Perceptions of Adequacy and Job Performance of Nurse Assistant Nursing Jobs according to Registered Nurses and Nurse Assistants in Geriatric Hospitals, and Caregivers

요양병원 간호조무사의 간호업무 적절성과 수행여부에 대한 간호사, 간호조무사, 환자보호자의 인식 비교

  • Received : 2016.07.12
  • Accepted : 2016.09.05
  • Published : 2016.09.30


Purpose: The purpose of this study was to investigate perceptions of adequacy and job performance of the nurse assistants' nursing job as evaluated by registered nurses and nurse assistants in geriatric hospitals, and by caregivers from the same hospitals. Methods: Participants included 62 registered nurses, 57 nurse assistants, and 64 patient caregivers who completed a measurement scale on the job of nurse assistants. Data collection was conducted from October to December, 2015. Data were analyzed using descriptive statistics and one-way ANOVA by IBM SPSS/WIN program version 21.0. Results: There were significant differences by items in perception of adequacy of nurse assistants' nursing job of among the three groups. There was also a significant difference in perception of the nurse assistants' job performance among the three groups. Conclusion: For nurse assistants in geriatric hospitals, the Ministry of Health and Welfare needs to develop an appropriate job practice guideline. In addition, there should be periodic courses of retraining and continuing education for nurse assistants.



  1. You SJ. Comparisons of the nursing workforce with Japan, and the U.S. The Journal of Digital Policy & Management. 2013;11(6):275-287.
  2. Statistics Korea. Health insurance statistics (Nurses and others) [Internet]. Daejeon: Statistics Korea. 2006[cited 2016 August 15]. Available from:]
  3. Hospital Nurses Association. Status of hospital nurse staffing on 2014. Seoul: Hospital Nurses Association; 2014.
  4. Sim MR, Kim KH. Job satisfaction, self-esteem, and nursing task performance among registered nurses and nurse assistants in ling-term care hospitals. Journal of Korean Academy of Nursing Administration. 2010;16(4):446-454. 2010.16.4.446
  5. Chang SO, Lee BS, Kim JI, Shin SR. A delphi study to elicit policies for nurse workforce based on patient safety. Journal of Korean Academy of Nursing Administration. 2014;20(2):215-226.
  6. Park JH, Sung YH, Song MS, Cho JS, Sim WH. The classification of standard nursing activities in Korea. Journal of Korean Academy of Nursing. 2000;30(6):1411-1426.
  7. Kwon SB, Cho KS, Park YS, Kim DO, Yi YJ, Lee EH. Analysis of nursing work of operation room nurses. Journal of Korean Academy of Nursing Administration. 2008;14(1):72-84.
  8. Kim HJ, Lim JS, Choi SM, Park SH, Park SH, An SE, et al. Analysis of activities and services of delivery room nurses based on DACUM technique. Journal of Korean Clinical Nursing Research. 2015;21(3):319-334.
  9. Kim MH, Jeong CY. A survey of the nursing activities performed by nursing staffs in long-term care hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(2):940-951.
  10. Kim ES, Lee HJ. Legal definition of nursing practice. Journal of Korean Academy of Nursing Administration. 2006;12(4):574-586.
  11. Lee SY, Kim HJ. Strategies for improving the structure of health care workers in hospitals to improve quality of medical service-Focused on nursing workers-. Health Improvement Report. Seoul: Center for Health and Social Change; 2008 December.
  12. Hwang NM, Kim DJ. An overview of the nursing systems of France and Germany. Health Welfare Policyforum. 2014;217:76-89.
  13. Association of Women's Health, Obstetric and Neonatal Nurses. The role of unlicensed assistive personnel (nursing assistive personnel) in the care of women and newborns. Nursing for Women's Health. 2009;13(6):526-528.
  14. Back SH, Kim KH. Comparison of job performance and job satisfaction of nurse assistants in general hospitals and longterm care hospitals. Health Service Management Review. 2014;8(1):1-10.
  15. Park CJ. Determinants of long term care service types of family caregiver. Korean Journal of Gerontological Social Welfare. 2015;70:31-51.
  16. Kwon KJ, Park TJ, Lee SY. How does the long-term care hospital work? -Content analysis to conceptualize patient's family and personnel's experience-. Korean Journal of Care Management. 2015;16:101-122.
  17. Park KM, Yang JH, Chang DM. The effects of hospital choice factors on customer satisfaction and revisiting intention in general hospitals. Journal of The Korea Contents Association. 2015;15(8):375-388.
  18. Lee HJ, Kim JY, Kim SH. An analysis of the difference between importance and satisfaction of selection attributes and reuse intention in long-term care hospital for elderly patient caregivers. Korean Journal of Hospital Management. 2015;20(4):50-61.
  19. Park HT, Kim YA, Hwang HY. The importance and performance of nursing interventions perceived by nurses in long-term care facilities for elderly. Journal of Korean Academy of Nursing Administration. 2006;12(2):189-195.
  20. AI Saif N, Hammodi A, AI-Azem MA, AI-Hubail R. Tension pneumothorax and subcutaneous emphysema complicating insertion of nasogastric tube. Case Reports in Critical Care. 2015;690742:1-4.
  21. Oh EG, Lee HJ, Kim YK, Sung JH, Park YS, Yoo JY, et al. Current status of home visit programs: Activities and barriers of home care nursing services. Journal of Korean Academy of Nursing. 2015;45(5):742-751.
  22. Chang SO, Gil SY, Lee MH, Jin EH, Cha BK, Park CS, et al. Basic nursing. 3rd ed. Paju: Koonja.
  23. Jung JY, Yun SY. Elder care related knowledge, attitudes, nursing practice and awareness of elder abuse in geriatric hospital health personnels. Journal of Korean Gerontological Nursing. 2012;14(3):233-241.
  24. Siem C, Rantz M. Certified nurse aide scope of practice. Journal of the American Medical Directors Association. 2015;16(1):6.
  25. Juthberg C, Sundin K. Registered nurses' and nurse assistants' lived experience of troubled conscience in their work in elderly care -A phenomenological hermeneutic study. International Journal of Nursing Studies, 2010;47(1):20-29. j.ijnurstu.2009.06.001
  26. Yang PH, Hung CH, Chen YC. The impact of three nursing staffing models on nursing outcomes. Journal of Advanced Nursing. 2015;71(8):1847-1856. 10.1111/jan.12643
  27. Ko IS. Basic skills for nursing practice. Seoul: Eunha Publishing Co.; 2010.

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