• Title/Summary/Keyword: quality of care

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Is the Risk-Standardized Readmission Rate Appropriate for a Generic Quality Indicator of Hospital Care? (일반 질 지표로서의 위험도 표준화 재입원율의 적절성)

  • Choi, Eun Young;Ock, Minsu;Lee, Sang-il
    • Health Policy and Management
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    • v.26 no.2
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    • pp.148-152
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    • 2016
  • The hospital readmission rate has been widely used as an indicator of the quality of hospital care in many countries. However, the transferrability of this indicator that has been developed in a different health care system can be questioned. We reviewed what should be considered when using the risk-standardized readmission rate (RSRR) as a generic quality indicator in the Korean setting. We addressed the relationship between RSRR and the quality of hospital care, methodological aspects of RSRR, and use of RSRR for external purposes. These issues can influence the validity of the readmission rate as a generic quality indicator. Therefore RSRR should be used with care and further studies are needed to enhance the validity of the readmission rate indicator.

Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea

  • Jin, Ina;Cho, Hun Ha
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.266-275
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    • 2021
  • Purpose: This study aimed to identify the factors affecting the quality of nursing care as perceived by mothers of hospitalized children and provide basic data for the development of nursing care quality improvement programs. Methods: The participants consisted of 167 mothers, each of whom had a child hospitalized at a specific children's hospital. Data were collected from June 22 to August 8, 2019. Results: The factors that affected how mothers perceived the quality of nursing care were the communication ability of nurses (β=.44, p<.001) and the mother-nurse partnership (β=.33, p=.001). The total explanatory power of these factors was 54.1%. Conclusion: To improve the quality of pediatric nursing care, it is necessary to improve the communication abilities of nurses and to promote partnership between nurses and the mothers of hospitalized children.

Comparative Analysis of Structural, Process, and Outcome Indicators for Evaluating the Quality of Nursing Care (임상간호 질 평가를 위한 구조, 과정, 결과 기준지표의 비교 분석 연구)

  • 김영숙;김혜순;김정엽
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.17-25
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    • 1998
  • This study was done to evaluate the quality of clinical nursing care using the variables of structure, process, and outcome and to analyze the relationship between the variables. This study also explored which variables are validating indicators to evaluate the quality of nursing care. The results analyzed by multiple regression showed that, generally structural variables did not contribute to the variance in outcome scores, but process variables of nursing care contributed significantly to the outcome variable of patient satisfaction. A combination of structure and process variables explained outcome variables more than structural variables alone. Also, patient satisfaction and hospital preference were significantly related to each other. Therefore, if nursing quality evaluation relies solely upon on structural variables such as number of available nurses and workload, it would be inaccurate because process variables of nursing care are strongly related to outcome variables and the two categories of structure and process variables helped to strengthen the relationships. Thus, it is important to focus on variables of structure, process, ant outcome together in evaluating nursing care quality.

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Content Analysis of Quality Nursing Care Perceived by Nurses (간호사가 지각한 질적간호에 대한 내용분석)

  • 권성복;지성애;백경선;유수옥;주숙남;김복자;이혜숙;안옥희
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.380-390
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    • 2001
  • Purpose: This study was designed to explore the perceptions of quality nursing care among nurses. Method: The data were analyzed using content analysis. The data were collected from 19 nurses who worked at diverse clinical areas in 8 general and university hospitals with over 400 beds. Result: 1. The attributes of quality nursing care were categorized into 7 hierarchies in the order of 'caring' (40.65%), 'specialty' (29.03%), 'nurse attainments' (15.48%), 'patient- centered nursing management' (6.45%), 'sincerity' (5.16%), 'kindness' (2.58%), 'satisfaction' (0.65%). 2. The concept of quality nursing care were defined as 'giving a satisfaction both to patients and nurses through patient-centered nursing management with specialty and caring in the ground of the kindness and sincerity'. Conclusion: Based on there findings, we suggest that the study results should be used for development of a quality assurance tool in nursing practice, patient care in hospital setting, education of nurses and nursing students. In addition, further repeated studies need to be conducted.

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Strategies to Improve the Quality of Care: Focusing on the Activities of People Who Provide Childcare (돌봄의 질 개선 방안: 아이돌보미 활동을 중심으로)

  • Kim, Seung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.4
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    • pp.19-41
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    • 2011
  • The purpose of this study was to evaluate the activities of people who provided childcare based on their perspectives and situations, and suggest strategies to improve the quality of care. This study collected data through in-depth interviews and analyzed the data using Gee's discourse analysis method. The participants were 13 people who provided childcare, and criticized the low wages and unfair treatment. The results of this study recommended three strategies to improve the quality of care: stable and reasonable wages, improvement in treatment and status, and a system of communication among people who were related to childcare. Compared to previous research, this study fundamentally questioned the quality of care and investigated the answer to improving the quality of care.

