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Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey

상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사

  • Park, Hyunsoon (Department of Nursing, Konkuk University Glocal Campus Graduate School) ;
  • Kim, Ha Woon (Department of Nursing, Inha University Hospital) ;
  • Kim, Hee Jeong (Department of Nursing, Konkuk University Medical Center) ;
  • Kim, Soon Ick (Department of Nursing, Seoul Women's Hospital) ;
  • Park, Eun Hye (Department of Nursing, Injung Hospital) ;
  • Kang, Nam Mi (Department of Nursing, Konkuk University Glocal Campus)
  • 박현순 (건국대학교 글로컬캠퍼스 대학원 간호학과) ;
  • 김하운 (인하대학교병원) ;
  • 김희정 (건국대학교병원) ;
  • 김순익 (서울여성전문병원) ;
  • 박은혜 (인정병원) ;
  • 강남미 (건국대학교 글로컬캠퍼스 간호학과)
  • Received : 2018.09.28
  • Accepted : 2019.02.22
  • Published : 2019.04.30

Abstract

Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

Table 1. Clinical Work Characteristics of Obstetrics Wards, Patients and Nurses

BGHSBR_2019_v25n1_55_t0001.png 이미지

Table 2. Direct and Indirect Nursing Time by Items of Obstetrics Ward Nurses

BGHSBR_2019_v25n1_55_t0002.png 이미지

Table 3. Direct Care Intervention Time by Work Duty Group in Obstetric Ward

BGHSBR_2019_v25n1_55_t0003.png 이미지

Table 4. Indirect Care Intervention Time by Work Duty Group in Obstetric Wards

BGHSBR_2019_v25n1_55_t0004.png 이미지

Table 5. Total Nursing Intervention Time Per Day in Obstetric Ward

BGHSBR_2019_v25n1_55_t0005.png 이미지

Acknowledgement

Supported by : 건국대학교

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