• Journal of Home Health Care Nursing
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• v.24 no.1
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• pp.14-22
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• 2017

Purpose: To study aimed to examine the impact of the Nursing and Care=giving Integrated Service on nursing work performance, nurse' job satisfaction, and patient safety. Methods: A total of 66 nurses were selected as participants, comprising 30 nurses working in Nursing and Care=giving Integrated Service hospital ward, and 33 nurses working in a general hospital ward with a similar patient and disease group and distributed moderately. For data analysis, t-tests, ANOVA, and $X^2$ tests were conducted. Results: Nursing work performance in the Nursing and Care=giving Integrated Service ward was higher than that in the general hospital ward, but this difference was not statistically significant. Conversely, job satisfaction was lower among nurses in the Nursing and Care=giving Integrated Service ward, although again the difference was not significant. However, the Nursing and Care=giving Integrated Service ward had a significantly lower rate of safety-related accidents in patients compared to the general hospital ward. Conclusion: In order to expand and improve patient safety and other aspects of the Nursing and Care=giving Integrated Service, there is a need to establish a mediation strategy for increasing nurses' work performance and job satisfaction.

• The Korean Journal of Health Service Management
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• v.13 no.3
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• pp.53-65
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• 2019

Objectives: This descriptive survey study aimed to identify factors that affect job satisfaction among nurses working in integrated nursing care service wards and to explore measures to increase job satisfaction among these nurses. Methods: Data were collected between July 20 and August 3, 2018 from nurses working in integrated nursing care service wards in Busan and Changwon city, in Korea. Data were analyzed with SPSS/WIN 23.0 software(IBM corp., Armonk, NY, USA). Results: Factors affecting job satisfaction among nurses working in integrated nursing care service wards were identified as follows: professional self-concept (${\beta}=.32$, p=.003), which is a subdomain of nursing professionalism, and nursing foundations for quality care (${\beta}=.30$, p=.001), which is a subdomain of nursing work environment. The model had an explanatory power of 54.7%. Conclusions: Nursing professionalism should be strongly established among nurses, as nurses are key players in a health system that allows stable and expanded operations of integrated nursing care. Intervention measures that create a better work environment for nurses should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts to increase nurses' job satisfaction in integrated nursing care service wards.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.2
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• pp.159-166
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• 2008

Purpose: The purpose of this study was to identify the degree of critical thinking disposition of nursing students and the factors influencing critical thinking disposition. Method: The subjects were 406 nursing students attending at one university who have been taught by the integrated nursing curriculum. Data was collected by a self-administered questionnaire from Nov. 11, 2007 to Nov. 30, 2007. The survey tool developed by Yoon(2004) was used. Data was analyzed by t-test, one way ANOVA and Scheffe test using SPSS Win 12.0. Result: The mean score of critical thinking disposition was 3.57. The sub scales of critical thinking disposition were statistically significant in regard to grade, age and character of subjects. Overall mean score of critical thinking disposition and its sub scales were statistically significant according to the degree of satisfactory of majoring nursing, reason of choosing nursing as a major and satisfaction on integrated nursing curriculum. Conclusion: Critical thinking ability is very important in various nursing situations. Integrated nursing curriculum was developed to improve critical thinking ability of nursing students. It is recommended that evaluation on the goal attainment of the integrated nursing curriculum needs to be monitored continuously.

• Journal of Home Health Care Nursing
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• v.28 no.3
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• pp.317-328
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• 2021

Purpose: The purpose of this study is to provide patient-centered nursing by comparing the patient needs, patient satisfaction, and communication type of nurses for patients admitted to integrated nursing care service ward and general ward. Methods: Data were collected by self-report questionnaires between September 7 and October 9, 2021. Patients were patients recruited from a hospital in D city, 100 each from comprehensive nursing care service ward and general ward. The data were analyzed using descriptive statistics, 𝜒²-test, t-test, ANOVA, and Pearson's correlation. Results: There was no significant difference in patient needs between the patients of integrated nursing care service ward and the general ward (t=-1.12, p=.263). However, patient satisfaction was higher among the patients in integrated nursing care service ward than in the general ward (t=-3.55, p<.001). Pertaining to the communication type of nurses, the informational communication type (t=-4.02, p<.001) and the friendly communication type (t=-3.92, p<.001) were stronger in the integrated nursing care service ward than the general ward. It was, hence, confirmed that the educational requirements were positively correlated with patient satisfaction in the reliability domain and technical-professional domain, and that the nurse informational communication type and friendly communication type had a significantly positive correlation with patient satisfaction. Conclusion: The expansion of the integrated nursing care service ward may be considered in the future, with an informational and friendly communication method as an effective response that can be adapted in practice as a reflection the type of communication among nurses.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.4
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• pp.387-395
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• 2008

