstract
Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.
Keywords
Postpartum; Nursing Intervention; Time-Motion Studies; Direct; Indirect;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Derricott B. Care [Internet]. Comptche, CA: Wild iris Medical Education, Inc; 2016 [cited 2019 April 05]. Available from: https://wildirismedicaleducation.com/courses/-care-ceu.
2 Lowdermilk DL, Perry SE, Cashion MC, Alden KR. Maternity and women's health care 11th edition. America: Elsevier; 2015. p. 478-506. https://www.elsevier.com/books/maternity-and-womenshealth-care/lowdermilk/978-0-323-16918-9
3 World Health Organization. Postnatal care for mothers and newborns: highlights from the world health organization 2013 guidelines. World Health Organization. 2015. http://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
4 Choi EJ, Park EJ, Kim HR, Oh MA, Lee NH, Choi JH. A study on the breast-feeding in Korea. UNICEF Korea Committee & Korea Institute for Health and Social Affairs. 2016. http://repository.kihasa.re.kr:8080/handle/201002/21344
5 Kim HJ, Lim JS, Choi SM, Park SH, Park SH, An SE, et al. Analysis of activities and services of delivery room nurses based on DACUM technique. Journal of Korean Clinical Nursing Research. 2015;21(3):319-334.   DOI
6 Kalisch BJ, Tschannen D, Lee HH, Friese CR. Hospital variation in missed nursing care. American Journal of Medical Quality. 2011;26(4):291-299.   DOI
7 Association of Women's Health. Obstetric, and Neonatal Nurses. Standards for perinatal nursing practice and certification in Canada: second edition. Washington DC: Association of Women's Health, Obstetric, and Neonatal Nurses; 2009. p. 7-15. http://www.capwhn.ca/uploads/documents/Perinatal_Standards_Canada.pdf
8 World Health Organization; United Nations Population Fund; UNICEF. Pregnancy, childbirth, and newborn care; A guide for essential practice. 3rd ed. Geneva: World Health Organization; 2015. http://www.who.int/maternal_child_adolescent/documents/imca-essential-practice-guide/en/
9 Korean Association of Women Health Nurses. Hospital nurses association & Korean association of women health nurses continuing nurse education in 2017. Seoul: Korean Association of Women Health Nurses; 2017.
10 Association of Women's Health, Obstetric and Neonatal Nurses. Perinatal orientation and education program. Association of Women's Health, Obstetric and Neonatal Nurses. 2018.
11 Cho IS, Choi WJ, Choi WH, Hyun MS, Park YO, Lee YN, et al. Identifying usability level and factors affecting electronic nursing record systems: A multi-institutional time-motion approach. Journal of Korean Academic Nurses. 2015;45(4):523-532.   DOI
12 Medical Service Act. Chapter 1, Article 3. Act No. 14438, Dec. 20, 2016.
13 Butcher HK, Dochterman JM, Bulechek GM, Wagner CM. Nursing interventions classification(NIC) Seventh edition. ELSEVIER. p. 2. https://books.google.co.kr/books?hl=ko&lr=&id=L4lIDwAAQBAJ&oi=fnd&pg=PP1&dq=nursimg+interventions+term&ots=AgkMXKb1T2&sig=mHXVSfcfvmnN0J7mk2tf5Lvdo7M#v=onepage&q=nursimg%20interventions%20term&f=false
14 Song KJ, Kim EH, Yoo CS, Park HA, Song MS, Park KO. Verification of Reliability and Validity of KPCS-1 and Estimation of Nursing Time Conversion Index. Journal of Korean Clinical Nursing Research. 2010;16(2):127-140.
15 Korean Society of Women Health Nursing. 2013 Maternal nursing education learning purpose. Cheonan: Korean Society of Women Health Nursing; 2013.
16 Dolores G. Using humor to teach postpartum topics. Journal of Nursing Education; Thorofare. 2005;44(7):340. https://search.proquest.com/openview/5112181f67776d6cbf40b44c161385ae/1?pq-origsite=gscholar&cbl=47628   DOI
17 U.S. Department of Health and Human Services. Healthy people 2010: Understanding and improving health. Washington, DC: U.S. Department of Health and Human Services, Government Printing Office; 2000.
18 Centers for Disease Control and Prevention. PRAMS [Internet]. Washington DC: U.S. Department of Health and Human Services; 2018 [cited 2018 March 30]. Available from: https://www.cdc.gov/prams/special-projects/
19 Maternity Center Association(New York). Maternity center association records, 1907-2010(bulk 1918-1995). Health Sciences Library. 2017.
20 World Medical Association. World medical association declaration of Helsinki; Ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194. https://doi.org/10.1001/jama.2013.281053   DOI
21 Hospital Nurses Association. Manual of nursing practice. 5th ed. Seoul: Hospital Nurses Association; 2017. p. 7-268.
22 Hennink M, Hutter I, Bailey A. Qualitative research methods. London: SAGE publications Ltd; 2011. p. 8-26.
23 Boo EH, Ahn GH, Park BK, Hong NS, Son JI, Park MH, et al. A study on improving operating comprehensive care service and business result of operation. Goyang: National Health Insurance Service Ilsan Hospital; 2015 September. Report No.: 2015-20-029.
24 World Health Organization. WHO recommendations on postnatal care of the mother and newborn. World Health Organization. 2013. http://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
25 Park H, Cho I, Kim M. Multiple-case studies of hand-on breast massage techniques used by breastfeeding experts. Korean Journal of Women Health Nursing. 2017;23(3):155-165. https://doi.org/10.4069/kjwhn.2017.23.3.155   DOI
26 Lee MA. A comparative study of how subjects' characteristics and nursing service quality influence on hospital revisiting intent between patients and nurses. Journal of Korean Academy of Nursing. 2005;35(7):1210-1220.   DOI
27 Lee T, Kang KH, Ko YK, Cho SH, Kim EY. Issues and challenges of nurse workforce policy: A critical review and implication. Journal of Korean Academy of Nursing Administration. 2014;20(1):106-116. https://doi.org/10.11111/jkana.2014.20.1.106   DOI