• 한국병원경영학회지
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• 제25권3호
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• pp.78-86
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• 2020

Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data. Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients. Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

• 보건의료산업학회지
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• 제12권1호
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• pp.81-93
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• 2018

Objectives : This cross-sectional study aims to investigate the differences in general health status (GHS) and physical care burdens (PCB) of inpatient groups in long-term care hospitals (LTCH). Methods : The data of 228 patients were analyzed by integrating the electronic medical record (EMR) data of 2016, recorded by the nurses of hospitalized patients in the hospital. Results : There was a statistically significant difference in the GHS between the high-medical demand group and the other groups, but there was no difference in the GHS among other groups. The overall PCB was higher in the high-medical demand group than in the middle-medical demand, and cognitive impairment groups, but not in the problem behavioral group. Conclusions : The current classification of patient groups has shown limitations in terms of the basis of differential benefits of the groups. In particular, the PCB of the problem behavior group was not different from that of any group; hence, it should be adjusted through further study. To control the surge of medical care costs, it is necessary to improve the irrationality of the LTCH pay system in terms of the integration and continuity for elderly care.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.1989-2001
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• 2015

본 연구는 요양병원 간호사의 간호역량 중요성 인식과 간호역량수준을 파악하고, 이들 영향요인을 분석하기 위해 시도되었다. 연구대상은 일 지역 11개 요양병원 근무 간호사 243명이었으며, 연구기간은 2014년 8월 25일부터 9월 3일이었다. 수집된 자료는 SPSS WIN 19를 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석되었다. 연구결과 요양병원 간호사의 간호역량 중요성 인식 정도는 평균 $4.21{\pm}0.48$점(1-5점 범위), 간호역량수준은 평균 $3.47{\pm}0.46$점(1-5점 범위)이었다. 간호역량 중요성 인식에 비해 간호역량수준이 유의하게 낮았다. 회귀분석 결과 요양병원 간호사의 간호역량 중요성 인식에는 직위(${\beta}=.19$)가 유의한 영향요인으로 규명되었다. 간호역량수준에는 간호역량 중요성 인식(${\beta}=.37$), 연령(${\beta}=.20$), 현 직장경력(${\beta}=.13$), 건강상태(${\beta}=.13$)가 유의한 영향요인으로 규명되었다. 본 연구결과를 바탕으로 요양병원 간호사의 간호역량의 특성을 보다 잘 반영할 수 있는 측정도구의 개발과 간호역량 강화 프로그램의 개발 및 효과검증 연구를 제언한다.

• 한국융합학회논문지
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• 제7권3호
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• pp.167-175
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• 2016

본 연구는 요양병원 간호사의 심폐소생술 관련 스트레스, 피로 및 직무만족도와의 관계를 파악하기위한 서술적 조사연구이다. 연구대상은 광주 전남지역에 소재한 요양병원에 근무하는 간호사 220명에 대한 자료를 2014년 11월17일부터 11월30일까지 수집하여 SPSS 20.0 version program을 이용하여 분석하였다. 연구결과 심폐소생술 관련 스트레스 평균은 $3.29{\pm}.64$점, 피로평균은 $3.37{\pm}.56$점, 직무만족도는 $3.06{\pm}.44$점으로 나타났다. 대상자의 일반적 특성에 대한 심폐소생술 관련 스트레스와 피로는 성별, 인력부족에 따라 유의한 차이가 있었으며, 직무만족도는 유의한 차이가 없는 것으로 나타났다. 심폐소생술 관련 스트레스와 피로는 양의 상관관계가 있는 것으로 나타났다. 피로에 영향을 미치는 요인으로는 심폐소생술 관련 스트레스로 27.8%의 설명력을 나타냈다. 따라서 요양병원 간호사의 심폐소생술 관련 스트레스, 피로 및 직무만족도와의 융합적 관련성을 고려하여 스트레스 중재방안 모색, 탄력적인 간호인력 운영, 편안한 병원환경 조성이 요구된다.

