• Title/Summary/Keyword: hospital nursing service

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Perceptions of patient-centered care and patient-centeredness experiences of patients and nurses in comprehensive nursing care units at general hospitals (종합병원 간호간병통합서비스 병동 입원 환자와 간호사의 환자중심간호에 대한 인식과 환자중심성 경험)

  • Bae, Sung-Heui;Lee, Inyoung;Kim, Jeonghyun;Oh, Seugn Jin;Shin, Sujin
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.48-60
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    • 2019
  • Purposes: This study aimed to compare the perception between nurses and patients about comprehensive care services and to evaluate patient-centeredness experiences at comprehensive nursing care units. Methodology: We enrolled 267 nurses and 184 patients from comprehensive nursing care units of seven general hospitals. We performed data collection and analysis using structured questionnaires and SPSS/PC 23.0 program, respectively, with frequency, percentage, mean, standard deviation, and ${\chi}^2$. test. Findings: We observed a significant difference in perception about comprehensive nursing care services between nurses and patients(p < .001). While the patient-centeredness experience score was the highest in the nursing service, it was the lowest in patient right assurance. Regarding patients' right assurance, "easy-to-express complaints" and "opportunity to participate in decision making" exhibited the lowest score. Practical Implication: This study suggests that it is imperative to assess the above-mentioned problems comprehensively to enhance patient centeredness at comprehensive nursing care units.

Effects of Compassion Competence, Professional Self-concept, and Nursing Practice Environment on Caring Behaviors of Clinical Nurses in a Tertiary Hospital (일개 상급종합병원 간호사의 공감역량, 전문직 자아개념 및 간호근무환경이 돌봄 행위에 미치는 영향)

  • Ahn, Young-Mi;Jang, Keum-Seong;Park, Hyunyoung
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.17-30
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    • 2018
  • Objectives: This study aimed to examine the effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses. Methods: A convenience sample of 200 nurses was drawn from a tertiary hospital in G city. Structured self-report questionnaires were used to collect data, which were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A significant difference in caring behaviors of nurses was found for age, educational level, and unit. There were statistically significant positive correlations between study variables. Sensitivity and communication of compassion competence, communication of professional self-concept, and nursing foundations for quality of care in nursing practice environment were significant predictors of caring behaviors, explaining 51.3% of total variance. Conclusions: To improve clinical nurses' caring behaviors, strategies must be developed and implemented for enhancing their compassion competence, professional self-concept, and nursing practice environment.

Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses (간호·간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향)

  • Choi, Hyo Jeong;Lee, Yun Mi;Park, Hyo Jin
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.87-98
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    • 2021
  • Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.

Hospital Marketing Condition and Strategy -Of a General Hospital- (병원마케팅 실태와 전략방안 -지역사회의 일 종합병원을 대상으로-)

  • Baek, Myung;Ro, So-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.2
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    • pp.233-246
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    • 2000
  • The purpose of this study was to investigate the real condition of hospital marketing and concrete strategy on medical consumers need for enhance the effectiveness of hospital management. The data were collected from January 27 to February 3, 2000 at a general hospital located in M city to 205 in-patients and out-patients by questionnaires. The research tool was based on literatures. The data was analysed by the use of percentage, mean, t-test and ANOVA by SAS(Statistical Analysis System) Package Program. The results of this study are summerized as follows: 1. Mean score of the marketing mix (4P 's) was 3.1 in total and each mean score was 3.6 in product, 2.5 in prices, 3.3 in place and 3.1 in promotion. The following are the items which received the highest scores in each: 'The hospital is clean' in service category; 'the prices of meals at the restaurant the patients' families use are reasonable ' in price sphere. In distribution, 'it is easy to locate the hospital' and in promotion,'we'll use this hospital again' and 'we'll recommend this hospital to others'. 2. Marketing mix factors(4P's) was significantly different on the general characteristics in terms of marriage status, occupations and the period of hospitalization. 3. The most important reason for choosing this hospital was 'This is a general hospital with good facilities' and the next were 'The hospital staffs are kind and the hospital is clean' and 'The traffic is convenient to come'. The most important factors contributing to a good image formation of the hospital were 'this is a clean hospital', 'This is a hospital with kind people' and 'this hospital is equipped with good medical facilities'. 4. The factors for making a good image concerning the nursing service were professional knowledge, good nursing skills and kindness. After grasping the marketing conditions of the hospital aided by the above-mentioned research results, the researchers concludes that it is necessary to develop an institutionalized service strategy to increase the satisfaction the patients feel about the hospital facilities and kindness of the staff and as a result, to differentiate it from other medical institutions.

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The Effect of Hospital SCM on Logistics Performance (병원 통합물류시스템(SCM)이 물류 업무성과에 미치는 영향)

  • Cho, Moon-Suk;Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.3
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    • pp.284-292
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    • 2011
  • Purpose: The purpose of this study was to examine the causal relationships among quality of hospital SCM (system quality, information quality, service quality), perceived usefulness, user satisfaction and logistics performance by hospital staff. Methods: A survey using a structured questionnaire was conducted with 276 hospital staff. Analysis of the data was with both SPSS Win 18.0 for descriptive statistics and AMOS 8.0 for the structural equation model. Results: The hypothetical model yielded Chi-square=8.121 (p=.087), df=4, $x^2$/df=2.030. GFI=.989, AGFI=.942, RMSEA=.066, NFI=.995, CFI=.997 TLI=.990 and showed good fit indices. Three dimensions of quality of SCM had significant direct effects on perceived usefulness. System and service of quality of SCM had significant direct effects on user satisfaction. Perceived usefulness had significant direct effects on user satisfaction. User satisfaction had significant direct effects on logistics performance. Conclusion: These results suggest that logistics performance can be enhanced by user satisfaction, user satisfaction can be enhanced by perceived usefulness, and perceived usefulness can be enhanced by quality of hospital SCM. Further study with various hospitals and various variables is necessary.

