DOI QR코드

DOI QR Code

간호·간병 통합서비스 병동과 일반병동 간호사의 기본간호술 수행 빈도 및 중요성 인식 비교

A Comparative study on Perceived Importance and Frequency of Basic Nursing Performance ability of Comprehensive Nursing Care Service Wards versus General Wards

  • 투고 : 2018.10.30
  • 심사 : 2018.12.20
  • 발행 : 2018.12.28

초록

본 연구는 간호 간병통합서비스 병동과 일반병동 간호사를 대상으로 기본간호술의 수행 빈도 및 중요성 인식에 대한 차이점을 분석하여 간호 간병통합서비스 병동을 효율적으로 운영하는데 기초자료로 활용하기 위한 비교 조사연구이다. 연구대상자는 간호 간병통합서비스 병동 99명, 일반병동 90명 총 189명이며, 자료수집은 2018년 2.1-2.28일까지 였다. 자료분석은 t-test, One-way ANOVA, Pearson's correlation coefficient, Scheffe를 사용하였다. 연구결과 기본간호술 수행 빈도는 일반병동이 2.43회로 더 높았고, 개인위생, 영양 및 배설, 활동과 운동, 입 퇴원 및 이동에서 유의한 차이가 나타났다. 기본간호술에 대한 중요성 인식은 두 집단 모두 높게 나타났으나 간호 간병통합서비스 병동이 4.24점으로 조금 더 높았고, 개인위생, 활동과 운동, 입 퇴원 및 이동에서 유의한 차이가 있었다. 그러나 기본간호술의 중요성 인식에 비해 수행 빈도는 낮게 나타나고 있어 수행 빈도를 증가시킬 수 있는 방안이 필요하다고 사료된다. 이상의 연구결과를 근거로 간호 간병통합서비스 병동의 올바른 정착을 위해 간호사들이 전인간호 서비스를 제공할 수 있도록 적정한 간호인력 배치와 간호업무 수가개발에 대한 연구를 반복적으로 수행해 볼 필요가 있겠다.

The purpose of this study was to analyze the differences in the frequency and importance of basic nursing practice between comprehensive nursing care service wards and general wards and to provide basic data for the efficient of services. The subjects of this study were 99 comprehensive nursing care service and 90 general wards. Data were collected from February 1 to 28, 2018 and analyzed using a t-test, one-way ANOVA, Pearson's correlation coefficient, Scheffe test. The results showed that the frequency of basic nursing practice was higher by 2.43, and there were significant differences in personal hygiene, nutrition and excretion, exercise & activity. The recognition of the importance of basic nursing was high in both groups, but comprehensive nursing care service wards were slightly higher at 4.24 points. However, as the frequency of practice is lower than the recognition of the importance of basic nursing, a method to increase the frequency of practice is necessary. These results suggest that comprehensive nursing care service wards should provide appropriate nursing staff and system development so the nurses can provide care service as professionals.

키워드

Table 1. Homogeneity Test and The General Characteristics of Participant

DJTJBT_2018_v16n12_541_t0001.png 이미지

Table 2. Basic Nursing Performance Frequency and Perceived Importance of Comprehensive Nursing Care Service Wards and General Wards

DJTJBT_2018_v16n12_541_t0002.png 이미지

Table 3. Differences of Performance Frequency and Perceived Importance according to General Characteristics of Participants

DJTJBT_2018_v16n12_541_t0003.png 이미지

Table 4. Differences of Performance Frequency and Perceived Importance of Comprehensive Nursing Care Service Wards and General wards

