• Title/Summary/Keyword: hospital nursing service

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The Effect of Emotional Labor, Nursing Informatics Competency and Nursing Service Environment on Nursing Performance of Convalescent Hospital Nurse (요양병원 간호사의 감정노동, 간호정보역량 및 간호근무환경이 간호 업무성과에 미치는 영향)

  • Jung, In-Ok;Han, Jong Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.334-344
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    • 2020
  • This was descriptive research aimed at determining the effects of emotional labor, nursing informatics competency, and nursing service environment on the nursing performance of convalescent hospital nurses. One hundred thirty-one nurses participated in this survey. The collected data were analyzed using the SPSS statics18 program. The distribution of the research variables and general characteristics were analyzed by frequency analysis and descriptive statistics. The correlation between emotional labor, nursing informatics competency, nursing service environment, and nursing performance was analyzed by the Pearson correlation, and the influencing factors were hierarchical multiple regression analysis. As a result of the study, the average nursing performance was 65.5 (±8.5) points, emotional labor was 27.2 (±5.6) points, nursing informatics competency was 91.3 (±15.7), and the nursing service environment was 88.2(±16.0) points. The nursing performance showed a positive correlation with the nursing informatics competency (r=.32, p<.001) and nursing service environment (r=.25, p=.005). Nursing informatics competency was the biggest factor affecting nursing performance, and the nursing service environment had no significant influence. Among the general characteristics, marriage status and position also affected the nursing performance. The explanatory power of this regression model was 35.2% and was statistically significant (F=9.815, p<.001).

Development of a Nursing Fee Schedule Model (적정간호수가 산정모형 개발을 위한 연구)

  • 조소영;박정호
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.68-89
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    • 1993
  • This study was conducted to develop a model of a fee schedule for nursing services.'Regardless of the demand for skilled and professional nursing service today, the Korean health insurance system does not furnish a chapter for the nursing service fee schedule. A nation-wide survey of hospital nursing service fee schedules was to provide practical and realistic data about how the variety of nursing services are being charged. From September 1990 to April 1991, data from the fee schedule used by twenty hospitals located in eight large cities which are designated large medical regions in the Korea Health Care and Patient Referral System were collected. Nursing services and the fees charged for them were analyzed. The nursing services were subjected to a secondary analysis with referrence to reports on “nursing services to be charged in Korea”. The total number of nursing services recommended by the literatures was 177 : finally 141 types of nursing services were selected by investigator as chargable nursing services. In addition, data on managerial characteristics of the hospitals were collected to discover influential variables for a nursing fee schedule model. Under the assumption that all the managerial characteristics of the hospitals influenced the fee schedule, the following model was tested : Fee of nursing services (C) = f(A₁, A₂, A₃, A₄, A/sub 5/, A/sub 6/, A/sub 7/, A/sub 8/,) When, A₁ = number of nurses A₂ = the first salary of a nurse educated in a four year A₃ = scale of nursing management division A₄ = location of the hospital A/sub 5/ = the type of hospital management (profit / non-profit) A/sub 6/ = number of hospital beds A/sub 7/ = years of hospital operation A/sub 8/ = number and kinds of clinical divisions The results showed that the model should be built as follows : C = f (A₁, A/sub 4/, A/sub 5/) Each nursing service was applied to the fee schedule with consideration for the professional level and time-taken to provide the services. Detailed fee schedules were presented in the related tables. Of the 141 kinds of nursing services, 24.8% were chargeble to the Korea Health Insurance, 32.6% of the nursing services were being paid directly by the patienty. The rest of nursing services (42.6%) were not being charged to any source. It was recommened that the Korea Health Insurance Reimbursement system should add a classification system for nursing services that can be used in the national health care program. Further study is needed about how to include 32.6% of the nursing services now being paid for directly by the patients in the health insurance system.

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Influencing Factors Affecting Caregivers' Service Quality for the Elderly with Dementia: Focusing on Dementia Knowledge, Work Value, and Job Performance Confidence (치매 노인을 돌보는 요양보호사의 서비스 질에 미치는 영향요인: 치매에 대한 지식, 일 가치감과 업무수행 자신감을 중심으로)

  • Kim, Doo Ree;Kim, Kwang Hwan;Lee, Soo Yeon;Han, Sun Hee;Lee, Gi Ran
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.233-242
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    • 2021
  • Purpose: The purpose of this study was to verify influencing factors affecting service quality provided by caregivers working for the elderly with dementia. Methods: Data were collected using a self-reported questionnaire from 214 caregivers in a long-term care facility in D city. The data were analyzed with service quality, dementia knowledge, work value, and job performance confidence. For data analysis, the descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were performed using SPSS/WIN 21.0 program. Results: There were significant differences in service quality depending on the health status. Factors influencing service quality were work value, and job performance confidence with R2 value of 38%. The highly influencing factors were work value, and job performance confidence. Conclusion: The results of this study indicate that the effort to improve the service quality of caregivers should focus on work value and job performance confidence.

