• Quality Improvement in Health Care
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• v.26 no.1
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• pp.11-22
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• 2020

Purpose: The objective of this study was to compare and analyze the work environment, role conflict, and job embeddedness between comprehensive nursing care service (CNCS) ward nurses and general ward nurses. Methods: This descriptive research study involved 70 CNCS ward nurses and 69 general ward nurses working at an advanced general hospital in Seoul. Data were collected using the structured questionnaire from March 27 to April 14, 2019 and analyzed with the SPSS 24.0 program. Results: The work environment of the CNCS ward nurse was higher than that of the general ward nurse (t=4.38, p<.001), and the role conflict of the CNCS ward nurse was lower than that of the general ward nurse (t=-2.09, p=.038). However, job embeddedness did not show any statistically significant difference (t=0.22, p=.824). Conclusion: The results of this study show that the introduction of CNCS ward has shown improvement in the work environment and strengthened the establishment of the roles in their team, while maintaining the job embeddedness of nurses. These results indicate that improvements in the work environment, such as nurse staffing and material support, would contribute to the qualitative enhancement of nursing and that it would need to extend the introduction of CNCS wards.

• Journal of The Korea Institute of Healthcare Architecture
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• v.9 no.2
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• pp.7-16
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• 2003

Terminal cancer patients in Korea have increased due to the development of medical technology and the structural change of diseases resulted from life quality improvement. Following this trend, many hospitals are making efforts, such as renovating hospice wards, but architectural criteria are not sufficiently suggested for specialized hospice wards. The purpose of this study is to present the research data to improve the quality of hospice ward in general hospital. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of hospice ward. And, case study method was used to generate the design data which can be used for the appropriate spatial composition and the area calculation.

• Journal of Preventive Medicine and Public Health
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• v.23 no.1 s.29
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• pp.11-21
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• 1990

This study refers to the problem of long-term inpatient flow in a general hospital. In this study, a queueing simulation model was developed for the two departments in the hospital with a homogeneous case mix and relatively many long-term inpatients in order to increase the turnover rate and hospital charges. Before the simulation n, the model was verified by the Kolmogorov-Smirnov test. The following results were generated by three alternative models of the special bed policies. 1. Alternative I : When long term inpatients were admitted to the wards belonging to departments A and B without transfer to other departments and special beds, the average turn-over rate decreased by 2-4% and the average hospital charges decreased by 70 million won. 2. Alternative II : When long-term inpatients were transferred to department C but the transfer of wards was determined by department C in order of clinical need, the average turnover rate increased by 4-13% but the average hospital charges decreased by 30 million won. This result was not greatly different from the present state. 3. Alternative III : When long-term inpatients were transferred to the special wards and department C simultaneously, the increase in the average turnover rate and hospital charges was equivalent to the increase of two beds in the special wards. When the special wards were allocated 16 beds, the average turnover rate of departments A and B increased by about 55% and 20% respectively. Also, the hospital charges increased by about 0.44 billion won. As a result, transfer to department C and the use of 16 beds in the special wards for long-term inpatients of departments A and B is expected to maximize the hospital revenue. However, as the above special bed policy can not increase the turnover rate above 60%, there is a need for a more comprehensive policy to further increase the rate. The development of an elaborate model should include the number of long-term inpatients in all clinical departments, the special wards system or an increase of hospital beds to handle admission needs, and the resources of the hospital by department. When the alternatives are evaluated, a cost-benefit analysis in addition to the turnover rate and the hospital charges should be considered.

• Journal of East-West Nursing Research
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• v.27 no.1
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• pp.22-31
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• 2021

Purpose: This study aims to examine the relationships between the self-leadership, role conflict, nursing work environment, and quality of nursing service in comprehensive nursing care service wards and identify the factors that affect the quality of nursing service. Methods: The data were collected from 158 nurses working in comprehensive nursing care service wards from three general hospitals with 200 beds or more in Seoul, Korea. The data were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson's correlation coefficient, and multiple linear regression analysis of enter method using SPSS/WIN ver 22.0 program. Results: The factors of quality of nursing services were self-leadership (β=.44, p<.001), nursing work environment (β=.17, p=.014), and the work experience in comprehensive nursing care service wards (β=-.15, p=.035) explaining 32% of the total variance. Conclusions: The results indicated that self-leadership, work experience in the comprehensive nursing care service wards, and nursing work environment affect the quality of nursing services of nurses in the comprehensive nursing care service wards. It is necessary to make efforts for seeking various intervention strategies and improving nursing work environment.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.4
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• pp.89-97
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• 2022

Purpose: Because of the recent COVID-19 pandemic, there have been many cases of using portable negative pressure unit to convert general wards into temporary negative pressure isolation wards. The purpose of this study is to analyze the indoor environment of the switching type wards. Methods: Field measurements and experiments were conducted in a medical facility. Air volume, wind speed and pressure difference were measured in non-occupant state. Dispersion tests were performed with gas and particle matter. Results: The pressure difference between the wards and the corridor was higher than -2.5 Pa in normal situation. However, in the gas and particle dispersion tests, it was found that there were concerns about the spread through leakages in low-airtight walls or ceilings. In addition, it was confirmed that the pressure imbalance in ducts through the non-sealed diffusers could cause back flow during portable unit operation. Furthermore, when there was a pressure difference between adjacent wards planned to be at same pressure level, the possibility of the spread through the leakages was found. Implications: When using portable units for making switching type wards, it is necessary to create airtight space and seal the non-operation diffusers. In case of operating the air handling unit, T.A.B must be performed to adjust the duct balancing.