• 가정간호학회지
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• 제30권1호
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• pp.69-83
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• 2023

Purpose: This study aimed to present Blue Ocean strategies by deriving the strategic elements of a visiting nursing center and conducting a survey on the importance and satisfaction of care clients. Methods: First, a FGI was conducted targeting the head of the visiting nursing center to derive its strategic elements. Subsequently, importance and satisfaction surveys on the derived strategy elements were analyzed, an IPA matrix was derived, and an as-is ERRC Blue Ocean strategy was established. Kano's Three-Factor Theory was used to derive a competitive position matrix and establish a to-be ERRC Blue Ocean strategy. The Blue Ocean Strategy for Visiting Nursing Center Management is presented in this study. Results: Four as raise factors were derived from combining the results of the as-is, to-be ERRC strategy element analysis: retention of competent nurses, education in medication management, maintenance of high customer satisfaction, and prompt handling of customer complaints. Additionally, the customer's health condition evaluation was derived. Conclusion: Blue Ocean Strategies can be used to analyze, derive, and establish management strategies in various nursing-related entrepreneurship fields.

• 근관절건강학회지
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• 제26권2호
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• pp.81-89
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• 2019

Purpose: The purpose of this study is to explore factors affecting the retention intention of nurses working at long-term care hospitals. Methods: Data were collected from 147 nurses working in 10 long-term care hospitals using self-report questionnaires of role conflict, job satisfaction, professional pride and retention intention T-test, ANOVA, Pearson correlation and multiple regression were used to analyze the data. Results: The mean age of subjects was $47.4{\pm}10.1$ (22~65). Average length of clinical experiences was $170.12{\pm}98.99$ months. The level of retention intention was significantly different by the educational level (t=4.21, p=.017). Retention Intention was significantly associated with professional job satisfaction (r=.36, p<.001) and professional pride (r=.69, p<.001), but were not significantly correlated with role conflict (r=-.07, p=.376). The multiple regression analysis shows that significant factors, affecting the retention intention were professional pride (t=9.87, p<.001) and job satisfaction (t=3.37, p=.001), which explained 46.1% of the retention intention collectively. Conclusion: It is crucial to make substantial efforts to increase professional pride and job satisfaction in order to increase nurses' retention intention.

• 한국융합학회논문지
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• 제13권1호
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• pp.409-415
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• 2022

본 연구는 요양병원 간호사를 대상으로 간호 서비스 질에 영향을 주는 요인을 파악하여 간호서비스 질 향상에 도움이 되고자 시도되었다. 또한 간호 근무 환경, 인간중심 돌봄, 직무스트레스와 간호서비스 질의 상관관계를 파악하고자 한다. 본 연구는 G지역에 근무하는 요양병원 간호사 129명이 대상이었으며, 자가 설문지를 사용하였다. 연구도구는 간호 근무환경, 인간중심 돌봄, 직무스트레스, 서비스 질을 사용하였고, 수집된 자료는 SPSS 24.0으로 분석하였다. 연구 결과 요양병원 간호사들의 서비스 질의 영향요인은 기혼, 간호 근무환경, 인간중심 돌봄으로 확인되었으며, 간호 서비스 질을 49.9% 설명하였다. 이중 간호 근무환경은 간호 서비스 질에 가장 큰 영향요인으로 확인되었고, 간호사의 근무환경 개선이 필수적으로 선행되어야 간호 서비스 질이 향상될 수 있음을 시사한다. 더불어 위의 결과를 토대로 병원 경영진은 바람직한 간호 근무환경을 조성하기 위한 조직 구조 개선을 통한 제도 개선에 나서야 하며, 인간중심 돌봄에 대한 병원 구성원의 인지 정착과 인간중심 돌봄 확대를 위한 다양한 프로그램 개발에 노력해야 할 것이다.

• 대한간호학회지
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• 제44권1호
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• pp.21-30
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• 2014

Purpose: This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. Methods: A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. Results: Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. Conclusion: To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.

• 지역사회간호학회지
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• 제28권4호
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• pp.366-374
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• 2017

Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean Version of the Nurses' Self-Concept Instrument (NSCI) geriatric hospital nurses in Korea. Methods: Bilingual nursing professionals performed translation and back-translation. Reliability and validity of the content and construction of the instrument were confirmed. Internal consistency reliability was determined. Construction and concurrent validity were verified using factor analysis and correlation coefficients. Results: The total 14 items for the Korean version of the Nurses' Self-Concept Instrument (NSCI) were retained through item analysis. In explanatory factor analysis, four subcategories were proposed with their names of each factor: 'Leadership', 'Staff relation', 'Knowledge', and 'Care'. The four factors accounted for 78.81% of the variances. The Cronbach's ${\alpha}$ regarding internal consistency were .77~.91 for the NSCI subscales. Correlation among four subcategories ranged .62~.84. Conclusion: The findings show that the Korean version of the Nurses' Self-Concept Instrument is reliable and valid for measuring professional Self-Concept of geriatric hospital nurses in Korea.

• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.