임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제24권1호
  • /
  • Pages.34-43
  • /
  • 2018
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

간호간병통합병동과 일반병동의 간호서비스 만족도와 중요도, 간호 근무환경, 간호사 재직의도 비교

Comparing Satisfaction and Importance of Nursing Care Nursing Work Environment, Nurse's Intention to Work between Comprehensive Nursing Care Unit and General Nursing Care Unit

  • 박인숙 (서울특별시 보라매병원 공공의료사업단) ;
  • 김주희 (서울특별시 보라매병원 간호과) ;
  • 홍희정 (서울특별시 보라매병원 간호과) ;
  • 김혜선 (서울특별시 보라매병원 간호과) ;
  • 한인선 (서울특별시 보라매병원 간호과) ;
  • 이선영 (서울특별시 보라매병원 간호과)
  • Park, Ihn Sook (Public Health Medical Services, SMG-SNU Boramae Medical Center) ;
  • Kim, Ju Hee (Nursnig Department, SMG-SNU Boramae Medical Center) ;
  • Hong, Heejung (Nursnig Department, SMG-SNU Boramae Medical Center) ;
  • Kim, Hyesun (Nursnig Department, SMG-SNU Boramae Medical Center) ;
  • Han, Insun (Nursnig Department, SMG-SNU Boramae Medical Center) ;
  • Lee, Sunyoung (Nursnig Department, SMG-SNU Boramae Medical Center)
  • 투고 : 2018.01.31
  • 심사 : 2018.02.20
  • 발행 : 2018.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was aimed to identify the difference in satisfaction and importance of nursing care between patients in comprehensive nursing care unit (CNCU) and general nursing care unit (GNCU). It also confirms the difference between practice environment of nursing work and nurse's intention to work. Methods: Nursing care satisfaction and importance levels were measured from 202 patients. Practice environment of nursing work and nurse's intention to work were measured from 54 nurses. Results: The satisfaction level was higher in the CNCU in comparison to the GNCU (p<.001). There was no significant difference between the importance and satisfaction level of nursing care for patients at the CNCU (p=.973), whereas in the GNCU, patients' satisfaction level was lower than the importance level (p<.001). The score for practice environment for nursing work was higher in the CNCU than in the GNCU (t=3.34, p=.002). The nurse's intention to work in the CNCU was higher than that of the GNCU, but there was no statistically significant difference. Conclusion: Through the survey, the paper suggests that comprehensive nursing care is a service type that satisfies the nursing demand (importance) that patients consider important. Results from nurses showed no significant differences.