• Journal of the Korea Convergence Society
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• v.11 no.8
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• pp.77-87
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• 2020

The purpose of this study was to investigate and compare job satisfaction, job stress, and nursing task performance for nursing and nursing integrated service wards and general ward nurses to provide basic data for efficient nursing manpower management in nursing and nursing integrated service wards. For comparative research. The subjects were 136 nurses in the nursing and nursing integrated service ward and general ward nurses at a general hospital in D metropolitan area. There was no significant difference between the groups in the job satisfaction, job stress, and nursing task performance of the nursing and nursing integrated service ward nurses and general ward nurses. The performance was high. Factors influencing the performance of nursing tasks were job satisfaction and job stress, with 20.6% of nurses in nursing and nursing integrated service wards and 47.5% of nurses in general wards. Therefore, there is a need for support to improve the ability to perform nursing tasks that can increase job satisfaction and maintain job stress.

• Journal of Korean Academy of Nursing
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• v.51 no.4
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• pp.454-464
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• 2021

Purpose: This study aimed to identify the level of complete knowledge about hand hygiene indications among nurses working at integrated nursing care service wards. Methods: A total of 127 nurses in eight integrated nursing care service wards completed structured sheets while observing a video based on six scenarios developed by the research team. Complete knowledge level was calculated as the percentage (%) of participants who responded correctly to all questions among participants. Complete knowledge levels according to the scenarios were calculated and compared according to general characteristics using the chi-squared test or Wilcoxon rank-sum test. Results: The complete knowledge level for each scenario ranged from 7.9% (scenario 6) to 42.5% (scenarios 4 and 5), and no one had complete knowledge of all scenarios. Only 3.1% of participants demonstrated complete knowledge in more than four scenarios, and 26.0% had complete knowledge of four or more hand hygiene moments. Complete knowledge level per scenario did not differ depending on work experience at hospitals and study wards, or prior hand hygiene training in the last year. Conclusion: As the complete knowledge level regarding hand hygiene moment is very low, it is suggested that regular hand hygiene training should be provided to nurses using video media that reflect real nursing tasks. Thus, they can acquire complete knowledge of when hand hygiene is needed or not during complex nursing work situations.

• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.56-66
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• 2023

Purpose: This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries. Methods: This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated. Results: Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant. Conclusion: It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

• Journal of The Korea Institute of Healthcare Architecture
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• v.13 no.2
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• pp.7-18
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• 2007

The most recent study of the hospital design indicates that the researchers focus more on creating the healing environment within the hospital facility. Furthermore, it demonstrates the environment of individual living space for patients such as hospital wards becomes much more significant. This study seeks to analyze how various configurations and compositions of the resting space in the general hospital in Korea affect on patients in the aspect of healing environment and its treatment provided within the facility. The behavior of patients and their family members are analyzed thru the observation and the surveying process in order to find out the level of satisfaction and their demand for the healing environment in the resting space such as day-rooms, corridors and external garden. Finally, the purpose of this study is to create the principles of architectural composition for the healing environment in the hospital design.

• Journal of Korean Medical Science
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• v.33 no.45
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• pp.280.1-280.9
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• 2018

Background: Surveillance and interventions of central line-associated bloodstream infections (CLABSIs) had mainly been targeted in intensive care units (ICUs). Central lines are increasingly used outside ICUs. Therefore, we performed a hospital-wide survey of CLABSIs to evaluate the current status and develop strategies to reduce CLBASI rates. Methods: All hospitalized patients with central venous catheters (CVCs) were screened for CLABSIs from January 2014 through December 2015 at a 1,328 bed tertiary care teaching hospital in Korea using an electronic data-collecting system. Clinical information including type of CVC was collected. CLABSI rates were calculated using the definitions of the National Health and Safety Network after excluding mucosal barrier injury laboratory-confirmed bloodstream infection (BSI). Results: A total of 154 CLABSIs were identified, of which 72 (46.8%) occurred in general wards and 82 (53.2%) in ICUs (0.81 and 2.71 per 1,000 catheter days), respectively. Nontunneled CVCs were most common (68.6%) among 70 CLABSI events diagnosed within one week of their maintenance. On the other hand, tunneled CVCs and peripherally inserted central catheters (PICCs) were more common (60.5%) among 114 CLABSI events diagnosed more than a week after maintenance. Whereas the majority (72.2%) of CLABSIs in ICUs were associated with non-tunneled CVCs, tunneled CVCs (38.9%) and PICCs (36.8%) were more common in general wards. Conclusion: CLABSIs are less common in general wards than in ICUs, but they are more often associated with long-term indwelling catheters. Therefore, interventions to prevent CLABSIs should be tailored according to the type of ward and type of catheter.