• Title/Summary/Keyword: Patient Participation

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Effect of Patient-centered Communication of Doctor on Patient Participation : Focusing on Moderating Effect of Trust (의사의 환자중심 커뮤니케이션이 환자참여에 미치는 영향 : 신뢰의 조절효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.278-286
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    • 2013
  • The main purpose of this study is to examine the effect of patient-centered communication of doctor(facilitating factor, inhibition factor) on patient participation(behavioral participation, emotional participation, informational participation). Concretely, it is confirmed where there are effects of patient-centered communication of doctor to patient participation and whether there are moderating effects of trust between patient-centered communication of doctor and patient participation. In domestic general hospital, 301 samples were for this analysis collected and tested by factor analysis and moderating regression analysis. As a result of this study is as followings. First, it is confirmed that communication facilitating factor have influences on patient participation positively and communication inhibition factor have no influences on patient participation. Second, there are moderating effects of trust between facilitating factor and emotional participation, between facilitating factor and informational participation. Especially, in higher level group of trust, it is confirmed that facilitating factor more influence on emotional participation and informational participation. On the basis of these study results, I suggested theoretical and practical implication for the patient-centered communication and successful medical service.

Effect of Treatment Setting of the Medical Services on the Patient Participation : Focusing on Moderating Effect of Negative Emotion (진료환경이 환자참여에 미치는 영향: 부정적 감정의 조절효과를 중심으로)

  • Kim, Chan-Jung;Lee, Jong-Hak
    • Management & Information Systems Review
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    • v.35 no.1
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    • pp.235-251
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    • 2016
  • The main purposes of this study is to examine the effect of treatment setting on patient participation, and the moderating effect of negative emotion between treatment setting and patient participation. For the purposes of this study's goals, the 320 samples for this empirical study were collected from the general hospital and medical clinic outpatients in C and carried out hierarchial regression by SPSS 19.0. The results of this study are as follows. There is positive effect of cleanness of the treatment setting on behavior factor in patient participation. The higher aging of patient have influences on emotional factor in patient participation. There are positive effects of the third person in treatment settings on emotional and informational factors in patient participation. There is negative effect of negative emotion on emotional and informational factors in patient participation. There are negative effects of time pressure in treatment settings on emotional and informational factors in Patient Participation. On interaction effect, there are positive effects of cleanness in treatment setting and negative emotion on emotional and informational factors in patient participation. Implications for theoretical and practical patient participation are discussed.

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Influence of Nursing Professional Value and Political Participation of Nurses on Patient Advocacy (간호사의 전문직관, 정치참여가 대상자 옹호에 미치는 영향)

  • Kim, Minji;Lee, Hyeonkyeong
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.140-148
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    • 2021
  • Purpose: This study aimed to identify the level of patient advocacy and to determine the influence of nursing professional value and political participation of nurses on patient advocacy theory. Methods: This study used a cross-sectional descriptive study design. Data were collected from 232 nurses from a tertiary hospital, three general hospitals, and a public health center in two districts of a metropolitan using self-reporting questionnaires. Data were analyzed by t-test, One-way ANOVA, Pearson's correlation coefficient, and multiple linear regression using SPSS/ WIN 21.0. Results: The mean score of patient advocacy was 4.64±0.55 out of 6, nursing professional value was 3.60±0.49 out of 5, and political participation was 2.21±0.71 out of 5. Nursing professional value (r=.37, p<.001) and political participation (r=.23, p<.001) showed a significant positive relationship with patient advocacy. Factors influencing patient advocacy were identified as nursing professional value (β=.28, p<.001) and political participation (β=.15, p=.014). Conclusion: Based on the findings that nursing professional value and political participation are key factors of patient advocacy, educational strategies and endeavors as level of professional organization are recommended for enhancing patient advocacy.

Effect of Doctors' Patient-centered Communication on the Patient Satisfaction and Treatment Outcomes : Focusing on Mediating Effect of Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향 : 환자참여의 매개효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.249-260
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    • 2013
  • The main purpose of this study is to examine the effect of doctors' patient-centered communication on patient satisfaction and treatment outcomes, and the mediating effect of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. For the purpose of this study's goal, the 339 samples for this empirical study were collected from general hospital outpatient in C. The results of this study are as follows, First, except prohibition factor there are positive effect careful listening factor, consideration factor on patient satisfaction and treatment outcomes. Second, there are positive effects of careful listening factor, consideration factor on emotional factor and informational factor, but there are no significant effect of prohibition factor on three factors of patient. Third, There are partial mediating effects of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. Last, based on the results of this study, we suggested implications for heighten the alternatives of patient satisfaction and treatment outcomes.

