• Title/Summary/Keyword: Quality of Nursing Service

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Literature review on the domestic studies of the Outcomes of Home Care Service for 1981-1996 (국내 가정간호 사업의 성과 측정 연구의 고찰)

  • Yun, Soon-Nyoung;Cho, Myoung-Sook;Kim, Hong-Soo
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.4
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    • pp.41-52
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    • 1997
  • The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

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The Relationships among the Service Education Satisfaction, Service Involvement, and Customer Orientation of Hospital Employees (의료기관 종사자의 고객접점 (MOT)서비스교육만족도, 고객지향성 및 서비스몰입 간의 관계)

  • Lee, Seung-Hee;Choi, Yeon-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.337-345
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    • 2011
  • Purpose: This study was conducted to evaluate the relationships among the service education satisfaction, service involvement, and customer orientation of hospital employees after yearly-planned MOT service education. Methods: The data collection was done through the questionnaire survey in a university hospital located in D city from March 15 to 31, 2010. The statistical analysis was done by SPSS/WIN 18.0 program. Results: The enrolled employees were two hundred and seventy six. Among the characteristics of employees, adequate work load, good payment, reasonable promotion system, suitability of work aptitude and good relationships with staff improved the service education satisfaction, customer orientation, and service involvement of hospital employees. For the customer orientation, old age and lower educational background were positive factors. The correlations among the service education satisfaction, customer orientation, and service involvement of hospital employees were significant. The factors that affect customer orientation and service involvement were found to be age, suitability of work aptitude and service education satisfaction. Conclusion: In conclusion, customer orientation and service involvement were related with the satisfaction of employees for working condition and service education. In terms of good medical service quality, plans for maintaining adequate working environment and systematic service education should be established.

Incidence of Falls and Risk Factors of Falls in Inpatients (입원환자의 낙상 실태 및 위험요인 조사연구)

  • Yoon, Soo-Jin;Lee, Chun-Kyon;Jin, In-Sun;Kang, Jung-Gu
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.2-14
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    • 2018
  • Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

Effectiveness Analysis and Development Plan of Non-face-to-face Service for Loneliness of the Elderly in the Community: A Systematic Review (지역사회 노인의 외로움 중재를 위한 비대면 서비스의 효과 분석 및 개발안 마련: 체계적 문헌고찰)

  • Choi, Hee Kyung;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.29 no.1
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    • pp.28-40
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    • 2022
  • Purpose: The purpose of this study is to reduce loneliness through a systematic review by analyzing the effectiveness, composition and method of non-face-to-face services on the elderly living in the local community. Methods: From June 11 to 15, 2021, related papers were searched using six databases: Ovid-Medline, Ovid-Embase, Cochrane library, KISS, Koreamed, and RISS. Two authors independently assessed the quality of selected studies and data was synthesized. Results: Non-face-to-face services promoted loneliness and social isolation, social support and quality of life, other emotional responses, attitudes and usability, and diet and exercise. As the composition and method of services are being tried in various ways, it is necessary to develop a comprehensive service using ICT to provide systematic intervention to the elderly in the local community. Conclusion: Reflecting the difficulties in implementing face-to-face services due to COVID-19, it is expected to be used as basic data for developing comprehensive non-face-to-face services that meet the major needs of the elderly people and maintain the continuity of care.

Factors Influencing Quality of Life of Elderly People with Dementia (치매노인의 삶의 질에 영향을 미치는 요인)

  • Kim, Hwasoon;Lee, Young Whee;Choi, Sung Hee;Ham, Youn Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.79-88
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    • 2018
  • Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

A Study on Relations among the Job Stress, Job Satisfaction, Emotional Labor, and Turnover Intention of Nurses at the Comprehensive Nursing Care Service and General Wards

  • Young-ok Yoon;Sun-Yeun Hong
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.11
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    • pp.181-190
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    • 2023
  • In this paper is a descriptive survey research to compare correlations among the job stress, job satisfaction, emotional labor, and turnover intention of nurses between the comprehensive nursing care service and general wards. The subjects include total 185 nurses that consisted of 93 nurses at the comprehensive nursing care service ward and 92 at the General Ward. Results of this study are as follows; The study analyzed correlations among the job stress, job satisfaction, emotional labor, and turnover intention of nurses at the comprehensive nursing care service and general wards and found that both the groups showed significant positive correlations between job stress and emotional labor, between job stress and turnover intention, and between emotional labor and turnover intention, which indicates that higher job stress led to higher emotional labor and that higher job stress and emotional labor led to higher turnover intention. These findings raise a need to increase the manpower standard, offer proper rewards, and improve the work environment and treatment for nurses, who play the pivotal roles at the hospital organization, to solve their increased job stress and emotional labor issues and ultimately ensure the successful expansion of the comprehensive nursing care service system. There should be multifaceted efforts to reduce the turnover of skilled nurses that are capable of providing quality nursing service.