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Influential processes for the acceptance of protectors toward emergency care for patient based on an elaboration likelihood model (보호자의 응급처치 수용의도에 관한 연구: 정교화 가능성 모델 중심)

  • Hwang, Ji-Young;Kim, Yun-Kwon;Kim, Ki-Young
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.51-68
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    • 2015
  • Purpose: This study validated the influential relations between the effects of emergency care quality, credibility of 119 emergency medical technicians (119 EMTs), and perceived usefulness and attitude of emergency care, focusing on the moderating effect of protectors' characteristics (education, experience, age, and recognition of patient severity). Methods: This study was based on elaboration likelihood and technology acceptance models. In total, 172 protectors with experience in utilizing prehospital service were surveyed from April 1 to July 31, 2011. Results: The results showed that the emergency care quality and the credibility of 119 EMTs were the main determinants of the perceived usefulness and attitude of emergency care, irrespective of the protector's characteristics (p <.001). In addition, the findings showed that the protector's intention of emergency care had a moderating role. The impact of the quality of emergency care on its perceived usefulness was greater for high-level protectors (p <.001). By contrast, the impact of the credibility of 119 EMTs on the perceived usefulness of emergency care was greater for low-level protectors (p <.001). Conclusion: The protectors' characteristics have different influences on the relations between the effects of emergency care quality, the 119 EMT credibility, and the perceived usefulness and attitude of emergency care.

A study on the of professionalism and positive psychological capital on the effect of elderly care worker education on service quality (요양보호사의 교육, 서비스 질, 전문성, 긍정심리자본의 관계 연구)

  • Kim Bong Wha;Ko Youn Soon
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.613-623
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    • 2024
  • This study was conducted to explore the direction of elderly care worker education by analyzing the dual mediating effects of professionalism and positive psychological capital on the impact of elderly care worker education on service quality. As a result of this analysis, elderly care worker education was found to have a significant impact on service quality, professionalism and positive psychological capital and it's confirmed that the more positive the perception of elderly care worker education, the more positive the perception of service quality, professionalism and positive psychological capital. In addition, professionalism and positive psychological capital show that each two mediates the impact of the elderly care worker education on service quality so elderly care worker education can improve service quality by enhancing professionalism, and we can see that the elderly care worker education can be a factor that improves service quality by enhancing positive psychological capital. It's found that professionalism and positive psychological capital is by dual mediating the impact of elderly care worker education on service quality so professionalism had a significant effect on positive psychological capital. Accordingly, it's confirmed that elderly care worker education improves professionalism, and that improved professionalism promotes positive psychological capital, thereby improving service quality. According to the results of this study, it's empirically confirmed that develop professionalism is important in the elderly care worker education, and that enhancing positive psychological capital through the develop professionalism can ultimately improve service quality. Therefore, there is a significance to that it's able to predict elderly care worker education in the future should include education related to the improvement of professionalism and positive psychological capital.

The review of qualifying systems of quality improvement specialists in healthcare (의료의 질 개선 전문가의 자격 시스템에 대한 현황)

  • Park, Seong-Hi;Hwang, Jeong-Hae;Choi, Yun-Kyoung;Lee, Sun-Gyo
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.14-34
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    • 2013
  • Objectives: The purpose of this study is to provide comprehensive information of qualification systems of developed countries needed to establish our national system for QI(Quality improvement) specialists. Methods: All articles related to any applicable domestic or foreign countries' laws, operational status, and detailed programs for professional qualification system of QI were reviewed. Result: In the United States, a non-profit organization, Healthcare Quality Certification Commission (HQCC) has set the policies, procedures and standards in the field of health care quality. And qualification system of CPHQ (certified professional in healthcare quality) has been operated in order to authenticate the qualifications in the field of quality management. IBQH(international Board for quality in healthcare), a qualification system of experts in the United Kingdom, was designed to assist the qualification of professionals to improve the quality of healthcare. In addition, Health Research Center of Feinberg School of Medicine in Northwestern University has been operating Master's and doctoral degree programs in the field of the quality of care and patient safety and IHI (institute for healthcare improvement) open school was operating a professional training course related to the quality of care and patient safety. Conclusion: Quantity and complexity of information of the quality of care and patient safety have been increased. For reform of the health care system, a special training course of the expertise and leadership are needed. So far, there is no national professional certification courses in our nation. Therefore essential job skill should be acquired individually. For systematic and effective quality improvement activities, the educational and certification system with professional development model are needed.

Determinants of Quality in Outpatient Medical Service (외래 의료서비스 질적 수준의 결정요소)

