• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.317-323
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• 2015

This study examined the effects of the Ministry-of-Health-and-Welfare-initiated comprehensive nursing service on the nursing performance, job satisfaction, and customer orientation among nurses. The participants were nurses working in a running hospital without a patient-sitter in S city (Experimental group=57, Control group=55). The data was collected at 1 and 6 months following a pilot program and analyzed by SPSS using a Chi-squire test, t-test, Kolmogorov-Smirnov test and ANCOVA. The experimental group showed significantly better nursing performance, job satisfaction, and customer orientation than the control group. This finding can be used to establish the criteria for systematizing comprehensive nursing service.

• The Journal of the Korea Contents Association
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• v.19 no.7
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• pp.444-455
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• 2019

This study is a descriptive research study to identify the relevance of the occupational stress, safety control, and patient safety-related nursing activities of the nurses working in comprehensive nursing care service ward, and to check the effect of the occupational stress on safety control and patient safety-related nursing activities. From March 11 to April 17, 2019, 137 nurses who worked in comprehensive nursing care service ward at four general hospitals were studied. The results of this study suggest that occupational stress has a negative correlation with safety control and patient safety-related nursing activities, and occupational stress negatively affects safety control and patient safety-related nursing activities. Based on the results of this study, it is expected that the work environment will be improved to reduce the occupational stress in order to promote the safety control and patient safety-related nursing activities of nurses in comprehensive nursing care service ward, and the development of various programs for occupational stress management will be necessary.

• Journal of Korean Critical Care Nursing
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• v.14 no.3
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• pp.50-61
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• 2021

Purpose : This study aimed to identify the moderating and mediating effects of resilience on the relationship between role conflict and job satisfaction among nurses working in a comprehensive nursing care service ward. Methods : Participants were 130 comprehensive nursing care service ward nurses from four hospitals. Data were collected using structured questionnaires and analyzed by t-test, ANOVA, Scheffe test, Pearson correlation coefficients, and hierarchical multiple regression analysis, using SPSS 25.0. The mediating effect of resilience on the relationship between role conflict and job satisfaction was analyzed using multiple regression analysis according to Baron and Kenny's procedure. Results : Statistically significant negative correlations were found between role conflict and resilience (r=-.25, p<.007) and between role conflict and job satisfaction (r=-.38, p<.001). A significant positive correlation was found between resilience and job satisfaction (r=.54, p<.001). A partial mediating effect of resilience was found between role conflict and job satisfaction (Z=-2.53, p=.012) but no moderating effect was found. Conclusion : To improve the job satisfaction of comprehensive nursing care service ward nurses, interventions for alleviating role conflict and improving resilience as well as evaluations of the two variables are necessary.

• Journal of Home Health Care Nursing
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• v.28 no.3
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• pp.295-306
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• 2021

Purpose: This study aims to compare and analysis job stress, patient safety culture, and patient safety management activities of nurses in comprehensive nursing care service wards and general wards. Methods: Through an online survey conducted on nurses with more than three months of working experience at five general hospitals in the metropolitan area, 156 participants's data were used for 𝜒²-test, t-test, ANOVA using SPSS ver. 26.0. Result: There were no significant differences in the nurses' job stress and patient safety management activities between the comprehensive nursing care service wards and general wards. However, the patient safety culture of nurses in the comprehensive nursing care service ward was significantly lower than that of general ward. Conclusion: Patient safety culture should be promoted through continuous regular patient safety education, training, and organizational support to increase patient safety management activities. Additionally, institutional programs should be prepared to reduce job stress of nurses at the frontline of patient safety.

• Journal of Korean Public Health Nursing
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• v.32 no.3
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• pp.438-450
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• 2018

Purpose: The purpose of this study was to compare the differences in fatigue, sleep quality and interpersonal relationship stress levels between nurses in comprehensive nursing care wards and in general wards. Methods: Data were collected using self-reported structured questionnaire from 14 August to 17 September 2018. The participants were 220 nurses from 6 hospitals in Seoul and Gyeonggi-do. The data were analyzed using the IBM SPSS 23.0 program, descriptive statistics, t-test, ${\chi}^2-test$, Fisher's exact test, and Pearson's correlation coefficient. Results: The subjects' fatigue, sleep quality, and interpersonal relationship stress were not significantly different between the comprehensive nursing care services wards and the general wards. The interpersonal stress with a superior was statistically higher among general wards than comprehensive nursing care services wards. The relationship stress between patient and caregiver was higher in comprehensive nursing care services wards than in general wards. Conclusion: A follow-up study is needed to develop a strategic method to reduce interpersonal stress in nurses.

