Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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A Study on Operation-Effectiveness Analysis of Clinical Nurse Specialists : Focused on Patient Satisfaction and Expected Profit

임상 전문간호사 운영 효과 분석

  • Mo, Jin-A (National Rehabilitation Center Research Institute, Department of Rehabilitation Standard & Policy) ;
  • Lim, Ji-Young (Department of Nursing, Inha University)
  • 모진아 (국립재활원 재활연구소 재활표준연구과 연구원) ;
  • 임지영 (인하대학교 간호학과)
  • Received : 2011.03.29
  • Accepted : 2011.05.07
  • Published : 2011.06.30
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Abstract

Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

Keywords

References

  1. Anderson, E. W., & Sullivan, M. (1993). The antecedents and consequences of customer satisfaction for firms, Marke Sci, 12(2), 125-143. https://doi.org/10.1287/mksc.12.2.125
  2. Bae, S. K., Nam, E. W., & Park, J. Y. (2005). A study on major factors on patient satisfaction of general hospitals in Korea - Analysis of factors associated with in health service evaluation program by the Korean government-. Korean J Hosp Manag, 10(2), 26-44.
  3. Bone, P. F. (1995). Word-of-mouth effects on short-term and long-term product judgements. J Busi Res, 32(3), 213-223. https://doi.org/10.1016/0148-2963(94)00047-I
  4. Chang, C. J., Kang, I. W., Lee, E. J., Kim, B. Y., & Lee, M. S. (1995). A study on the nursing time in nursing units in hospital to applied computer system. J Nur Acad Soci, 25(3), 441-455. https://doi.org/10.4040/jnas.1995.25.3.441
  5. Choi, K. S., Cho, W. H., Lee, S. H., & Nam, J. M. (2000). Structural modeling of quality, satisfaction, value and purchase intention in health care service. Korean J Prev Med, 33(4), 426-435.
  6. Chung, J. H., Seung, J. B., & Young, W. H. (2005). Word-of-mouth senders' message choice behavior. J Cons Stu, 16(2), 15-36.
  7. Jackson, B. B. (1985). Build consumer relationship that last. Harv Busi Rev, 63(12), 120-128.
  8. Jones, T. O., & Sasser, W. E. (1995). Why satisfied customers defect. Harv Busi Rev, November/December, 88-99.
  9. Kim, S. N., Kim, O. N., & Choi, J. H. (2008). The characteristics of the recommendation based customers and their profitability. J Commo Sci, 26(1), 25-33.
  10. Ko, Y. K., Lee, T. W., & Lim, J. Y. (2007). Development of a performance measurement scale for hospital nurses. Korean Soci Nur Sci, 37(3), 286-294.
  11. Korea Gallup. (2004, September 22). National 68.6% "In favor installing foreign hospitals in free economic zones". Message posted to ref-links electronic mailing list, archived at http://www.gallup.co.kr/gallupdb/newsContent.asp?pagePos =65&seqNo=1034
  12. Korean Accreditation Board of Nursing. (2004). Nurse Practitioner role and core competencies. Retrieved December 8, 2010, from http://www.kabon.or.kr/kabon04/index03.php
  13. Kotler, P., & Armstrong, G. (1999). Principles of marketing. New Jersey: Prentice Hall.
  14. Medical treatment law. (2008). Article 56 paragraph 2, paragraph 3, & paragraph 8. Message posted to ref-links, archived at http://www.lawnb.com/lawinfo/link_view.asp?cid=9AF32AF2E 8394C399AC783295473AE76
  15. O'connor, S. J., Shewchuck, R. M., & Bowers, M. R. (1991). A model of service quality perceptions and health care comsumer behavior. J Hosp Mark, 6(1), 69-92.
  16. Oh, P. J., & Shin, S. R. (2003). A Study on the projected workforce of nephrology clinical nurse specialist(CNS) in Korea. J Nur Acad Soci, 33(2), 184-92.
  17. Oliver, R. L. (1993). Cognitive, affective, and attribute bases of the satisfaction response. J Consum Res, 20(30), 418-430. https://doi.org/10.1086/209358
  18. Parasuraman, A., Zeithmal, V. A., & Berry, L. L. (1991). Refinement of reassessment of the SERVQUAL scale. J Retail, 67(4), 420-450.
  19. Park, H. J., & Kang, S. J. (2000). Study on satisfaction of health services and types of word of mouth communication. J Glob Acad of Mark Sci, 6, 313-337. https://doi.org/10.1080/12297119.2000.9707410
  20. Park, J. S. (2002). The causal relationship of hospital inpatient`s perceived quality, satisfaction, service value, and intention to revisit. Korean J Hosp Manag, 7(4), 123-151.
  21. Park, R. S. (2008). Advertising effects of the affect induced by TV fashion advertisements. Korean Liv Sci Asso, 17(3), 493-500.
  22. Voss, P. J. (1984). Status shifts to peer influence, Adver Age, 17, 1-10.
  23. Yi, Y. J., & Lee, J. Y. (2001). A reexamination of the measurement and consequences of service quality: Development and application of the KS-SQI model. Korea Marke Rev, 16(1), 1-26.
  24. Yi, Y. J., & La, S. A. (2002). Brand personality-brand identification-brand equity model: An exploratory study on the difference between users vs. non-users. Korea Marke Rev, 17(3), 1-33.
  25. Yoon, S. J., Yu, S. H., Kim, Y. H., & Lee, J. J. (2004). A study for the factors on choosing hospitals and patients satisfaction between geriatric hospitals and general hospitals. Korean J Hosp Manag, 9(2), 46-75.