키워드

참고문헌

  1. Kwag WH. Contents and problem of demonstration project about comprehensive nursing service. Health Policy forum. 2015;13(2):50-55. http://www.rihp.re.kr/research/forum/?uid=1659&mod= document&pageid=1.
  2. Hwang NM. Comprehensive nursing service for hospital inpatient's care. Health Welfare Issue&Focus. 2015;286:1-8.
  3. Lee SY. Comprehensive nursing service pilot project: Inha University Hospital's case. Paper presented at: Symposium of comprehensive nursing service hospital pilot project; 2014 Feburary 11; Inha University Hospital. Incheon.
  4. Lee ID. Patients anshim hospital service pilot project: Seoul Medical Center's case. Paper presented at: Symposium of patients anshim hospital; 2014 March 4; Seoul Medical Center. Seoul.
  5. Shin SR, Park KY. Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care unit and general care unit. Journal of Korean Academy of Nursing Administration. 2015;21(5):469-479. http://dx.doi.org/10.11111/jkana.2015.21.5.469
  6. Choi HJ, Koh MS. Comparative study between the patients' satisfaction level of nursing service and revisiting intention of the inpatients according to the words type. Health and Medical Sociology. 2014;37:49-64.
  7. Kane RL, Shamliyan TA, Mueller C, Duval S, Wilt TJ. The association of registered nurse staffing levels and patient outcomes: systemic review and meta-analysis. Medical Care. 2017;45(12):1195-1204. http://dx.doi.org/10.1097/MLR.0b013e3181468ca3
  8. Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Annals of Internal Medicine. 2013; 158(5 Pt 2):404-409. http://dx.doi.org/10.7326/0003-4819-158-5-201303051-00007
  9. Lee NS, Kho MS. 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 Korea Academia-Industrial cooperation Society. 2015;16(1):516-526. http://dx.doi.org/10.5762/KAIS.2015.16.1.516
  10. Im JA. Factors affecting turnover intention of nurses in comprehensive nursing care wards: job stress, emotional labor and burnout [master's thesis]. Incheon: Gacheon University; 2015. p. 1-57.
  11. Kim SE, Han JY. Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing service wards and general wards. Journal of Korean Academy of Nursing Administration. 2017;23(3):336-345. http://doi.org/10.11111/jkana.2017.23.3.336
  12. Lee MK, Jeong DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration. 2015;21(3): 287-296. http://dx.doi.org/10.11111/jkana.2015.21.3.287
  13. Jung SM, Yoon SH. Comparative analysis research of inpatient satisfaction with nursing on comprehensive nursing service units and general units and nurses' work stress. Journal of Korean Academy of Nursing Administration. 2017;23(3): 229-238. http://doi.org/10.11111/jkana.2017.23.3.229
  14. Yeun YR. Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses. Journal of Korea Academia-Industrial cooperation Society. 2015;16(1):317-323. http://dx.doi.org/10.5762/KAIS.2015.16.1.317
  15. Kim JH, Kim SJ, Park ET, Jeong SY, Lee E. Policy issues and direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration. 2017;23(3):312-322. http://doi.org/10.11111/jkana.2017.23.3.312
  16. Lake ET, Friese CR. Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing Research. 2006;55(1):1-9. https://doi.org/10.1097/00006199-200601000-00001
  17. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002; 25(3):176-188. https://doi.org/10.1002/nur.10032
  18. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325
  19. La Monica EL, Oberst MT, Madea AR, Wolf RM. Development of a patient satisfaction scale. Res Nurs Health. 1986;9(1): 43-50. http://dx.doi.org/10.1002/nur.4770090108
  20. Yang EJ. The comparison of contentment and it's importance in nurse service which both patients and Nurses can feel [master's thesis]. Seoul: Kyunghee University. 2002. p. 1-60.
  21. Lee EH, Cho KS, Son HM. A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research. 2014;20(1):15-27. https://doi.org/10.22650/JKCNR.2014.20.1.15
  22. Wang MS, Lee ID, Kang MS, Cha EK, Choi DH, Jeong HC. Analysis on satisfaction of nursing services for elderly hospitalized in attended ward and general ward. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(5): 3014-3024. http://dx.doi.org/10.5762/KAIS.2014.15.5.3014
  23. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration. 2008;38(5): 223-229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7
  24. Choi EJ, Hwang JH, Jang IS. Effects of nursing practice envi- ronment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration. 2017;23(2):161-169. http://dx.doi.org/10.11111/jkana.2017.23.2.161
  25. Flinkman M, Leino-Kilpi H, Salantera S. Nurses' intention to leave the profession: Integrative review. Journal of Advanced Nursing. 2010;66(7):1422-1434. https://doi.org/10.1111/j.1365-2648.2010.05322.x
  26. Lee YG, Seomun GA. Impact of unit-level nurse practice environment on nurse turnover intention. Journal of Digital Convergence. 2016;14(6):355-362. http://dx.doi.org/10.14400/JDC.2016.14.6.355
  27. Cho KS, Lee EH, Son HM. Factors affecting hospital nurses intention to remain: focusing on role conflict. Journal of Korean Academic Society of Nursing Education. 2017;23(3):290-299. http://dx.doi.org/10.5977/jkasne.2017.23.3.290