Purpose: The purpose of this study was to evaluate the educational outcome of applied integrated curriculum in a nursing college. In order to evaluate the educational outcome students' ability was surveyed for the four main elements of the curriculum. Four main elements were ability in application of nursing process, communication skill, critical thinking disposition, and competence in nursing profession. Method: The subjects were 97 nursing students who had been educated by the integrated curriculum for 4 years. Data were collected using self-report questionnaire on Dec. 6, 2006, and analyzed by using ANOVA, t-test, and pearson correlation coefficient. Result: The mean score of ability in application of nursing process was 3.78/5.00, communication skill was 3.98/5.00, critical thinking disposition was 3.73/5.00, and competence in nursing profession was 4.04/5.00. There was a significant correlation between four main elements of the curriculum. There was a significant difference in students' level of ability according to subjects' evaluation to the curriculum. Conclusion: The study results suggested that review and supplementation of the integrated curriculum. And further study on the educational outcome in order to upgrade the curriculum are needed.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.2
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• pp.211-222
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• 2017

Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

• Journal of Industrial Convergence
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• v.22 no.9
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• pp.103-112
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• 2024

The purpose of this study is to understand the experiences of nurses working in integrated nursing service wards regarding patient safety nursing. To achieve the purpose of this study, data were collected through one-on-one in-depth interviews with nine clinical nurses working in the integrated nursing service ward at E University Hospital from October 1, 2019 to December 22, 2019. A pre-prepared semi-structured questionnaire was used for the interview, and the recordings were transcribed after the interview. Data were analyzed by applying the phenomenological method of Colaizzi. The results of this study reflected the patient safety nursing experience of the study participants, and 123 meaning units were discovered, which were derived into 9 themes and 4 theme clusters. : 'ambivalence of patient safety nursing,' 'pressure related to patient safety incidents,' 'advancement in patient safety through practical experience complementing adherence to principles,' and 'achieving safety nursing together with patients'. In conclusion, Integrated Nursing Service ward have a duality of patient safety, and it is necessary to recognize the need for a patient safety system suitable for integrated nursing service ward.

• Child Health Nursing Research
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• v.21 no.4
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• pp.293-301
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• 2015

Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.3
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• pp.283-291
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• 2016

Purpose: This study was done to evaluate the persistency of effects of an integrated nursing simulation program on interest in learning, recognition of importance of communication, communication skills, and problem-solving abilities. Method: Forty-seven nursing students were recruited for this quasi-experimental design research. The experimental group (n=23) performed the simulation program for two weeks, and the control group (n=24) performed traditional clinical nursing practice for two weeks. Data were collected at baseline, immediately after the intervention, at 4 weeks, and finally at 8 weeks. Results: With respect to all variables, no significant differences were found between the experimental group and the control group. Interest in learning showed a significant increase in the control group (F=3.59, p=.018) at 4 weeks, and there was a significant increase in problem-solving abilities in the experimental group (F=4.98, p=.004) immediately after the intervention. Conclusion: Findings from this study suggest that the integrated nursing simulation program is as effective as the traditional clinical nursing practice, and the integrated nursing simulation program could be used as an alternative.

• Journal of Korea Entertainment Industry Association
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• v.15 no.2
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• pp.191-202
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• 2021

The purpose of this research was to investigate the effects of the communication ability, communication type and satisfaction of nursing service on the re-use intention of nursing and care integration services of the hospital. The research subjects were 291 patients who were hospitalized for more than 3 days in the integrated nursing and care service center. Data were analyzed using SPSS 21.0. As a result of the study, the variables that significantly affect the reuse of integrated nursing services in hospitals were satisfaction with nursing services and integrated services. The explanatory power of these variables was 63.4%. Therefore, to increase the intention to re-use integrated nursing and care services of the hospitals, efforts are needed to increase the satisfaction of nursing services. And research on other variables that affect the guarantee is highly recommended.