Effects of Preparedness towards Delegation, Critical Thinking Disposition, and Communicative Competence on Job Satisfaction: A Comparison of Comprehensive Nursing Care Service Ward Nurses and General Ward Nurses (간호·간병통합서비스 병동 간호사와 일반 병동 간호사의 위임 준비성, 비판적 사고성향, 의사소통 능력이 직무만족에 미치는 영향)

  • Wi, Da Hye;Kim, Younkyoung
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.3
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    • pp.211-222
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    • 2022
  • Purpose: This study aimed to identify the effects of preparedness towards delegation, critical thinking disposition, and communicative competence on job satisfaction among comprehensive nursing care service ward nurses and general ward nurses. Methods: The participants in this study were 218 nurses from two university hospitals. Data were collected using self-administered questionnaires and were analyzed using SPSS Statistics/WIN 21.0, including descriptive statistics, x2 test, Fisher's exact test, t-test, ANOVA, Scheffeé test, Pearson's correlation coefficient, and multiple linear regression analysis. Results: For comprehensive nursing care service ward nurses, the significant influencing factors on job satisfaction were age (β=-.37, p=.041), marital status (β=.35, p=.001), critical thinking disposition (β=.29, p=.003), and communicative competence (β=.28, p=.002) with the explanatory power was 39.0% (F=12.00, p<.001). On the other hand, for general ward nurses, the significant influencing factors on job satisfaction were advanced degree (β=.29, p=.047), critical thinking disposition (β=.23, p=.040), and communicative competence (β=.42, p<.001) with the explanatory power was 33.0% (F=11.78, p<.001). Conclusion: The results of this study suggest the importance of developing and applying education programs to improve critical thinking disposition and communicative competence of nurses. This would enhance the comprehensive nursing service and increase overall nursing manpower resources. In addition, further studies are needed to improve nursing work environments and to develop strategies for enhancing preparedness towards delegation, which would increase the job satisfaction of nurses in the comprehensive nursing care service wards.

A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association (지역사회중심 가정간호 시범사업 성과평가를 위한 기초연구- 서울시 간호사회 주관 -)

  • 유호신;이소우;문희자;황나미;박성애;박정숙;최행지;정기순;한상애
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1488-1502
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    • 2000
  • This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

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The child's health and learning needs of mother of children with leukemia in a Children School of Hospital (어린이병원학교 백혈병 환아어머니의 아동건강 학습 요구)

  • Oh, Jin-A
    • Child Health Nursing Research
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    • v.12 no.2
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    • pp.160-169
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    • 2006
  • Purpose: This study was to explore the child's health and learning needs of mother of children with leukemia in a children school of a hospital and to describe the basic material for intervention program development. Methods: Participants in this study was 7 mother of children with leukemia. Data collection consisted of in-depth focus group interviews done from April 21 to 30 in 2005. Results: 3 categories emerged from 9 theme clusters. The categories was 'tutorial service', 'emotional service' and 'disease control'. Conclusion: The results of this study show that pediatric nurses need to pay attention to the learning needs of mother and children in the children school of hospital and develop the program to support the children with leukemia and chronic disease.

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A Study on Contributing Factors of Industrially Injured Patients' Satisfaction (산재 환자의 의료서비스 만족도에 영향을 미치는 요인)

  • Lee, Hyun-Joo;Kang, Jung-In
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.319-327
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    • 2011
  • Purpose: The purpose of this study was to measure patient satisfaction among injured workers and determine the factors that affect satisfaction of the hospital services. Methods: The subjects of this study were 231 injured workers hospitalized in I WC Hospital and D WC Hospital located in one of the major cities in Korea, all of whom agreed to participate in this research. The questionnaires were selected as literature suggested for explaining satisfaction of the hospital services, general characteristics of injured workers, characteristics of the hospital services. The data were analyzed with descriptive statistics, t-test, ANOVA, multiple regression analysis by SPSS/WIN 18.0. Results: The patient satisfaction level is at 3.2 point, which is lower than general patient satisfaction in previous study. There were significant differences in satisfaction scores, depending on the gender, degree of medical treatments, the specialty of medical team, staff's kindness, medical treatment process, the cleanliness of hospital and the convenience of facilities. It was found that the patient satisfaction among injured workers is affected by the characteristics of the hospital services. Conclusion: It is necessary to promote medical facilities, specialization of doctors and nurses, staff's kindness, medical treatment process and hospital cleanliness for developing Workers' Compensation hospital services.

The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses (병원 간호사의 감성지능, 직무만족, 간호서비스 질의 관계)

  • Jang, Ra-jin;Kang, Young-Sil;Kim, Yu-mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.326-337
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    • 2016
  • This study was conducted to identify the relationships between emotional intelligence, job satisfaction, and quality of nursing service for hospital nurses, and to serve as a basis for improvement of nursing service and nursing resources management. All data were collected and conducted with the cooperation of the nursing service department in a tertiary general hospital and two general hospitals located in G province. Questionnaires were completed by 195 nurses who consented to participation in the study from 7 to 28 April 2014. Data were analyzed using SPSS 18.0. A highly positive relationship (r=0.624, p<0.001, r=0.612, p<0.001) was observed between emotional intelligence and quality of nursing service in the superior general hospitals and the general hospitals. Based on this study, quality of nursing service could be improved by a positive relationship between emotional intelligence and job satisfaction in the superior general hospitals and general hospitals (r=0.430, p<0.001). Therefore, it is important to provide a good occupational environment and develop educational programs to enhance the emotional intelligence of nurses, and a positive measure focused on less experienced and young nurses to improve emotional intelligence.