Effects of Sleep Quality, Rehabilitation Motivation, Depression, and Anxiety on Quality of Life in Occupational Accident Patients (산업재해 환자의 수면의 질, 재활동기, 우울, 불안이 삶의 질에 미치는 영향)

  • Heo, Su Ji;Kim, Hyun Kyoung
    • Journal of East-West Nursing Research
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    • v.29 no.1
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    • pp.15-23
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    • 2023
  • Purpose: The purpose of this study was to identify the effect of sleep quality, rehabilitation motivation, depression, and anxiety on quality of life in occupational accident patients. Methods: The participants were 138 patients who in and outpatient treatment at a hospital affiliated with the Korea Workers' Compensation and Welfare-service Hospital located in Daegu and Daejeon. Data were analyzed by independent t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program. Results: Quality of life had a significant negative correlation with sleep quality, depression, and anxiety, respectively, but had a significant positive correlation with rehabilitation motivation. Hierarchical multiple regression analysis showed that anxiety was a major factor affecting the quality of life of occupational accident patients. Anxiety showed 42.7% of explanatory power for the quality of life of occupational accident patients. Conclusion: Based on the results of this study, in order to improve the quality of life of patients with occupational accidents, psychological interventions for anxiety should be provided first in the early stage of treatment.

A Survey of Specialized In-Service Educational Programs in Hospitals in Korea (병원 내 전문 간호 교육 과정 현황 조사)

  • Kim, Sun-Ae;Park, Kwang-Ok;Kim, Young-Boon;Kim, Bok-Soon;Choi, Eun-Sung;Byun, Eun-Kyung;Jung, Hyo-Si
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.205-215
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    • 2009
  • Purpose: This paper was intended to identify various kinds of specialized in-service educational programs in the hospital. Method: The data was collected from June to July, 2006. The subjects were 67 general hospitals in Korea. Result: Specialized in-service educational programs were present at 36 general hospitals. Thirty-three programs were operating in the field of intensive care nursing. The purposes of specialized in-service education programs were to improve the quality of nursing care. Conclusion: Since the clinical nurse specialist was legally established in 2005 in Korea, various kinds of specialized in-service education programs for nurses are needed under the organized framework of the career development system.

Activities of Daily Living and Nursing Needs of the Elderly in Nursing Home (요양시설 노인의 간호요구도 및 일상생활 수행능력)

  • Kim, Kwuy-Bun;Lee, Hye-Kyung;Sok, So-Hyune R.
    • Research in Community and Public Health Nursing
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    • v.20 no.1
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    • pp.1-11
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    • 2009
  • Purpose: The study was a survey study to identify the Activities of Daily Living (ADL) and nursing needs of the elderly in the nursing home and derive the fundamental data for offering the better quality of nursing service to them. Methods: The subjects were the 111 elderly aged over sixty five living in the nursing home located in Seoul. Measures were the nursing needs scale and ADL scale. The data were analyzed by SAS 11.0. Results: First, with regard to the nursing needs, the general need was scored average 3.0, and the emotional' social need was 3.7, and the physical need was 3.1, and the informational need was 2.7. Second, the ADL was scored at the average of 2.7, bathing 1.9,. eating 3.1. Third, In correlation between the nursing needs by area, the informational nursing needs showed the sheer correlation with the physical nursing needs, emotional' social nursing needs. The physical nursing needs showed the sheer correlation with the informational. social nursing needs, and the inverse correlation with the ADL. Conclusion: It is necessary that it should improve the service to meet the emotional and social nursing needs and develop the extensive nursing programs satisfying their desires based on the general traits of the elderly.

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A Convergence Study about System of Public Health Nurse (공중보건간호사제도 관련 융합연구)

  • Lee, Young-Shin
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.13-23
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    • 2016
  • The purpose of this convergence study was to describe Medical Service Providers and Consumers' perception of the PHN system, and of the Quality of nursing provided by male nurses. This study was a cross-sectional survey. The subject group included medical service providers and consumers. Data were analyzed using descriptive statistics, Chi-square and t-test using SPSS 19.0. 77.3% of providers and 66.2% of consumers agree with the PHN system. 81.4% of providers and 70.8% of consumers agreed with the statement that the nurse is the most qualified public health worker. Period of service showed statistically significant differences according to the group (t=7.56, p=.03). The development of nursing experts was identified as an important strength of the PHN. Quality of nursing Male wasn't statistically significants between groups. Compared to earlier studies, it is to suggest a study that confirms preliminary nurses' psychiatric, social, and communicational nursing.