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http://dx.doi.org/10.22650/JKCNR.2019.25.2.120

Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement  

Lee, Tae Wha (College of Nursing, Yonsei University)
Jang, Yeon Soo (College of Nursing, Yonsei University)
Ji, Yoon Jung (College of Nursing, Yonsei University)
Do, Hyun Ok (Joint Commission International.Visiting Professor, College of Nursing, Yonsei University)
Oh, Kyoung Hwan (Division of Nursing, Severance Hospital)
Kim, Chang Kyung (Division of Nursing, Severance Hospital)
Chun, Ja Hye (Patient Safety Team, Severance Hospital)
Shin, Hae Kyung (Division of Nursing, Severance Hospital)
Cho, Mee Young (Division of Nursing, Severance Hospital)
Bae, Jung Im (Division of Nursing, Severance Hospital)
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Abstract
Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.
Keywords
Patient Engagement; Nursing Services; Needs Assessment;
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