Knowledge and Behavior of Visitors in the Prevention of Respiratory Tract Infections in an Emergency Service, Hospital (응급의료센터 내원객의 호흡기 감염예방에 대한 지식과 수행도)

  • Jo, Myeong-Ji;Moon, Kyoung-Ja;Lee, Eunsuk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.3
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    • pp.210-219
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    • 2018
  • Purpose: The purpose of this study was to investigate the effects of emergency setting visitors' knowledge and behavior patterns in relation to prevention of respiratory tract infections. Methods: A descriptive survey was used. The participants were visitors to the emergency service in 'D' general hospital in 'D' city, and the data were collected from July 1 to September 1, 2016. The collected data were analyzed using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and multiple regression analysis. Results: Factors influencing prevention of respiratory tract infections were visitors' education level, methods of dissemination of prevention information, and participants' knowledge with regard to preventive methods. The explanatory power was found to be 35% in the regression model. Conclusion: The findings indicate that visitors' education level, knowledge of infection prevention, and the dissemination of information regarding infection prevention by the hospital play an important role in the prevention of respiratory tract infections in emergency services in the hospital. These results highlight the need for a customized education program for prevention of respiratory tract infections in emergency settings. Programs should take into consideration the educational background of visitors, and provide them with appropriate information regarding infection prevention.

A Study of the Nursing Service Quality and Gap Perceived by Consumers (소비자가 지각하는 간호서비스 질과 괴리에 관한 연구)

  • 이미애
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.225-234
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    • 2004
  • Purpose: The purpose of this study was to develop a tool that measures the quality of nursing service, to measure the quality of nursing service perceived by consumers, and to identify the gaps between ideal and actual nursing services. Method: A questionnaire was developed and distributed to 300 people who had been hospitalized in one of six general hospitals with quality of nursing services in five provincial cities in Korea. For data analysis, the SPSS/WIN(ver 10.0) program was used. Result: The 20 attributes included in the instrument of quality of nursing service is abstracted into 2 factors: tangibility and intangibility. In quality analysis, 15 of 20 attributes are minus scores, meaning that those nursing services are perceived as generally low. However among the minus scores' attributes, only two attributes are significant statistically. Gaps between importance and performance of the nursing service exists in 19 among 20 attributes. Conclusion: Nursing service quality (performance-expectation) needs to be improved, and Gaps (importance-performance) reduced. In addition, a tool measuring nursing service quality has to be developed so nurses can deal successfully with the quality and gaps of nursing service perceived by consumers.

Hospital Services Utilization in Type-I Medicaid Elderly Beneficiaries (의료급여 1종 노인 수급권자의 입원이용)

  • Lim, Seung-Joo
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.63-70
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    • 2009
  • Purpose: The purpose of this study was to evaluate hospital service utilization by the types of hospitals in Type I Medicaid claims frequently cited by elderly beneficiaries. Methods: Three frequently claimed inpatient diseases were selected: cerebral infarction, hypertension and diabetes mellitus. Relevant data were collected for the year 2008 from the computer database of the National Health Insurance Corporation. The data was analyzed using SPSS by descriptive statistics, ANOVA and coefficient of variation. Results: The coefficient of variance of hospitalization per episode was higher than daily hospital expenditure among hospitals for all three diseases. The coefficient of variance of hospitalization per episode was highest for cerebral infarction. The coefficient of variation of hospital expenditure per hospital day was highest for hypertension. Conclusions: Evaluating of the volume and pattern of hospital service utilization and the appropriateness for hospital admission for Type-I Medicaid elderly beneficiaries is important for Medicaid-based case management.