Does Community Participation Work? : A Study on the Impact of Health Care Reform in Chile

  • Park, Yun-Joo
    • Iberoamérica
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    • v.12 no.1
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    • pp.149-186
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    • 2010
  • Community participation in health has been praised as a new way of improving health inequality in developing countries for many decades. This paper is an attempt to evaluate community participation programs in health focusing on two intercultural health hospitals in IX Region of Chile. After exploring the process of program building and its impact on the quality of service, this paper concludes that a community participation program with stronger participation resulted in higher patient satisfaction. The author expects such finding to contribute to more comprehensive understanding of the impact of participation in health programs.

Patient Understanding of Patient Safety: Based on Results from Focus Group Discussion (환자안전에 대한 환자의 이해: 초점집단토의 결과를 중심으로)

  • Jeehye Im;Minsu Ock
    • Quality Improvement in Health Care
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    • v.28 no.2
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    • pp.50-60
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    • 2022
  • Purpose: To examine the degree of recognition regarding the concept of patient safety, as perceived by the patient, using a focus group discussion. Methods: A focus group discussion was conducted with a patient group comprising seven patients. Results: When the participants heard the term "patient safety" they seemed to understand it to be related to the hospital environment or satisfaction with the overall hospitalization experience. The participants emphasized communication between the medical staff and the patients in relation to the explanation of treatments, as well as the provision of information regarding prevention, experience, and the treatment of incidents with patient safety. They agreed on the need for indicators reported by patients. However, they emphasized that additional items and a questionnaire method that considers the patients' point of view are needed. Conclusion: It is necessary to establish and implement various strategies that can raise the awareness of patient safety using patient safety indicators and increase participation in patient safety activities.

Determination the nursing student's clinical competency based on new nurses' job analysis (신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정)

  • Kang, Ik-Wha;Lee, Eun-Ja;Lee, Kyu-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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A study of Nursing care need and the patient's satisfaction level of the nursing care in the emergency department (응급실 환자의 간호 요구도 및 만족도 분석)

  • Park, Yeong-Sook;Yoon, Jung-Won
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.1
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    • pp.73-85
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    • 2009
  • Purpose : The purpose of this study was to analyze the nursing care needs which can properly cope with patients' needs in emergency room, and grasp the patients' satisfaction level which can assess the care quality. It was aimed to check the level of today's care and provide basic data for care performance and care standard. Method : Data were collected from 192 patients in general hospitals in Daegu. The results are as followed. Results : First, the result of analysis conducted on the degree of overall patients' need for nursing care revealed that the need for nursing information (4.21+57) was the highest, followed by the order of information of patient's condition (4.05+53), emotional support (3.98+47), and nursing participation (3.65+54). Secondly, our study revealed that there was a significant negative correlat interrelation between care need and care satisfaction (r=.516, p<.01), indicating the higher the overall emergency room patients' nursing care need, treatment and nursing information, patient's condition, emotional support and nursing participation were, the lower the actual feeling of their satisfaction turned out. Conclusion : The study shows that treatment and nursing related information is the most highly needed and the patients' satisfaction level relies on actual care participation.

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Focus Group Study on Health Care Professionals' Experience of Patient Safety Education (의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구)

  • Park, Jeong-Yun;Lee, Yu-Ra;Lee, Eu-Sun;Lee, Jae-Ho
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.56-65
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    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

Factors Affecting Nursing Students' Practice of Patient Safety Management in Clinical Practicum (간호대학생의 임상실습 시 환자안전관리 실천에 미치는 영향요인)

  • Choi, Seung Hye;Lee, Haeyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.2
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    • pp.184-192
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    • 2015
  • Purpose: This study was done to assess nursing students' practice of patient safety management (PSM), identify factors affecting PSM and provide basic data to develop education programs to strengthen students' competencies for patient safety. Methods: In this descriptive research the practice of PSM by nursing students was examined and predictive factors were identified. Participants were junior and senior nursing students from 7 universities in 7 cities. Self-report questionnaires were used for data collection. Results: Significant positive correlations were found between knowledge of PSM, perception of the importance of PSM and practice of PSM. In multivariate analysis, women students, participation in patient safety education in school, knowledge of PSM, and practice of PSM predicted high perception of the importance of PSM. In multivariate analysis, senior year and participation in patient safety education in school predicted higher knowledge of PSM. In multivariate analysis, perception of the importance of PSM predicted high practice of PSM. Conclusion: In this study, knowledge was not found to directly affect PSM practice, but was found to affect the perception of the importance of PSM, a significant predictive variable. Thus, the importance of PSM should be strongly emphasized during education.