• Title/Summary/Keyword: Nursing service environment

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Development of an Evaluation Instrument for Service Quality in Nursing Homes (노인요양시설 서비스 질 평가 도구 개발)

  • Lee, Ji-A;Ji, Eun-Sun
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.510-519
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    • 2011
  • Purpose: The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality. Methods: A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's ${\alpha}$ and Cohen's Kappa. Results: Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's ${\alpha}$=.95. Conclusion: The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

Changes in Clinical Practice Environment of Nursing Students due to Comprehensive Nursing Care Services (간호·간병통합서비스로 인한 간호대학생 임상실습환경의 변화)

  • Kim, Jeonghyun;Shin, Sujin;Lee, Minkyung
    • 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.

Statistical Analysis Based on ICT for the Satisfaction and Service Evaluation of Patients Admitted to a Nursing Care Integrated Service Ward (간호간병통합서비스 병동 입원 환자의 만족도와 서비스 평가를 위한 ICT 기반 통계분석)

  • Nam, Soon-Yeul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.229-236
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    • 2017
  • The Nursing Care Integrated Service is an inpatient service provided in a ward equipped with all kinds of professional nursing services, nursing environment improvement, and patient safety management through team nursing staff placement through appropriate nursing staff placement. The subjects of the study were 92 patients who agreed to understand and participate in the research purpose as the inpatient ward of a general hospital in Gyeonggi Province, for the study method, frequency, percentage, mean, standard deviation, t-test, ANOVA were applied using SPSS/WIN 21.0 program and the post test was Scheffe test. In addition, the correlation between nursing satisfaction and service evaluation was analyzed by Pearson's correlation. This paper is meaningful in that it reaffirms the importance of satisfaction and presents basic data for improving the quality of service of nursing care integrated service ward inpatients.

Effect of Supervising Infectious Medical Waste and Eco-Friendly Health Care Service Orientation as Perception of the Environment Problem of Hospital Nurse (병원간호사의 환경문제인식이 감염성폐기물 관리 실천 및 친환경의료서비스 지향성에 미치는 영향)

  • Yoo, Meong-Sook;Seo, Young-Sook;Son, Yu-Lim
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.39-47
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    • 2013
  • Purpose. To examine the orientation of the eco-friendly Health care service on korean Hospital nurses Methods. Between October 2012 and November 2012, two hundred eighty five nurses (mean age, $25{\pm}17$ years; age range, 22~42yrears) were enrolled in this study. They performed a questionnaire which related to environmental problem, hospital infectious wastes manage and eco-friendly care service orientation. Results. Within the results, There were statistically significant correlation between "Hospital infectious wastes management" and "environmental problem awareness"(r=0.45, p<.001), "eco-friendly care service orientation"and "environmental problem awareness" (r=0.48, p<.001), and "eco-friendly Health care service orientaton" and "Hospital infectious wastes management"(r=0.50, p<.001). Conclusions. In current study, these results express that it is necessary to promote environmental problem awareness and hospital infectious wastes management practice for the "orientation of the eco-friendly Health care service on korean hospital nuurses.

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Economic Evaluation of a Workplace Occupational Health Nursing Service: Based on Comparison with Atmospheric Environment Managing Engineer (사업장 내 간호사 활동의 경제성 분석: 간호사와 대기환경관리기사 비교를 통하여)

  • Jung, Hye-Sun;Lee, Bokim
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.507-516
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    • 2013
  • Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness (종합병원 진료협력간호사의 전문직업성, 역할갈등, 근무환경이 직무배태성에 미치는 영향)

  • Kang, Kyeong Hwa;Lim, Yeon Jae
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.424-436
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    • 2016
  • Purpose: The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness. Methods: The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province. Results: Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory. Conclusion: Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.

A Study on the Suicidal Ideation and Self-esteem of Nursing Students (간호대학생의 자살생각과 자아존중감에 관한 연구)

  • Jung, Ha-Yun;Jung, Kwuy-Im
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.149-160
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    • 2013
  • The purpose of this study was to investigate the relationships of suicidal ideation and self-esteem of nursing students. The subjects of the study were 438 nursing students. The period of data collection was from September 1 to 30, 2012. The data was analyzed by SPSS 19.0 program. The result are as follows; First, the average of suicidal ideation was 1.74 and self esteem was 3.48 points. Second, suicidal ideation was significantly different according to economic status, health status, friendship, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Self-esteem was significantly different according to economic status, health status, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Third, suicidal ideation was correlated with positive self esteem negatively and negative self esteem positively. Forth, the influencing factor in suicidal ideation of participant were self esteem, friendship and satisfaction on school, $R^2$=.370. Thus, development of guidance program to decrease suicidal ideation of nursing students is recommended.

