Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
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Workload and Job Satisfaction of Home Health care Nurses in Korea

한국 가정전문간호사의 업무량과 직무만족도

  • Yim, Min-Young (Kyung Hee Medical Center) ;
  • Hwang, Won Ju (College of Nursing Science, Kyung Hee University, East-West Nursing Research Institute)
  • 임민영 (경희의료원) ;
  • 황원주 (경희대학교 간호과학대학, 동서간호연구소)
  • Received : 2016.10.12
  • Accepted : 2017.01.15
  • Published : 2017.04.30
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Abstract

Purpose: This study aimed to identify the workload of home healthcare nurses and their job satisfaction. Methods: The research was conducted on 87 home healthcare nurses in nationwide medical institutions. Results: Number of visits was correlated with direct nursing hours. The monthly average number of visits was 108.84 ; the average number of patients was 45.66; the average daily working hours were $8.95{\pm}0.95$, of which $5.43{\pm}1.06 $ were indirect nursing hours, and $3.57{\pm}1.05$ were direct nursing hours. The average nursing time by severity condition was 22.25 minutes for group 1 patients, 28.04 minutes for group 2, 34.97 minutes for group 3, and 42.88 minutes for group 4. Of possible scores out of 5 for the job satisfaction of home healthcare nurses, their satisfaction was low for their welfare ($2.68{\pm}1.12$), workload ($2.90{\pm}0.88$), and enough time to work ($2.98{\pm}0.90$). Conclusion: The severity of patient's conditions influenced the workload of home healthcare nurses. Although workload did not correlate significantly with job satisfaction, it is necessary to devise a measure for manpower so that home healthcare nurses can secure sufficient nursing hours when they visit clients.

