• Title/Summary/Keyword: nursing performance

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An Analysis of Cost and Profit of a Nursing Unit using Performance-Based Costing: Case of a General Surgical Ward in a General Hospital (시행기준 원가계산을 적용한 간호단위 원가 및 수익 인식에 관한 연구: 1개 종합병원 일반외과병동 사례를 중심으로)

  • Lim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.161-171
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    • 2008
  • Purpose: The aim of this study was to analysize net income of a surgical nursing ward in a general hospital. Method: Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Result: Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at \119,913,334.5. The cost volume of the allocated medical department was \91,588,200.3, and the ward consumed cost was \28,325,134.2. The revenue of the surgical nursing ward was \33,269,925.0. The expense of a surgical nursing ward was \28,325,134.2. Therefore, the net income of a surgical nursing ward was \4,944,790.8. Conclusion: We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

A Study on Protecting Patients' Privacy of Obstetric and Gynecologic Nurses (산부인과 간호사의 환자 프라이버시 보호행동에 관한 연구)

  • Kim, Miok
    • Women's Health Nursing
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    • v.18 no.4
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    • pp.268-278
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    • 2012
  • Purpose: This study aims to determine obstetric and gynecologic (OBGY) nurses' perception and performance propecting patients' privacy, and to contribute to develop educational program and improve the quality of nursing care. Methods: 206 OBGY nurses in 6 hospitals using an electronic medical record or an order communicating system were chosen by convenience sampling and agreed to participate in the study. The questionnaire, explored 4 domains of privacy: direct nursing, linked business, patient information management, communication with relatives. Results: Perception and performance of protecting patient privacy averaged 4.29 (of 5) and 3.55 (of 5), respectively. Most nurses (94.2%) recognized the importance of protecting patient privacy, 80.1% received patient privacy education. There was a distinct difference between the perception and performance of protecting patient privacy of nurses. Performance of protecting patient privacy had a positive correlation with perception. Conclusion: Proper performance of protecting privacy protection requires improving perception of each nurse on the patient privacy, and various efforts should be made to minimize the affect from external factors such as hospital environment. It is needed to educate nurses for patient privacy. It is also needed for medical organizations to improve their policies and facilities to ease the performance for privacy protection.

Development of a Performance Measurement Scale for Hospital Nurses (임상 간호사의 간호업무성과 측정도구 개발)

  • Ko, Yu-Kyung;Lee, Tae-Wha;Lim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.286-294
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    • 2007
  • Purpose: The aim of this study was to develop a performance measurement scale for nurses in the hospital setting and to test the reliability and validity of the scale. Methods: This study was conducted in three phases including an application of conceptual framework, development of scale items, and test of validity and reliability of the scale. In order to test validity and reliability, data was collected from 1,966 nurses who work in twenty eight hospitals nation-wide. The data was analyzed by the SAS 8.0 program using descriptive statistics, factor analysis, and reliability coefficients. Results: The Performance measurement scale consisted of 4 factors which included competency, attitude, willingness to improve, and application of nursing process, and a total of 17 items. The Four factors explained 63.45% of the total variance, and Cronbach's alpha of the scale was.92. Conclusion: The performance measurement scale developed by this study is a reliable and valid instrument that is utilized effectively to evaluate the performance of hospital nurses. Furthermore, it could be used as a sloping stone to assess educational needs of nurses, develop professionalism among nurses, and improve quality of nursing care in the hospital setting.

Effects of Perception of Death, Terminal Care Stress, and Resilience on the Terminal Care Performance of Clinical Nurses (임상간호사의 죽음인식, 임종간호스트레스와 회복탄력성이 임종간호수행에 미치는 영향)

  • Son, Yu-Jung;Park, Jung Suk
    • Journal of East-West Nursing Research
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    • v.27 no.2
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    • pp.124-133
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    • 2021
  • Purpose: This study examined the effects of death perception, terminal care stress, and resilience on the terminal care performance of clinical nurses. Methods: As a correlational study, this study conducted a survey total of 189 nurses working at K university hospital and a P university hospital in B metropolitan city for six months or more. The data was collected from August 20th, 2020 to September 15th, 2020. Data were analyzed using the SPSS, Windows version 25.0, according to the purpose of the analysis by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and hierarchical multiple linear regression. Results: The factors having effects on the terminal care performance of subjects were resilience, perception of death, and the experience of terminal care education. The total explanatory power of those variables on the terminal care performance was 21.0%. Conclusion: For the improvement of terminal care performance, it would be necessary to develop a systematic and professional terminal care education program that could increase the positive perception of death and resilience, and also include knowledge and skills necessary for terminal care. Also, the efficiency of terminal care performance should be increased through periodic terminal care-related nursing education.

