• Journal of Korean Academy of Nursing
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• v.34 no.2
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• pp.225-234
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• 2004

Purpose: The purpose of this study was to develop a tool that measures the quality of nursing service, to measure the quality of nursing service perceived by consumers, and to identify the gaps between ideal and actual nursing services. Method: A questionnaire was developed and distributed to 300 people who had been hospitalized in one of six general hospitals with quality of nursing services in five provincial cities in Korea. For data analysis, the SPSS/WIN(ver 10.0) program was used. Result: The 20 attributes included in the instrument of quality of nursing service is abstracted into 2 factors: tangibility and intangibility. In quality analysis, 15 of 20 attributes are minus scores, meaning that those nursing services are perceived as generally low. However among the minus scores' attributes, only two attributes are significant statistically. Gaps between importance and performance of the nursing service exists in 19 among 20 attributes. Conclusion: Nursing service quality (performance-expectation) needs to be improved, and Gaps (importance-performance) reduced. In addition, a tool measuring nursing service quality has to be developed so nurses can deal successfully with the quality and gaps of nursing service perceived by consumers.

• Journal of Korean Academy of Nursing
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• v.32 no.4
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• pp.506-518
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• 2002

This study was performed to measure the nursing service quality being used SERVQUAL model and satisfaction that the admitted patients perceived. Method: The questionnaire founded on the SERVQUAL was developed and distributed to 300 patients at the three general hospitals in three provincial city, Korea. For data analysis, Cronbach's α, frequencies, percentages, paired t-test, Pearson Correlation Coefficient were used. Result: In expectation, patients most highly perceived the assurance factor that was one among the 5 factors being constituted nursing service. In performance, patients most highly perceived the responsiveness factor. The performance degrees of the 5 factors and 20 attributes being constituted nursing service did not exceed the expectation degree of those. So the calculated figures for nursing service quality of the three subjected hospitals were all minus. In relation of the patients' demographics and nursing service characteristics to their general satisfaction, patients' sex, age, income and the all factors and attributes of nursing service had relation to their general satisfaction. Conclusion: It could be concluded that the nursing service quality of the three subjected hospitals was poor and the patients' demographic and nursing service characteristics had relation to their general satisfaction.

• 한국노년학
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• v.29 no.2
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• pp.645-656
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• 2009

The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

• Journal of Digital Convergence
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• v.14 no.3
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• pp.13-23
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• 2016

The purpose of this convergence study was to describe Medical Service Providers and Consumers' perception of the PHN system, and of the Quality of nursing provided by male nurses. This study was a cross-sectional survey. The subject group included medical service providers and consumers. Data were analyzed using descriptive statistics, Chi-square and t-test using SPSS 19.0. 77.3% of providers and 66.2% of consumers agree with the PHN system. 81.4% of providers and 70.8% of consumers agreed with the statement that the nurse is the most qualified public health worker. Period of service showed statistically significant differences according to the group (t=7.56, p=.03). The development of nursing experts was identified as an important strength of the PHN. Quality of nursing Male wasn't statistically significants between groups. Compared to earlier studies, it is to suggest a study that confirms preliminary nurses' psychiatric, social, and communicational nursing.

• Korean Journal of Adult Nursing
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• v.18 no.4
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• pp.593-602
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• 2006

Purpose: The purposes of this study were to provide baseline data for nursing service program and to elevate the quality of service by examining whether nurses' nursing service is related to job stress, job satisfaction, organizational commitment, leadership and nursing service satisfaction in hospitals. Method: Subjects were 135 nurses and 135 patients, working and being in the hospitals in C province & D city from November. 7 to 21, 2005 and completed a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, ANCOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The most powerful predictor of nursing service was leadership(60.7%). Altogether leadership, nursing service satisfaction, organizational commitment, and work stress explained 72.5% of nursing service of the nurses in hospitals. Conclusion: The results showed the nurses' nursing service in hospitals was influenced by leadership, nursing service satisfaction, organizational commitment, and job stress. It suggested that concepts of leadership, nursing service satisfaction, organizational commitment, and job stress should be considered in developing nursing services programs.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.3
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• pp.382-390
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• 2009

Purpose: The purpose of this study was to determine whether nurses' nonverbal communication predict clients' service satisfaction and to investigate the mediating effects of their trustworthiness between nurses' nonverbal communication and clients' service satisfaction in psychiatric wards. Methods: A convenience sample of 206 psychiatric inpatients was obtained. Participants completed a demographic sheet and three study instruments. Results: There were statistically significant positive relationships between nurses' nonverbal communication, trustworthiness and clients' satisfaction. Trustworthiness was found to partially mediate the relationship between nonverbal communication and clients' satisfaction. Conclusion: Clients' perception of nurses' nonverbal communication, trustworthiness and satisfaction on the nursing services have a strong relationship. Findings contribute to a more comprehensive knowledge base regarding nursing services.