  • Park, Sook-Hee;Kim, Seok-Beom;Kang, Pock-Soo
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.176-189
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    • 1998
  • This study was conducted to evaluate the subjective ideas about the determinants of quality in ambulatory care unit among outpatients and medical staff of a university hospital, and to compare the differences of the ideas, between patients themselves and hospital staff. A self-administered questionnaire survey was conducted covering 799 outpatients and 190 hospital staff in March, 1998. The questionnaire included general characteristics and 26 determinants of ambulatory care quality. The following are summaries of the findings: 1. Both of outpatients and hospital staff perceived, "Physician's knowledge" as the most important determinant of medical care quality. 2. In respect of 7 determinants related to physician's knowledge and skill, both outpatients and hospital staff perceived "physician's knowledge and skill" as important determinants. The scores of determinants such as, "Not doing unnecessary examinations", and "Assignment of adequate number of patients and duty schedule for the physician" were significantly different between outpatients and hospital staff. 3. In respect of 4 determinants related to doctor-patient relationship, both outpatients and hospital staff perceived "attention to patient's complaints" as the most important determinant. The scores related to the determinants such as "kindness of physician" and "explanation of treatment outcome" were significantly different between outpatients and hospital staff. 4. Among the amenities related determinants, "Modern facilities and equipments" were perceived as the most important determinant in both group. 5. In respect of 8 determinants related to non-financial accommodation, outpatients perceived, "Waiting hours for treatment" as the most important determinant, and hospital staff perceived, "Kindness of hospital staff". 6. In respect of 4 determinants related to financial accommodation, outpatients perceived, "Fare account of medical cost" as the most important determinant, and hospital staff perceived, "Increasing reimbursements". Further comprehensive research should be made on the evaluation of perceptions of medical care quality, both of outpatient and inpatient care, among patients and hospital staff. So good quality in medical care will be achieved based on clients' needs.

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Perceptions of Quality Nursing care of Patients and Families (질적 간호에 대한 환자와 가족의 지각)

  • Chi, Sung-Ai;Kwon, Sung-Bok;Park, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.247-275
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    • 1998
  • The purpose of this study was to offer the results of content analysis and qualitative study that explored the perceptions about quality nursing care of patients and families as consumers and to identify the implications of this study for quality nursing care management and research. The data was collected from 12 adult patients and 9 families who were admmitted at medical and surgical nursing unit of one university hospital in Seoul from October, 1996 to January, 1997. Research participants were asked to response "what do you think quality nursing care?" and similar questions during the interviews was performed. Data were analyzed using open coding and content analysis with frequencies and percents of attributes of quality nursing care. Attributes of quality nursing care and meaning of quality nursing care that patients and families perceived were explored. 1. The attributes of quality nursing care that patient and families perceived were categorized into 56 attributes. The highest response rate among the attributes was 'one's heart at ease' (76.2%), and the next high response rates were ranked in order 'consideration' , 'care about' (each 61.9% 'expert skill' (57.1%), 'deal with problem promptly' , 'information offer' (42.9%), 'intimate feeling' (38.1%), 'smile' 'service spirit' , 'do one's best' (each 33.3%), 'frequent visit' (23.8%), 'observe the time' (23.8%), 'direct nursing care' , 'speaking warmly' , give a hope' , 'address kindly' , 'a sense of duty' , 'good facilities' (each 19.0%), 'inquire after a patient health' , 'patient-centered nursing care' , 'showing an example' , 'professional knowledge' , 'careless moraly patient' , 'give encourage to patients' , 'good answer a question' (each 14.3%), 'do not imprudently' , 'do not disregard' , 'broad knowledge' , 'emergency treatment skill' , 'dependability' ,'consolation' giving a sense of security' , 'a self sacrificing spirit' , 'a sense of responsibility' 'hard - working', 'enough disposition of nursing staff (each 9.5%), 'improve patient's pride' and the rest attributes exhibited 4.7%, respectively. 2. The attributes that were identified in patients' data only were 8 categories, 'service sprit' (58.3 %) 'expert knowledge' , 'good answer a question' (each 25.0%), 'hard working' (16.7%), 'a warm character', 'professional attainments', 'do without reserve', 'satisfaction' (each 8.3%), 3. The attributes were identified to families' data only were 31 categories, 'speaking warmly' , 'direct nursing care', 'adress kindly', 'patientcentered nursing care', 'showing an example' (each 33.3%). 'do not imprudently' , 'do not disregard' , 'consolation', 'giving a sense of security', 'broad knowledge' , 'emergency treatment skill', 'dependability' ,'a self - sacrificing spirit', 'a sense of responsibility' (each 22.2%), 'improve patient's pride' , 'without discrimination' , 'show kindness' , 'individual nursing care', 'being with patient' , 'helping' , 'accuracy' , 'without any mistake' , 'love' , 'self - confidence', 'self possession', 'a self - denying spirit' , 'a sense of duty' , 'tighten discipline' , 'disposed room with similar patient to diagnosis', 'compensatory relationship between me dical team' , 'role of connection' (each 11.1 %). 4. The attributes of quality nursing care were integrated into 11 categories that they were 'patientcentered nursing care' (25.1%), 'expertise' (22.1%), 'caring'(18.1%), 'kindness'(11.1%L 'nurse attainments(10.1%), 'sincerity' (7.5%), 'good environment' (2.0%), 'effective organizational management', 'coordination', 'enough nursing staff' ( each 1.0%), 'satisfaction' (0.5%) were showed in the order of the highest rate. 5. The concept of quality nursing care were defined as 'give a satisfaction to patients by patientcentered care based on professional skill and caring with kindness and sincerity'. The description of the meaning of quality nursing care provided by this research participants, patients and families can provide important information for quality nursing care management, medical marketing, education and researches of this field. On the basis of the above findings the following recommendations are made: to suggest to utilize this results for patient care in practice setting, development of quality assessment tool in nursing care, repeat study by the same subjects and method, and to a comparative study by the same method to nurse.

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