• Title/Summary/Keyword: private nursing

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An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital (일개 보건소의 가정간호사업 위탁운영에 관한 경제성 평가)

  • Kim, Jin-Hyun;Lee, In-Sook;Joo, Mee-Kyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.4
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    • pp.409-418
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    • 2010
  • Purpose: The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals. Method: Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio. Result: The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated. Conclusion: Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.

A Women's Nursing Role in Chosun Dynasty (조선시대(朝鮮時代) 여성의 간호역할)

  • Hong, Yoon-Jeong;Song, Ji-Chung;Eom, Dong-Myung
    • Journal of Korean Medical classics
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    • v.26 no.1
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    • pp.55-63
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    • 2013
  • Objective : Nursing system in traditional society depended on more private service in family than public service. In Chosun dynasty, there were several books mentioned private nursing srvice to author's family. Method : We tried to find out mentions in books above and analyze them by point of nursing services. Result : In Nehoon nursing was considered as a view of royal family services, in Gyenyeoseo as a view of neo-Confucianism, in Gyubanggasa as a view of obedience to parents and in Gyuhapchongseo there were lessons to author's daughter and in-laws about private nursing. Conclusion : In traditional society, women's activities were limited. However, there were several roles, especially private nursing services to their family through this bibliographical records.

Comparison of Job Satisfaction, Commitment to Organization, Nursing Organization Culture and Job Experience between National/Public Hospital Nurses and Private Hospital Nurses (국.공립과 사립병원 간호사의 직무만족, 조직몰입, 간호조직문화 및 이직의도 비교)

  • Kim, Mi-Jeong;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.13 no.1
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    • pp.22-30
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    • 2007
  • Purpose: This study was to analyze the differences of job satisfaction, organizational commitment, nursing organization culture and intention of separation between national/public and private hospital nurses and thereby, provide for some basic data useful to effective management of nursing human resources and improve the organizational performances. Method: The researcher sampled 464 clinical nurses working for 4 national/public hospitals and the same number of private hospitals in Seoul and Gyeonggi Province. The data collected from the questionnaire survey were statistically processed using the SPSS PC 12.0 program for $X^2$-test, T-test and ANCOVA. Result: 1) There was found no significant difference of job satisfaction scores between national/public hospitals and private hospitals. 2) National/public hospital nurses scored significantly higher than private hospital nurses on the organizational commitment scale. 3) There was no significant difference of nursing organization culture scores between national/public hospitals and private hospitals. 4) In the area of job experience, national/public hospital nurses scored lower than private hospital nurses, but such a difference was not significant. Conclusion: Difference between two groups was significant only in the area of organizational commitment. In terms of sub-areas, the difference between two groups was significant in professionalism conducive to job satisfaction.

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Intellectual Capital and Organizational Effectiveness of Nurses: Comparison of Public and Private Hospitals (간호조직의 지적자본과 조직유효성: 공공병원과 민간병원의 비교)

  • Oh, Jeong-Eun;Jeon, Gyeong-Suk;Jang, Kwang-Sim
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.27-38
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    • 2018
  • Objectives : This study was conducted to examine the differences in the association of intellectual capital with organizational effectiveness of nursing organizations between public and private hospitals. Methods : A total of 166 nurses (82 of public hospital and 84 of private hospital) were recruited for the survey. Nurses' job satisfaction, organizational commitment, intellectual capital, sociodemographics, work-related factors, and health status were measured. Results : Nurses of public hospitals reported significantly higher scores in human capital, customer capital, job satisfaction, emotional engagement, and transactional commitments than did those of the private hospital. Human capital private and structural capital were significantly associated with nurses' job satisfaction in both public and private hospitals. Customer capital was positively associated with the emotional and transactional commitment in the public hospital, while, structural capital was associated with transactional and normative commitment in the private hospital. Conclusions : We could confirm that the nurses' intellectual capital is important the effectiveness of nursing organizations in both public and private hospitals.