Factors Affecting the Satisfaction of the Hospital Services among Injured Workers (산재근로자의 의료기관 서비스 만족에 영향을 미치는 요인)

  • Lee, Hyun-Joo
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.1
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    • pp.97-104
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    • 2010
  • Purpose: The purpose of this study was to determine factors that affect satisfaction of the hospital services among injured workers. Methods: The subjects of this study were 532 injured workers. 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 19.0. Results: There were significant differences in satisfaction scores, depending on the types of disease, health status and possibility to return to work among the injured workers. Also, there were significant differences in satisfaction scores, in terms of medical facilities, food service, specialization of doctors and nurses, cleanliness of hospital, convenience of hospital teaching and counselling of doctors and nurses, supporting workers' compensation process, counselling of workers' compensation and unfair treatment. In the results of the standard multiple regression analysis, food service, medical facilities, specialization of doctors and nurses, health status and hospital cleanliness were significant factors for satisfaction scores of the hospital services. Conclusion: It is necessary to promote food service, medical facilities, specialization of doctors and nurses, hospital cleanliness, health status of injured workers for developing hospital services.

Development of Agenda Priority for Nursing Service Research and Development (간호서비스 연구개발 분야에서의 우선순위과제 도출)

  • Oh, Eui Geum;Jang, Yeon Su;Gong, Sae Lom;Lee, Yoon Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.99-110
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    • 2015
  • Purpose: The purpose of this study was to suggest agenda priorities for nursing service R&D (Research and Development) related policies development. Methods: Two steps in developing the agendas and priorities were performed in this descriptive study. First, nursing service R&D agendas were extracted through needs assessment of nursing researchers and practitioners. Then, the priority of agendas was set by Analytic Hierarchy Process by ten experts who were representatives of nursing and other healthcare professionals. Results: Six core areas and forty-six nursing service R&D agendas were developed. The priority of agendas was different according to the evaluation criteria depending on weight value of nursing services. Conclusion: In order to select and promote nursing service R&D projects within national healthcare policy, nursing service R&D policy should be proposed with consideration to the importance of the criteria in reflecting characteristics of nursing care. By strengthening R&D capabilities for quality improvement and sensitive awareness of national directions for healthcare R&D policies, nursing service R&D can be appropriately promoted.

A study of the Nursing Service Quality and Satisfaction that Admitted Patients Perceived - being used SERVQUAL - (입원환자들이 지각하는 간호서비스 질과 만족에 관한 연구 - SERVQUAL을 중심으로 -)

  • 이미애
    • Journal of Korean Academy of Nursing
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    • v.32 no.4
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    • pp.506-518
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    • 2002
  • This study was performed to measure the nursing service quality being used SERVQUAL model and satisfaction that the admitted patients perceived. Method: The questionnaire founded on the SERVQUAL was developed and distributed to 300 patients at the three general hospitals in three provincial city, Korea. For data analysis, Cronbach's α, frequencies, percentages, paired t-test, Pearson Correlation Coefficient were used. Result: In expectation, patients most highly perceived the assurance factor that was one among the 5 factors being constituted nursing service. In performance, patients most highly perceived the responsiveness factor. The performance degrees of the 5 factors and 20 attributes being constituted nursing service did not exceed the expectation degree of those. So the calculated figures for nursing service quality of the three subjected hospitals were all minus. In relation of the patients' demographics and nursing service characteristics to their general satisfaction, patients' sex, age, income and the all factors and attributes of nursing service had relation to their general satisfaction. Conclusion: It could be concluded that the nursing service quality of the three subjected hospitals was poor and the patients' demographic and nursing service characteristics had relation to their general satisfaction.

Nursing Performance and Innovative Behavior as Factors Affecting the Self-leadership of Geriatric Hospital Nurses (요양병원 간호사의 셀프리더십이 간호업무수행과 혁신행동에 미치는 영향)

  • Kwon, Jeong-Ok
    • The Korean Journal of Health Service Management
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    • v.10 no.1
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    • pp.53-66
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    • 2016
  • Objectives : The aim of this study was to identify the effects of nursing performance and innovative behavior on the self-leadership of geriatric hospital nurses. Methods : The participants in this study were 206 nurses working in geriatric hospitals in Busan, Ulsan and Yangsan City. Data were collected from October to November, 2015. A structured questionnaire was used for the data collection, and the data were analyzed with the SPSS/WIN program. Results : Nursing performance and innovative behavior positively correlated with self-leadership. The most significant predictors of self-leadership were nursing performance and innovative behavior. Conclusions : These findings suggest that nursing performance and innovative behavior were linked to self-leadership. The results of this study can be used to help develop self-leadership programs.