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http://dx.doi.org/10.5953/JMJH.2018.25.3.196

A Comparative Study on the Operation Status of Comprehensive Nursing Care Ward  

Lee, Kyoung A (Department of Nursing, Daegu Health College)
Lee, Seon Heui (Department of Nursing Science, College of Nursing, Gachon University)
Publication Information
Journal of muscle and joint health / v.25, no.3, 2018 , pp. 196-204 More about this Journal
Abstract
Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.
Keywords
Comprehensive nursing care service; Nursing workforce; Work environment; Work condition; Work support system;
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Times Cited By KSCI : 7  (Citation Analysis)
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1 Ahn, H. S., & Kim, H. J. (2015). Challenges for introducing comprehensive nursing service system for hospitalized patients. Journal of Hospital Management & Policy, 4(1), 6-16.
2 Ahn, S. H., Jung, S. H., You, J. H., & Lee, M. A. (2018). Nursing tasks and practice environment for nursing work perceived by nurses working on comprehensive wards versus general wards. Journal of Korean Academy of Nursing Administration, 24(1), 10-20. https://doi.org/10.11111/jkana.2018.24.1.10   DOI
3 Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patients mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223-229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7   DOI
4 Boo, E. H., Ahn, K. H., Park, B. K., Hong, N. S., Son, J. L., Park, M. H., et al. (2015). Service outcome of comprehensive nursing care and policy direction. Gyeonggido: NHIS Ilsan Hospital Institute of Health Insurance & Clinical Research.
5 Hwang, N. M. (2015). Measures to expand comprehensive nursing services to guarantee quality of admission service in medical institutes. Sejong: Korea Institute for Health and Social Affairs.
6 Kim, J. H., Kim, S. J., Park, E. T., Jeong, S. Y., & Lee, E. H. (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration, 23(3), 312-322. https://doi.org/10.11111/jkana.2017.23.3.312   DOI
7 Kim, J. K., Kim, M. J., Kim, S. Y., Yu, M., & Lee, K. A. (2014). Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration, 20(1), 69-81. https://doi.org/10.11111/jkana.2014.20.1.69   DOI
8 Kim, J. W. (2018). Care trends by introduction of comprehensive nursing care services system. Health Insurance Review & Assessment Service, 12(3), 50-57.
9 Kim, K. K., & Kim, M. J. (2016). Comparison of satisfaction and importance on nursing service perceived by the patients and nurses in comprehensive nursing care service wards. Asiapacific Journal of Multimedia Service Convergent with Art, Humanities and Sociology, 6(6), 83-92. https://doi.org/10.14257/AJMAHS.2016.06.19
10 Kim, K. S., Lee, S. H., & Ryu, M. H. (2017). A study on the types of hospitals participating and the factors influencing comprehensive nursing service. Korean Journal of Health Service Management, 11(4), 239-250. https://doi.org/10.12811/kshsm.2017.11.4.239   DOI
11 Kim, S. E., & Han, J. Y. (2017). Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing care service wards and general wards. Journal of Korean Academy of Nursing Administration, 23(3), 336-345. https://doi.org/10.11111/jkana.2017.23.3.336   DOI
12 Lee, M. K., & Jung, D. Y. (2015). A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration, 21(3), 287-296. https://doi.org/10.11111/jkana.2015.21.3.287   DOI
13 Kim, T. J., & Yu, J. O. (2018). Comparative study of clinical nurses' role conflict, emotional labor and nursing performance between comprehensive nursing care service wards and General wards. Journal of Muscle and Joint Health, 25(1), 12-20. https://doi.org/10.5953/JMJH.2018.25.1.12   DOI
14 Kwag, W. H. (2015). Contents and problems of the comprehensive nursing service pilot project. Healthcare Policy Forum, 13(2), 50-55.
15 Lee, E., & Chang, S. S. (2016). Factors influencing depression of nurses among comprehensive nursing care service ward. Korean Journal of Occupational Health Nursing, 25(4), 340-351. https://doi.org/10.5807/kjohn.2016.25.4.340   DOI
16 Lee, N. S., & Koh, M. S. (2015). Comparative study for the clinical nurses' work satisfaction, job stress and turnover intention - in general ward, comprehensive nursing care service ward, and Anshim unit. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 516-526. https://doi.org/10.5762/KAIS.2015.16.1.516   DOI
17 Lee, S. H., Kang, K. H., Kim, J. H., Lee, K. A., Kim, M. J., Yoo, H. W., et al. (2017). Work condition and improvement plan of Nursing workforce in comprehensive nursing care service (ver 1.). Korea: University of Gachon, National Health Insurance Service.
18 Lee, S. I., & Lee, E. J. (2016). Effects of nursing work environment, emotional labor and ego-resilience on nursing performance of clinical nurses. Journal of Korea Society for Wellness, 11(4), 267-276. https://doi.org/10.21097/ksw.2016.11.11.4.267   DOI
19 National Health Insurance Service. (2016, September 1). Policy direction of comprehensive nursing care. Retrieved September 3, 2018 from http://www.nhis.or.kr/bbs7/boards/B0040/21012
20 National Health Insurance Service. (2018, April 1). Policy direction of comprehensive nursing care. Retrieved September 3, 2018 from http://www.nhis.or.kr/bbs7/boards/B0040/25942
21 Park, K. O., Yu, M., & Kim, J. K. (2017). Experience of nurses participating in comprehensive nursing care. Journal of Korean Academy of Nursing Administration, 23(1), 76-89. https://doi.org/10.11111/jkana.2017.23.1.76   DOI
22 Yeun, Y. R. (2015). Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 317-323.   DOI
23 You, S. J., & Choi, Y. K. (2013). Institutionalization of a patient-sitter program in acute care hospitals. Journal of the Korea Contents Association, 13(6), 370-379. https://doi.org/10.5392/JKCA.2013.13.06.370   DOI