A Convergence Study on the Effects of Self-leadership and Self-esteem on Nursing Performance (간호사의 셀프리더십과 자아존중감이 간호업무성과에 미치는 영향에 관한 융합 연구)

  • Jang, Mi-Kyeong;Kim, Hyun-Young
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.51-59
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    • 2018
  • The purpose of this study was to identify the degree of nursing self-leadership, self-esteem, and nursing performance and to analyze the relationship between these variables, and its effect on nursing performance. The self-leadership of the study nurses was $3.37{\pm}0.45$ on the 5-point scale, $3.02{\pm}0.36$ on the 4-point scale, and $3.59{\pm}0.45$ on the 5-point scale. The variables affecting nursing performance were self-expectation(${\beta}=.24$, p<.001), rehearsal(${\beta}=.15$, p=.008), and self-esteem(${\beta}=.28$, p<.001), these variables accounted for 53.0%(F=41.45, p<.001). The study could serve as a base material for the development of strategies to improve self-assured attitudes and positive self-esteem when performing tasks aimed at improving nursing performance.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

A Convergence Study on the Effects of Self-leadership and Job Satisfaction on Nursing Performance in General Hospital Nurses (종합병원 간호사의 셀프리더십, 직무만족이 간호업무성과에 미치는 영향에 관한 융복합 연구)

  • Yoo, Jae Yeon;Lee, Yeon Hee;Ha, Yi Kyung
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.28-38
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    • 2019
  • The purpose of this study was to identify factors influencing nursing performance of nurses in general hospitals. The participants were 251 nurses working in general hospitals in B city. SPSS/WIN 23.0 was used for analysis with descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients and multiple regression. The result of the multiple regression indicates self-leadership(${\beta}=.43$, p<.001), total clinical career(${\beta}=.26$, p<.001), job satisfaction(${\beta}=.14$, p=.010), and annual self-development activity count(${\beta}=.10$, p=.049) were associated with nursing performance. These factors accounted for 38.5% of the total variance in nursing performance. Considering the results of this study, multi-dimensional programs to improve self-leadership and job satisfaction should be developed and implemented in order to foster nursing performance in clinical practice.

Influencing Factors of Stress Response, Immediacy, Emotional Intelligence on Converged Nursing Performance of Nurses (간호사의 스트레스 반응, 즉시성, 감정지능이 융합적 간호업무수행에 미치는 영향요인)

  • Lee, Jung-Min;Park, Wan-Ju
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.305-315
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    • 2021
  • This study aimed to investigate the influencing factors of stress response, immediacy, emotional intelligence on converged nursing performance in Nurses. The Participants were 180 nurses who had worked at general hospitals without COVID-19 patients in B city. The data were collected by structured questionnaires of stress response, lack of premeditation, emotional intelligence, nursing performance. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and multiple regression with SPSS 21.0 program. The results showed that use of emotion(β=.31~.39) is the highest significant influencing factors on nursing process skills, leadership, education and collaboration of nursing performance explaining 48.2% of the regression model in this study. And then age(β=-.29~.30), other's emotion appraisal(β=.17~.23) and current position(β=.19) are significant in order. Therefore, it is necessary to develop and apply the intervention programs that improve nurses' emotional intelligence for improving nursing performance.

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.

The Application and Effect of the Nursing Protocol of Pediatric Peripheral Intravenous Infusion (아동의 말초정맥주사 간호프로토콜 적용 및 효과)

  • Choi, Heekang;Kang, Mijung;Kang, Hyunju;Kim, Eunhye
    • Perspectives in Nursing Science
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    • v.14 no.2
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    • pp.45-54
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    • 2017
  • Purpose: The aim of this study was to compare the effect of training and implementation of a pediatric peripheral intravenous infusion protocol on the nurses' performance and infusion complication rate. Methods: A quasiexperimental study using a posttest comparison of a one group pretest-time series design was utilized. This method was developed to measure nursing knowledge and performance based on a pediatric peripheral intravenous infusion protocol. To calculate the occurrence rate of complications, the number of complications were divided into the number of intravenous insertions. Results: It was shown that the training developed by the study team in 2015 contributed to nurses' increased knowledge, as well as improved job performance. Furthermore, the implementation of the protocol revealed that the number of peripheral intravenous insertions, an invasive procedure, decreased. Additionally, the nursing workload related to pediatric intravenous infusions was reduced. Conclusion: This protocol may contribute to the improved scientific quality and efficiency of nursing management of peripheral intravenous infusions.