DJTJBT_2018_v16n12_541_t0004.png 이미지

참고문헌

  1. N. M. Hwang. (2010). An Analysis of the debates on introduction of public caregivers' services in acute medical centers. Health and Welfare Policy Forum, 170, 60-71.
  2. Ministry of Health & Welfare. (2016). Guideline of pilot project on comprehensive nursing service. Sejong.
  3. Y. G. Lee. (2015). Policy task of introducing comprehensive nursing service system, KIHM Policy 23.
  4. National Health Insurance Service. (2016). Comprehensive nursing service guidelines. Seoul.
  5. M. K. Lee & D. Y. Jung. (2015). A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration, 21(3), 287-296. https://doi.org/10.11111/jkana.2015.21.3.287
  6. S. H. Ahn, S. H. Jung, J. H. You & M. A. Lee. (2018). Nursing Tasks and Practice Environment for Nursing Work Perceived by Nurses Working on Comprehensive Wards versus General Wards. Journal Korean Academic Nursing Admistration, 24(1), 10-20. https://doi.org/10.11111/jkana.2018.24.1.10
  7. S. M. Jung & S. H. Yoon. (2017). Comparative Analysis Research of Inpatient Satisfaction with Nursing on omprehensive Nursing Service Units & General Units and Nurses' Work Stress. Journal Korean Academic Nursing Admistration, 23(3), 229-238. https://doi.org/10.11111/jkana.2017.23.3.229
  8. Y. S. Kwon. (1991). Nursing student's basic nursing experience status and self-confidence survey. Dongsan Nursing, 7, 47-80.
  9. N. M. Hwang, B. H. Choi, H. T. Park & D. J. Kim. (2006). A study of institutionalization of caregiver service. Korea Institute for Health and Social Affairs. Seoul.
  10. Y. M. Kim, S. H. Cho, K. J. June, S. A. Shin & J. Y. Kim. (2012). Effects of hospital nurse staffing on in-hospital mortality, pneumonia, sepsis, and urinary tract infection in surgical patients. Journal of Korean Academy of Nursing, 42(5), 719-729. https://doi.org/10.4040/jkan.2012.42.5.719
  11. S. E. Kim & J. Y. Han. (2017). Clinical Nurses Job Stress, Emotional labor, Nursing Performance, and Burnout in Comprehensive Nursing Care Service Wards and General Wards. Journal of Korean Academy of Nursing Administration, 23(3), 336-345. https://doi.org/10.11111/jkana.2017.23.3.336
  12. N. S. Lee & M. S. Koh. (2015). Comparative Study for the Clinical Nurses' Work Satisfaction, Job Stress and Turnover Intention-in General ward, Comprehensive nursing care service ward, and Anshim unit. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 516-526. http://dx.doi.org/10.5762/KAIS.2015.16.1.516
  13. N. M. Hwang. (2015). Expansion of compre -hensive nursing services for quality assurance of hospitalization in medical institutions. Issue & Focus, 286, 1-8.
  14. M. S. Kim et. al. (2002). A comparative analysis of the importance of health promoting behaviors among nursing students and general students : Centered on one female university, Ehwa Nursing Science, 36.
  15. E. H. Choi & J. Y. Seo. (2009). Comparison among with Nursing Records, Nursing Intervention Priority Perceived by Nurse and Nursing Intervention Frequency of General Surgery Department. Journal of Korean Academy Adult Nursing, 21(3), 349-354.
  16. N. S. Lee & M. S. Go. (2015). Comparative study about the clinical nurse's job satisfaction, job stress and turnover intention in a general ward, Comprehensive nursing care service ward, and Anshim unit. Journal of Academia-Industral Technology, 16(1), 516-526. https://doi.org/10.5762/KAIS.2015.16.1.516
  17. J. A. Im. (2015). Factors affecting turnover intention of nurses in comprehensive nursing care wards: Job stress, emotional labor and burnout. Unpublished master' thesis, Gachon University. Incheon.
  18. Y. H. Kim. (2002). Nursing students' performance and confidence in basic nursing skills after the completion of clinical practice : focused on basic nursing skills of low performance. Unpublished master' thesis, Keimyung University. Daegu.
  19. S. J. You, J. H. Kim, S. H. Jo, Y. G. Choi & Y. M. Kim. (2008). A demonstration project for the nursing care improvement. Seoul: Korea Health Industry Development Institute, Report No: 2008-79.
  20. J. S. Choi & J. S. Kim. (2013). Nurses' Perception, Knowledge, and it's Affecting Factors on Performance of Nursing Practice in Hospital with No Guardian. The Korea Contents Society, 13(10), 403-411. http://dx.doi.org/10.5392/JKCA.2013.13.10.403