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References

  1. Adams, C. E., Michel, Y., DeFrates, D., & Corbett, C. F. (2001). Effect of local on health status and direct care time of rural versus urban home health patients. Journal of Nursing Administration, 31(5), 244-251. https://doi.org/10.1097/00005110-200105000-00004
  2. Byrne, G., Brady, A. M., Horan, P., Macgregor, C., & Begley, C. (2007). Assessment of dependency levels of older people in the community and measurement of nursing workload. Journal of Advanced Nursing, 60(1), 39-49. https://doi.org/10.1111/j.1365-2648.2007.04374.x
  3. Chae, J. H. (2013). The Effects of Job Stress and Fatigue of Homecare Nurses on the Quality of Nursing Service. Unpublished Master's thesis, The Kyung Hee University, Seoul.
  4. Cho, Y. Y. (2005). The relationship among perception of ethical values, ethical conflicts, and job satisfaction of home care nurses. Unpublished Master's thesis, The Catholic University, Seoul.
  5. Cole, D., Panchanadeswaran, S., & Daining, C. (2004). Predictors of job satisfaction of licensed social workers: Perceived efficacy as a mediator of the relationship between workload and job satisfaction. Journal of Social Service Research, 31(1), 1-12. https://doi.org/10.1300/J079v31n01_01
  6. Derrick, A. M. (1998). Benchmarking productivity in home health care. Home Health Care Management & Practice, 10(3), 71-77. https://doi.org/10.1177/089780189801000311
  7. Ellen-becker, C. H., & Byleckie, J. J. (2005). Agencies make difference in home healthcare nurse's job satisfaction. Home healthcare Now, 23(12), 777-784. https://doi.org/10.1097/00004045-200512000-00007
  8. Gong, H. H., & Son, Y. J. (2012). Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Fundamentals of Nursing advanced nursing, 19(4), 453-462. https://doi.org/10.7739/jkafn.2012.19.4.453
  9. Health Insurance Review & Assesment Service. (2015). Retrieved September 8, 2015, http://www.hira.or.kr/cms/policy/03/01/02/01/1185737_27448.html.
  10. Hong, J. U. (2000). Estimation of home care nursing cost to the patient with cerebrovascular disease based on a bundle of service. Unpublished Master's thesis, Seoul National University, Seoul.
  11. Kim, Y. H., Lee, M. K., Lee, S. J., Cho, M. S., & Hwang, M. S., (2011). Medication status and adherence of the elderly under home care nursing. Journal of Korean Academy Community Health Nursing, 22(3), 290-301. https://doi.org/10.12799/jkachn.2011.22.3.290
  12. Kim, H. S., You, S. Y., Kim, M. J., & Park, C. S. (2004). Direct care stress and job satisfaction in home care nurses. Korean Journal of Women Health Nursing, 10(3), 261-265.
  13. Korea Ministry of Government Legislation. (2015). Retrieved November10, 2015, from http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%9D%98%EB%A3%8C%EB%B2%95#undefined.
  14. Korea Institute for Healthcare Association. (2015). Retrieved November 10, 2015, from http://www.koiha.kr/member/kr/board/establish/establish_BoardView.do.
  15. Kwon, H. J. (2012). Long Working Hours System, Korea Labor Institute, March(84), 73-91.
  16. Lee, S. J. (2004). Cost analysis of home care with activity-based costing (ABC). Journal of Korean Academy of Nursing, 34(6), 1117-1128. https://doi.org/10.4040/jkan.2004.34.6.1117
  17. Lee, T. W., Park J. S., & Kim, I. S. (2000). Workload measurement of home health care nurses service using relative value units. Journal of Korean Academy of Nursing, 30(6), 1543-1554. https://doi.org/10.4040/jkan.2000.30.6.1543
  18. Lu, H., Barriball, K. L., Zhang, X., & While, A. E. (2012). Job satisfaction among hospital nurses revisited: a systematic review. International Journal of Nursing Studies, 49(8), 1017-1038. https://doi.org/10.1016/j.ijnurstu.2011.11.009
  19. Ogawa, K. (2008). Workload of home health care nurses in japan. Unpublished Master's thesis. Case Western Reserve University. Cleveland, OH, USA.
  20. Park, M. M., & Han, S. J. (2013). Influence on the home health nurse's job satisfaction of emotional labor, job stress and personal resources. Journal of Korean Academic Community Health Nursing, 24(1), 51-61. https://doi.org/10.12799/jkachn.2013.24.1.51
  21. Park, J. H., Kim, M. J., Hong, K. J., Han, K. J., Park, S. A., Yun, S. N., &, Bang, K. S. (2000). Development and analysis of community basedindependent home care nursing service. Journal of Korean Academy of Nursing Administration, 30(6), 1455-1466. https://doi.org/10.4040/jkan.2000.30.6.1455
  22. Paula, L. S., Eugene, B. P.,Slavitt, D. B., & Haase, A. M. (1978). Measurement of work satisfaction among health professionals. Medical Care, 16(4), 337-352. https://doi.org/10.1097/00005650-197804000-00006
  23. Ryu, H. S., Jung, K. S., & Lim, J. Y. (2006). Test on the cost and development on the payment system of home health care nursing, Journal of Korean Academy of Nursing, 36(3), 503-513. https://doi.org/10.4040/jkan.2006.36.3.503
  24. Statistics Korea. (2015). Percentage of national health expenditure to GDP. Retrieved August 22. 2015. from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2934#quick_02;.
  25. Storfjell, J. L., Allen, C. E., & Easley, C. E. (1997). Analysis and management of home health nursing caseloads and workloads. Journal of Nursing Administration, 27(9), 24-33. https://doi.org/10.1097/00005110-199709000-00008
  26. You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., & Sermeus, W. (2013). Hospital nursing, care quality, and patient satisfaction, International Journal of Nursing Studies, 50(2), 154-161. https://doi.org/10.1016/j.ijnurstu.2012.05.003
  27. Whang, N. M. (1998). Current status and policy agenda on home health care payment system, Health and Welfare Forum, January(16), 67-73.
  28. Whang, N. M. (2002). The status of home nursing care program and policy suggestions for elderly patients, Health and Welfare Forum, September(71), 16-26.