Convergence Study on Perception on Patient Private Information Protection in Nursing Students (간호학생의 환자 개인정보보호 인식에 관한 융합적인 연구)

  • Lee, Hyun-Jung
    • Journal of Convergence for Information Technology
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    • v.7 no.5
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    • pp.59-65
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    • 2017
  • The purpose of this study was to research the perception on patient private information protection of 126 nursing students before clinical practice. The mean score of perception on patient private information protection was 4.52 points of full 5. The perception of protecting patient privacy was no significantly differentiated with general characteristics of nursing students. Development and application of patient private information education program for inexperienced nursing students is necessary. Also it is necessary to seek joint plans between medical institutions and universities to improve the awareness of patient privacy.

The Development of Community Health Service for the Demented Elderly in Cooperation Between Private Medical Facilities and Public Health Centers (민간병의원-공공기관 협력을 통한 지역사회 치매환자 관리사업)

  • Oh, Jin-Joo;Kim, Kyung-Ae;Kim, Jae-Il
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.593-600
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    • 2007
  • Purpose: This research was carried out to present an ideal cooperative model between the public and private health sectors for the management of community dementia patients. Method: In this study a public-private cooperative council was formed, basic data for dementia patients and their families were collected, and a dementia service program was carried out in cooperation between the two sectors. Results: The survey data shows the majority of the registered patients were undergoing a chronic diseases which would make the dementia health service inefficient. The cooperative public-private council adopted the reinforcement of medical service to the public enrolled dementia patients. The intensive medical service program showed effects on the health status of the dementia patients. Conclusion: The results of this study pointed out that change of the health insurance program supportive to the private sectors to be made; a referral system for the public health sector to the private sector should be established; and expanding the capacity of the visiting health program in the public health sector is needed.

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A survey of private physician's opinion on utilization of nursing manpower (간호사 및 간호조무사 활용에 관한 개업의사의 의견조사)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.22 no.1
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    • pp.75-83
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    • 1997
  • The medical insurance system has been adopted in 1989. Since then, the utilization of medical care services has increased rapidly. It appears that the medical institution needs more nursing manpower such as nurses and nurse aides to meet an increased demand for medical care for the residents. However, the medical care clinics run by a medical practitioners has a more shortage of nursing manpower than hospitals. The purpose of this survey was to analyze the current employment status and to obtain an opinion on the improvement of utilization such as recruitment and retention of nursing manpower. The questionnaire sent to the private physician and the response rate was 28.7% ; 87 out of 300 physicians. 82.6% of the respondents employed nurses aides rather than nurses and an average number of employees per clinic was 2.5 persons. Most physicians had difficulties in recruiting nursing manpower. It took more than one month for replacement on average, therefore, they were suffering from giving good continual care for the patient and also high resignation of nursing personnel. The low wage, long working hours, hard work and lack of incentives are the biggest reasons for the difficulty in recruiting and retaining of the nursing personnel obtained for the clinics survey. The above mentioned problems would be solved in the near future by changing those difficulties. In the meantime, the private physicians are marking an effort to retain the nursing personnel by keeping a relationship of the private physician's cooperatives.

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Studies on Improvement of the psychiatric Nursing (정신적 병동 간호업무 개선에 관한 연구)