  21. J. H. Kim, S. J. Kim, E. T. Park, S. Y. Jeong & E. H. Lee. (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Nursing Administration, 23(3), 312-322. https://doi.org/10.11111/jkana.2017;23(3)
  22. M. R. Bang, S. S. Sim & D. S. Lee. (2015). Comparison of Patient-Sitter Ward Nurses and General Ward Nurses on Work-Related Musculoskeletal Symptoms, Occupational Stress and Nursing Work Environments. Journal of Korean Biological Nursing Science, 17(2), 169-178. http://dx.doi.org/10.7586/jkbns.2015.17.2.169
  23. J. A. Seo & B. S. Lee. (2016). Effect of work environment on nursing performance of nurses in hemodialysis unit: Focusing on the effects of job satisfaction and empowerment. Journal of Korean Nursing Administration, 22(2), 178-188. https://doi.org/10.11111/jkana.2016.22.2.178
  24. E. H. Chang, M. H. Mo & E. H. Choi. (2015). A Comparative study on Perceived Importance and Frequency of Core Nursing Skills between General and Special wards. Journal of the Korea Academia-Industrial cooperation Society, 16(2), 1264-1272. http://dx.doi.org/10.5762/KAIS.2015.16.2.1264
  25. M. A. Kim, K. O. Park, S. J. You, M. J. Kim & E. S. Kim. (2009). A Survey of nursing activities in small and medium-size hospitals: Reasons for turnover. Journal of Korean Clinical Nursing Research, 15(1), 149-165.
  26. H. H. Gil. (2011). Job analysis of the nursing care service in hospital without a guardian. Unpublished master' thesis, Hanyang University, Seoul.
  27. J. S. Choi. (2012). An analysis of non-value- added nursing activity for improving the efficiency of ward operation. Doctoral dissertation, Dankook University, Chungnam.
  28. T. A. Balboni, et al. (2008). Needs and perception of spiritual care among advanced cancer patients. Journal of Clinical Oncology, 26(15), 9560-9560. https://doi.org/10.1200/jco.2008.26.15
  29. G. Mark & A. P. Smith. (2012). Effects of occupational stress, job characteristics, coping, and attributional style on the mental health and job satisfaction of university employees. Anxiety stress and coping, 25(1), 63-78. DOI: 10.1080/10615806.2010.548088
  30. S. S. Han, M. H. Kim & E. K. Yun. (2008). Factors Affecting Nursing Professionalism. The Journal of Korean Academic Society of Nursing Education, 14(1), 73-79. http://uci.or.kr/G704-001961.2008.14.1.008 https://doi.org/10.5977/JKASNE.2008.14.1.073
  31. S. J. You et. al. (2007). Study of the utilization strategy of nursing personnel by types of medical institutions. Journal of Korean Clinical Nursing Research, 13(1), 157-172.
  32. C. H. Choi. (2014). A hospital without a guardian, Nurse shortage. MK security.
  33. Joint Commission International. (2012). Joint commission international accreditation standard for hospitals standards for hospitals standards lists version. Retrieved November 14, from view the standards hospital only version web site. 2011.
  34. J. S . Eom, J. Y. Song, H. J. Cheong & W. J. Kim. (2007). Infectious disease consul -tations from surgical departments in a university hospital. Infection and Chemotherapy, 39(6), 287-291.
  35. I. G. Kwon, M. S. Cho & H. Y. Shin. (2007). The perceived importance and performance frequency of nursing intervention in the oncology unit in a tertiary hospital. Journal of Korean Academy of adult Nursing, 19(2), 260-273.
  36. J. Jeong, Y. J. Seo & E. W. Nam. (2007). Factors Affecting Patient Safety Management Activities at Nursing Divisions of Two University Hospitals. Korean Journal of Hospital Management, 11(1), 91-109.
  37. K. Vroman & J. Morency. (2011). I do the best I can: caregivers' perceptions of informal caregiving for older adults in Belize. The International Journal of Aging and Human Development, 72(1), 1-25. DOI: 10.2190/AG.72.1.a
  38. S. J. Lee. (2017). The Survey of Perception, Performance and Importance in Nursing Practice of Comprehensive Nursing Care Service. Journal of the Korea Convergence Society, 8(4), 247-253. https://doi.org/10.15207/JKCS.2017.8.4.247
  39. O. S. Shim & J. S. Kang. (2018). The factors influencing on Compliance with Job Satisfaction of the Nurses in Comprehensive Nursing Care Service Wards - Focusing on Nursing professionalism and Nursing work environment. Journal of the Korea Convergence Society, 9(7), 347-354. https://doi.org/10.15207/JKCS.2018.9.7.347