• Title/Summary/Keyword: Quality of Nursing Service

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Analysis of the Influencing Factors on Quality of Nursing Services in General Hospital Nurses using the Structural Equation Model (구조방정식모형을 이용한 종합병원 간호사들의 간호서비스의 질에 영향을 미치는 요인 분석)

  • Lee, Myung-Jun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.7126-7137
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    • 2015
  • This study explored the quality of nursing services in relation to a nurse's psychosocial factors (type A behavior pattern, self-esteem, locus of control, and anxiety), job stress, and fatigue. This study targeted 503 nurses who currently work at six different general hospitals in Daejeon city, The data was collected by self-administered questionnaire which was surveyed from April 1 to June 30, 2014. As the result of analysis of covariance, psychosocial factors affect the quality of nursing services more than job stress or fatigue. In addition to that, as parts of psychosocial factors, high self-esteem and low fatigue, job stress, and anxiety increase the quality of nursing services. The research above implies that the quality of nursing services of nurses who work at the general hospital has a correlation with not only the psychosocial factors but also job stress, and fatigue.

The Related Factors with Improvement of Long-term Care Need of Residents and Quality of Service in Long-term Care Facility (노인요양시설 입소자의 장기요양등급 개선과 서비스 질 관련요인)

  • Chin, Young-Ran;Choi, Kyoung-Won
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.51-64
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    • 2014
  • The purpose of this study was to investigate the relationship among staffing, occupancy rate, upward level change of long-term care need, and evaluation grade of facility. Data were obtained from National Health Insurance Corporation Database. Occupancy rate and evaluation grade were highest in National/public operating facilities, while they were worst in individual operating facilities. The percents of A or B grade in evaluation grade (by newly enforced law) is highest in National/public operating facilities. Multiple regression analysis showed that upward level change of care needs was very weakly associated with the number of doctors. Evaluation grade showed a weak and significant association with occupancy ratey(by old-version law)(r=.20, p<.01), upward level change of care need in group home(r=.23, p<.01) Staffing in facility did not show significantly consistent association with upward level change of care needs, evaluation grade, and occupancy rate.

Effect of Self-efficacy and Yangsaeng on Quality of Life in Hemodialysis Patients (혈액투석환자의 자기효능감, 양생정도가 삶의 질에 미치는 영향)

  • Hur, Jung;Kim, Ae-Jung
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.76-83
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    • 2010
  • Purpose: The study was done to identify the effects of self-efficacy and Yansaeng on quality of life (QOL) of 208 renal hemodialysis patients in Korea. Methods: This study employed a descriptive correlation design. Data were collected by self-report questionnaire. The questionnaires consisted of self-efficacy, Yansaeng, and quality of life (WHOQOL-BREF). Data were analyzed using t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, Cronbach's a, and multiple regression. Results: The self-efficacy was significantly correlated with exercise while Yangsaeng had significant correlation with age and exercise. QOL was significantly influenced by gender, cause of disease, and exercise. Self-efficacy and Yangsaeng positively correlated to QOL. Self-efficacy and Yangsaeng influenced on QOL in 34.9% of the hemodialysis patients. Conclusions: QOL of hemodialysis patients was influenced by self-efficacy and Yangsaeng, which can be utilized as a beneficial nursing intervention.

Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals (간호·간병통합서비스병동 간호사의 직무스트레스가 소진에 미치는 영향: 감성지능의 조절 및 매개효과 )

  • Lee Yu Lim;Lee Yun Mi;Jang So Eun
    • Journal of Korean Critical Care Nursing
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    • v.16 no.1
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    • pp.44-55
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    • 2023
  • Purpose : This study aims to identify job stress, emotional intelligence, and exhaustion of the nurses in comprehensive nursing service units and then verify the moderating and mediating effects of emotional intelligence on the relationship between job stress and exhaustion. Methods : Participants are 118 nurses working in two general hospitals. The collected data are analyzed using the SPSS WIN 27.0 and AMOS 18.0 programs by assessing frequency and percentage, mean and standard deviation, independent t-test and one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis and bootstrapping. Results : Exhaustion has a statistically significant positive correlation with job stress (r=.40, p <.001) and a statistically significant negative correlation with emotional intelligence (r=-.26, p =.004). A partial mediating effect of emotional intelligence is found between job stress and exhaustion, however, there is no moderating effect. Conclusion : It is expected that to reduce the exhaustion of nurses in comprehensive nursing service units, it is necessary to assess job stress and emotional intelligence, and strengthen emotional intelligence along with job stress intervention.

The Effect of Regular and Temporary Employment on Health-related Quality of Life (정규직 및 비정규직 고용형태가 건강관련 삶의 질에 미치는 영향 분석 연구)

  • Sohn, Shin-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.171-182
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    • 2015
  • Objectives : The aim of this study was to identify the effect of employment type on health-related quality of life. Methods : This study used data from the Sixth Korea National Health and Nutrition Examination Survey. Data were analyzed with the ${\chi}^2$ test, t-test, ANOVA and multiple regression. Results : There were significant statistical differences the health-related quality of life according to employment type. The health-related quality of life of temporary workers was lower than that of regular workers. The significant predictors of the health-related quality of life of regular workers were the subjective health status, stress, age, and education. The significant predictors of the health-related quality of life of temporary workers were the subjective health status, education, stress, sleeping time, and gender. Conclusions : These results suggest that employment type affects the health-related quality of life. The research on social policy is recommended to resolve health inequalities.