• Journal of Convergence for Information Technology
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• v.12 no.4
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• pp.56-66
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• 2022

The purpose of this study was to investigate the job satisfaction and quality of life of nurses in a integrated nursing care service ward (INCSW) and a general ward (GW). A total of 88 nurses working in INCSW and GW were invited and followed up for 6 months over 3 times. There was no significant difference in job satisfaction between INCSW and GW for 6 months, while there was a difference in quality of life: overall quality of life (1st p=.033, 2nd p=.030), and overall general health (1st p=.049). Comparison of two groups by period in job satisfaction, there were statistically significant differences of the item 'recognition from the organization and professional achievement' (2nd versus 3rd, p=.037) and 'interpersonal interaction with respect and recognition' (1st versus 3rd, p=.005; 2nd versus 3rd, p=.006) in the INCSW. Comparison of two groups by period in quality of life, there was a statistically significant difference of the item 'overall quality of life' (1st versus 3rd, p=.025; 2nd versus 3rd, p=.010) in the INCSW. Development of various nursing strategies (such as manpower arrangement that reflects the nursing skill levels, patient needs, job training and organizational culture before placement) can be helpful for improving nurses job satisfaction and quality of life in INCSW and GW.

• Research in Community and Public Health Nursing
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• v.2 no.1
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• pp.160-160
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• 1990

정부는 보건의료취약지역의 주민에게 보건의료를 효율적으로 제공케 함으로써 국민의 의료균형과 보건향상에 목적을 두어 보건진료원을 1981년부터 훈련 배치하였다. 본 연구는 사전 Pre-test, Post-test, Control Group Design에 의하여 이들 보건진료원이 배치되기 이전에 baseline data를 수집 분석하여 3년 후(1984년)에 보건 진료원의 활동성과를 종합적으로 평가하기 위해 실시된 것이다. 본 연구에서 농어촌 벽지에 보건진료원이 배치됨으로써 보건진료원 투입 전 후, 투입지역과 비투입지역(대조지역, control area)간 비교분석에 의하여 보건진료원이 보건의료서비스 접근성의 변화에 준 순효과가 종합적으로 평가될 수 있다. 그러나 본 보고서는 1981년에 농어촌 벽지 4,083 가구의 표본에서 수집된 자료를 이용하여 벽지의 보건의료서비스 접근성의 현상분석에 치중하고 있다. 보건의료서비스는 의료 서비스와 예방서비스로 구분되었고 예방서비스는 모성보건, 영유아보건, 가족계획으로 세 분류 되었다. 보건의료서비스와 접근성은 Aday와 Andersen의 모형에 의하여 4개 component로 나누어 분석되었고, 각 component의 특성은 지표(indicator)에 의하여 설명되고 있다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.119-128
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• 2017

This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

• Journal of Korea Multimedia Society
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• v.12 no.11
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• pp.1680-1691
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• 2009

To improve the quality of healthcare and build up the health delivery system, electronic health record system is important for healthcare institutions providing health services. However, the systems currently operated in domestic healthcare institutions use independent software interface with distributed environment for data search and process. Therefore, it raises an additional expense to buy or develop each interface module when there is a link to new system and the problem of complexity. To solve these problems, this study implemented the service oriented architecture basis for home nursing service and carried out an assessment. The study defined the process modeling and business requirements based on the scenario of service and drew 17 suitable services based on five verification items for service design. To draw the final service, seven services were selected by service litmus test (SLT). The study found that, by the improvement of business process for healthcare service support department, SOA based information system has an effect of time reduction of patient processing time. In conclusion, to enable the hospital information system to cope with various demands of healthcare consumers, it is necessary to consider the application of SOA technology which has excellent interoperability, reusability and maintenance.