The Concept Analysis of the Organizational Culture of Nursing Service in Hospital Setting (병원 간호조직문화 규명을 위한 연구(2);간호조직문화 개념 분석)

  • Kim, Moon-Sil;Chun, Mi-Soo;Bang, Hee-Sook;Moon, Sun-Young;Lee, Soon-Hee;Han, Soo-Jung;Kim, Jung-A;Park, Hyun-Tae
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.1
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    • pp.87-97
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    • 1999
  • Rapidly changing healthcare environment and professional nursing practice need a strategy for the organizational development and goal attainment. An understanding of organizational culture could help managers enhance or expend their management strategy, thus increasing the probability of their success in the organization. On the other hand. organizational culture is an abstract concept and can show several views between sciences applying it. Therefore. organizational culture can be described to different ways with roots in each other discipline. Thus. it is necessary to define the concept of organizational culture in nursing perspective. This article reports a study conducted to analyze the concept of Nursing Service Organizational Culture. This study is performed by the guideline of Walker and Avant for concept analysis : selecting a concept. detering aim of analysis, identifying all use of concept. defining attributes. constructing model. contrary, borderline. related cases. identifying antecedents and consequences. According to the results of this study. the following definition attributes of Nursing Service Organizational Culture was suggested. We could define that nursing service organizational culture is the pattern of basic assumption and common belief that shared by the subordinates of nursing service. So, it provides a shared identity for all employees. Attributes of Nursing Service Organizational Culture were defined as (1) it is performed by the result of the interaction through formal. informal communication among nursing service organizational subordinations. (2) it has been performed unconsciously and reacts without ever thinking about the behavior. (3) it makes a unique pattern of behaviors to each nursing organization. which is different from other groups. (4) it has a broad and subtle forces to its subordinates. (5) it provides subordinates with the way of thought and behavior. (6) it influences on the output. stability. and de velopment of nursing service.

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A Study on Nursing Students' Volunteer Experience in Visiting Ambulatory Bathing Service (간호대학생의 방문이동목욕 봉사경험 연구)

  • Hwang, Seung-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.308-322
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    • 2004
  • Purpose: 'The purpose of the present study was to understand students' experiences from their standpoint, to identify relevant variables and to examine into their relations by analyzing and describing what phenomenon 'nursing students' visiting ambulatory bathing service' is, what are the reasons for the phenomenon, and what interactions are in the phenomenon. Method: The subjects were thirteen students. Data were collected through in-depth interviews and analyzed by Strauss and Corbin's analysis method. Result: With regard to ambulatory bathing service, participants responded 'lack of education', 'inexperienced personal relations' and 'disappointment with recipients families'. They recognized 'burden' and 'compassion'. The intensity of generated 'burden' and 'compassion' was determined by volunteering persons, the degree of health care service, recipients' response and interaction of climate. When 'burden' and 'compassion' were generated, participants selected their own coping strategies. Strategies in the situation of 'burden' and 'compassion' were significantly influenced by 'burden' and 'compassion' and structural situation - 'mutual relation structure,' 'volunteers' capability,' 'the degree of volunteering guidance,' 'community participation,' 'recipients' environment,' 'information sharing,' 'special vehicle equipment' and 'economical burden.' Strategies include' service training,' 'receiving volunteering training,' 'preliminary service preparation,' 'volunteering.' 'connection to local medical center,' 'intention,' 'information sharing,' 'passive response to recipients' appreciation' and 'the understanding of publicity'. The results of selected 'burden' and 'compassion' are described with 'worthiness' and 'cohesion' as follows. Conclusion: This study is significantly meaningful in that it examined bathing service welfare in its initial stage. There are not much outcome from previous studies. However. it is meaningful that this study intended to develop theories on the nature of experiences and the relations among concepts derived from the visiting ambulatory bathing service process of nursing students. Professors who taught social volunteering in universities understood the experience of nursing students who did the visiting ambulatory bathing service. Consequently, professors will provide an effective instruction to enable these students to carry out visiting ambulatory bathing services efficiently in order to meet demands when they conduct the services. For the volunteering service activity in major-related fields among college students' social volunteering activities, they recognized the necessity of systematic education and preparation.

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Impacts of Psychosocial Work Environment on Nurses' Job Satisfaction Based on the Type of Hospital Departments (종합병원 간호사의 부서별 사회심리적 업무환경이 직무만족에 미치는 영향)

  • Won, Hyo-Jin
    • The Korean Journal of Health Service Management
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    • v.12 no.1
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    • pp.47-56
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    • 2018
  • Objectives : The purpose of this study was to compare the characteristics of nursing work environments based on department type and to investigate the relationship between work environment and job satisfaction. Methods : The participants were 420 nurses from the ward, emergency room, intensive care unit, and operation room. The data were analyzed by descriptive statistics, ANOVA, Scheffe's test, and multiple regression test using the SPSS Win. 18.0 program. Results : The results were as follows: There was a significant difference in possibilities for development, meaning of work, recognition(reward), role clarity, and social community at work based on department type. The factors that influenced job satisfaction were influence, meaning of work, recognition(reward), role conflicts, and quality of leadership and these differed based on department type. Conclusions : The results of this study indicate that nursing work environments vary based on the type of hospital department. Therefore, it is necessary to develop diverse strategies for human resource management considering the type of department.