A Research on Inpatient Perception of Kindness on Nurse (입원환자가 지각하는 간호사의 친절에 관한 연구)

  • Kang Hyun-Sook;Kim Il-Won;Kim Won-Ock;Jang Kwang-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.2
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    • pp.259-271
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    • 1996
  • This reserch has been done in order to improve quality of nursing and medical service. In order to improve those qualities the study has been done to know inpatient perception of kindness and meaning of kindness which patients receive from nurse and also what effect inpatient have when they experience kindness from nurse. The subjects were 454 people who admitted in K Hospital. Time period was from October to December 1995. This survey has been done by personal interview with a written questionnaire. Analysis of data has been done by $X^2-test$ and percentage. The results of the research may be summarized as follows. 1. The inpatients perception of kindness on nurse were explanation(26.8%), tolerance(16.3%), warm-heartedness(12.8%), interest(9.5%), ability(8.4%), confidence(6.4%), respect(4.0%), support(2.65%). 2. In order to find out general moaning of kindness, study classified by age, sex, education, job, experience of hospitalization, inpatient ward. As a result of $X^2-test$, no special meaning of kindness was presented in inpatient perception of kindness. 3. Contents kindness which inpatient experienced were, warm-heartedness(23%), understanding(18.1%), interest(17.8%), ability(12.8%), tolerance(5.7%), confidence(2.6%), 4. Over half of subjects(59.1%) answered stability to effect on kindness of Nurse. Next are self-confidence(7.9%), respect(5.3%), confidence(4.6%), warm-heartedness(3.5%), understanding(2.6%). According to above results inpatient feels that meaning of kindness were explanation, tolerance, warm-heartedness. This meaning has no distinctive difference other than consistent meaning. Likewise, inpatient experience about contents of kindness is similar to meaning of kindness. As a result of this research, which show that kindness of nurse gives patient stability, respect and confidence, we would kindness is important for recovery of inpatient. Therefore, this research outcome could be able to help to improve quality of nursing and medical service.

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A Study on the Operating Status of Community-based Home Health Care Centers (일개 지역사회 중심 가정간호사업소의 운영실태 및 운영방안)

  • Lee, Eun-Hee;Park, Sung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was done to evaluate the operating status of community-based home health center for revitalization of the centers. Method: In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center. Results: The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects. Conclusions: The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population.

The Development of Client Satisfaction Instrument in Home Care Service (가정간호서비스에 대한 대상자 만족도 측정도구 개발)

  • Park, Hyun-Tae;Park, Jung-Ho
    • Journal of Home Health Care Nursing
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    • v.8 no.2
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    • pp.159-170
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    • 2001
  • Client(patient) satisfaction has been used for a variety of purposes in different settings, yet, those receiving home care services have been the focus of few satisfaction studies. Satisfaction is considered an indicator of quality of care and is also being used to assess the performance of home care providers and home health care delivery at multiple levels. The aim of this study was to develop the tool for evaluating client satisfaction in several aspects with home care service while maintaining or achieving acceptable reliability and validity. Firstly, Client Satisfaction Instrument made preliminary of 43 items composed basic 6 criteria and 7 indicators, based on a review of literature, quality improvement and client satisfaction findings in home care. Secondly, there were consisted in two expert panel groups who were made in professionals of research and practice in home care field. The tool was modified to 6 criteria and 7 indicators, 25 items after reviewing by two expert panel groups. The content validity index of the tool was above 0.8 and the results of internal consistency was more than 0.8 in all items. Finally. The Client Satisfaction Instrument in Home Care Service was made up 6 criteria such as client satisfaction of nurses's instruction of home care educational need. knowledge/technique/attitude of homecare nurses's performance. interpersonal relationship and emotional support of nurse. easiness of homecare accessibility, continuity of homecare service. overall efficacy of homecare use, 7 indicators. and 25 items. The results of evaluating client satisfaction will be able to contribute in quality improvement and service marketing in home care.

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A Delphi Survey on Performance Indicators of Korean Advanced Practice Nurses (전문간호사 성과지표에 관한 델파이 조사)

  • Kim, Keum Soon;Kang, Ji Yeon;Kim, Bok Ja;Lee, Young Hee;Lee, Eun Nam
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.131-143
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    • 2010
  • Purpose: The purpose of this survey was to identify a set of performance indicators for Korean APNs (Advanced Practice Nurses). Methods: A convenience sample of 78 APNs working in 2 leading hospitals in south Korea participated in the three-round Delphi survey. In the first round, subjects were asked to propose performance indicators to evaluate the effectiveness of their practice. They rated the relevancy of each indicator during the second round. In the final round of survey, subjects rated the relevancy of indicators again in the light of second round's overall results and they also were asked to check on current and future use of indicators. Results: After 5 months of three-round Delphi survey, 60 performance indicators were identified. In regard to relevancy, the 10 highly ranked indicators were patient satisfaction, self-care ability, expertise of service, family satisfaction, nurse satisfaction, satisfaction in nursing education, advanced nursing service count, education for patient/ family, education for nurse, and compliance. Advanced nursing service count, education for patient/ family, and education for nurse are currently used as indicators by more than 70% of respondents. Conclusion: Additional research is needed to identify subsets of performance indicators for specialized areas and to determine the validity and sensitivity of indicators.

Development of Performance Measures Based on Nursing Process for Admission and Discharge Care (간호과정 적용 평가도구 개발 -입원 및 퇴원 시 간호를 중심으로-)

  • Kim, Keum Soon;Kim, Jin A;Choi, Yun Kyoung;Kim, Eun Man;Kim, Yu Jeong;Kim, Mi Ae;Kim, Kyoung Ok;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.123-137
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    • 2011
  • Purpose: This study was conducted to develop standards ensuring nursing process-based care of patient admission and discharge, to develop a performance measurement tool evaluating the care applied according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined through surveying a total of 302 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 4.11 and 4.09, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care provided at patient admission and discharge. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for patient admission and discharge.