• Journal of Korean Clinical Nursing Research
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• v.28 no.3
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• pp.211-222
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• 2022

Purpose: This study aimed to identify the effects of preparedness towards delegation, critical thinking disposition, and communicative competence on job satisfaction among comprehensive nursing care service ward nurses and general ward nurses. Methods: The participants in this study were 218 nurses from two university hospitals. Data were collected using self-administered questionnaires and were analyzed using SPSS Statistics/WIN 21.0, including descriptive statistics, x² test, Fisher's exact test, t-test, ANOVA, Scheffeé test, Pearson's correlation coefficient, and multiple linear regression analysis. Results: For comprehensive nursing care service ward nurses, the significant influencing factors on job satisfaction were age (β=-.37, p=.041), marital status (β=.35, p=.001), critical thinking disposition (β=.29, p=.003), and communicative competence (β=.28, p=.002) with the explanatory power was 39.0% (F=12.00, p<.001). On the other hand, for general ward nurses, the significant influencing factors on job satisfaction were advanced degree (β=.29, p=.047), critical thinking disposition (β=.23, p=.040), and communicative competence (β=.42, p<.001) with the explanatory power was 33.0% (F=11.78, p<.001). Conclusion: The results of this study suggest the importance of developing and applying education programs to improve critical thinking disposition and communicative competence of nurses. This would enhance the comprehensive nursing service and increase overall nursing manpower resources. In addition, further studies are needed to improve nursing work environments and to develop strategies for enhancing preparedness towards delegation, which would increase the job satisfaction of nurses in the comprehensive nursing care service wards.

• Journal of Korean Public Health Nursing
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• v.32 no.2
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• pp.221-234
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• 2018

Purpose: This mixed method study was conducted to analyze the changes in nursing students' practice environment due to comprehensive nursing care services. Methods: For the quantitative study, a checklist and practicum evaluation surveys completed by 85 students were analyzed using SPSS utilizing a Mann-Whitney U test. For the qualitative study, 13 students with experience of practice in comprehensive nursing care service units participated in focus group interviews. The data were analyzed using a content analysis method. Results: From the qualitative findings, four themes and eight sub-themes were identified. The four themes were , , , and . The quantitative findings found that students could observe and perform fewer nursing tasks and the students' satisfaction with practice was lower in the comprehensive nursing care service unit. Conclusion: This study was meaningful in that it analyzed the experiences of nursing students in comprehensive nursing care services.

• Journal of Korean Public Health Nursing
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• v.33 no.2
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• pp.200-213
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• 2019

Purpose: This study was conducted to examine the effect of a fall prevention education on the fall related knowledge and fall prevention behavior of the elderly patients in comprehensive nursing care service wards. Method: A quasi experimental study with control group and experimental group was used. A total 62 elderly patients in comprehensive nursing care service wards were randomly divided into the experimental group(n=30) and the control group(n=32). The data collection period was from August to December, 2017. Data were analyzed with $X^2-test$, paired t-test, independent t-test and Pearson's correlation coefficient by using SPSS 25.0. Results: Experimental group reported higher score in fall related knowledge than the control group(t=-10.28, p<.001). Participants who viewed DVD and received the leaflet education reported higher score than those with routine admission education(t=-6.51, p<.001). The experimental group showed significant improvement in fall related knowledge and fall prevention behavior(r=.21, p=.015). Conclusion: The fall prevention program was effective in improving fall-related knowledge and fall prevention behavior among elderly patients. Since the DVD plus leaflet education was effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly patient in comprehensive nursing care service wards.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.73-81
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• 2020

This study compared nursing service satisfaction and revisit intention of comprehensive nursing care unit and general care unit patients and confirmed the impact of nursing service satisfaction on revisit intention. We used data from 201 survey questionnaires collected from four general hospitals located in B-metropolitan area. Data were collected from Jun 1 to 30, 2019. The data were analyzed using x²-test, t-test, ANOVA, Scheffé test, Pearson's Correlation Coefficient, and Stepwise multiple regression. The results show that nursing service satisfaction was significantly higher in patients admitted to the comprehensive nursing care unit than in the general care unit. There was a significant correlation in increased nursing service satisfaction being associated with increased revisit intention. Among subcategories of nursing service satisfaction, Empathy and Tangibles were cited by 56% of the comprehensive nursing care unit and 40% of the general care unit. As a result of this study, it is necessary to prepare a nursing system that can continuously monitor nursing service satisfaction in order to increase hospital revisit intention and expand the implementation of a comprehensive nursing care unit system.

• Journal of muscle and joint health
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• v.25 no.3
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• pp.196-204
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• 2018

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.