  • 신영란
    • Journal of Korean Academy of Nursing
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    • v.5 no.1
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    • pp.59-69
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    • 1975
  • Author studied on various psychiatric nursing problems applying with the test of questionnaire to the 376 nurses who are attending at 13 general hospitals and one mental hospital in Korea from Apr. 1, 1974 to July 30. 1974. The results obtained were ai follows: 1. 13.095 of nonpsychiatric registered nurses wanted the psychiatric service for their most attractive assignment and this was the 3rd in order next to the general surgical and operating room. Among the psychiatric nurses, the popularity toward psychiatric ward was 31. 0% and they were 26.0%at the private general hospitals and 6, 0% in national public hospitals. 2, The feelings or attitudes of disgust and apprehension on nursing care of the patients at-flirted with infectious diseases were the highest responses (38.5%) and these 1.ends were also appeared in 6.9% of psychiatric nurses. 3. 85.5% of nonpsychiatric registered nurses have had received course lectures on psychiatric nursing and nursing care training on the psychiatric ward at their school of nursing. 38.0% of psychiatric nurses had received post graduate psychiatric nursing and they were higher in national public hospitals (27.0% ) than in private general hospitals (11.0%). 4. The responses of satisfaction and security on their employment were almost similar patterns between nonpsychiatric registered nurses and psychiatric nurses. But among the psychiatric nurses. they were more satisfied at private general hospitals (33.0%) than that of national public hospitals (10.0%). 5. Almost the half of the nurses (50.8%) were employed by the hospitals without considering their past educational or clinical experience or career. Among the psychiatric nurses, who were employed by hospitals without considering their past experience or career were 35.0% in national public hospitals and 12.0% in private hospitals. On the contrary, the nurses who were employed by their wishes fore more higher (26.0%) in private general hospitals than national public hospitals (2.0%). 6. The nurses who thought their employment was fit for their aptitude were 48.6% in nonpsychiatric registered nurses and 51.0% in psychiatric nurses. Among the psychiatric nurses, this response was higher in private general hospitals (34.0%) than the national public hospitals (17.0%). 7. Responses on wort loadings of nurses showed almost same patterns between nonpsychiatric registered nurses and psychiatric nurses. But. among the psychiatric nurses who felt much heavier than the nurses of other part were 24.0% in national public hospitals and 8.0% in private general hospitals. 8. 92.6% of nurses felt that the psychiatric nurses should have post graduate training in psychiatric nursing prior to their assignment. 9. 96.0% of nurses agreed to the risk coverage on the payment for the nurses assigned to the psychiatric ward and the ward for infection diseases.

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Study on the Attitude to Home Attendants System and Home Nursing Education of the Housewives in the City (서울시 일부 가정주부들의 가정간병인제도 및 간병교육에 대한 수용태도에 관한 연구)

  • Kim, Ki-Jung;Chang, Im-Won
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.2 s.24
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    • pp.380-389
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    • 1988
  • This study was conducted in order to find out the attitude of housewives toward the home attendants system, the type of institute managing home attendants, the education for home attendants, the basic requisites for home attendants, and home nursing education, and identify the factors influencing on the housewives's attitude. The data were collected through questionnaires obtained from 401 housewives from March 1 to March 31, 1988. The results summarized were as follows; 1) 90.2 percent of total housewives favored the home attendants system, and housewives who had have their family member with health problem especially showed favorable response. 2) The favored types of institution managing home attendants appeared to be private social work agency(33.0%), half-private and half-public agency(32.2%), government agency(19.9%) and profit agency (2.2%). In particular, housewives who had experienced nursing favored half-private and half-public ageney (37.6%). 3) As the basic requisites for home attendants, housewives wanted service attitude(37.2%), nursing education(34.4%) and nursing experience(28.4%). But, housewives with nursing experience favored nursing education rather than service attitude. 4) 91.1% of total housewives favored the home nursing education. In particular, housewives of high education level and nursing experience showed more favorable response to the home nursing education.

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Factors Influencing Cooperation between Nurses and Social Workers (간호사와 사회복지사의 상호 협력에 영향을 미치는 요인)

  • Kim, Hee-Jeong;Bae, Jin-Hee;Park, Sun-Young
    • Journal of Korean Public Health Nursing
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    • v.25 no.2
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    • pp.209-220
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    • 2011
  • Purpose: The study investigated the level of mutual cooperation among those engaged in public and private nursing and social welfare to understand contributing factors. Method: The subjects were 289 nurses and 279 social workers. The level of mutual cooperation between nurses and social workers was evaluated. taking into account related personal factors and organizational environmental factors. Results: The level of mutual cooperation between nursing and social welfare organizations showed the following sequence, in decreasing order; public nursing, public social welfare, private nursing and private social welfare personnel. The factors affecting nurses' cooperation with social welfare personnel were expected duties, understanding of social workers' service, service autonomy, service appropriateness, and the training environment of the organization. Factors influencing the level of cooperation of social workers with nurses included understanding of nursing service, understanding of the efficiency gained by cooperation, service appropriateness and the training environment of the organization. Conclusion: The development of training programs to increase the level of cooperation between the nursing and social welfare fields is strongly recommended.