Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time

간호전달체계의 변화가 간호사 직무만족도와 환자만족도 및 직접간호시간에 미치는 효과

  • Received : 2012.09.18
  • Accepted : 2012.12.23
  • Published : 2013.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Purpose of this research was to identify effects of application of a modified primary nursing system. Methods: Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul. Results: There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference. Conclusion: Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

Keywords

References

  1. An, S. H., & Han, S. S. (1992). Primary Nursing Delivery System. Catholic Nursing, 13, 1-12.
  2. Hayman, B., Wilkes L., & Cioffi, J. (2008). Change process during redesign of a model of nursing practice in a surgical ward. Journal of Nursing Management, 16, 257-265. http://dx.doi.org/10.1111/j.1365-2834.2007.00774.x
  3. Kang, M. J., Kim, J. H., Kim, Y. S., Park, H. S., & Lee, H. J. (2001). Development of patient classification tool using the computerizing system. Journal of Korean Nursing Administration Academic Society, 7, 15-23.
  4. Kim, D. Y. (2006). Analysis of nurse's job in general hospital using hospital information system after introduction of electronic nursing record system. Unpublished master's thesis, Keimyung University, Deagu, Korea.
  5. Kim, H. K. (2009). Nursing care delivery system satisfaction, job performance, turnover intention and nursing organizational culture in the nurses in university hospitals. Unpublished master's thesis, Catholic University, Seoul, Korea.
  6. Kim, I. S., Jang, K. S., Lee, M. H., Ha, N. S., Hong, Y. M., Lee, T. H., et al. (2003). Nursing management. Seoul: Hyunmunsa.
  7. Kim, J. J., Hwang, K. J., Kim, S. H., Rhee, K. S., Lee, J. S., Kim, I. Y., et al. (1996). A Study about Developing Care Delivery System of Providing Efficient Patient Care. The Korean Nurse, 35(3), 61-76.
  8. Kim, S. S., Chae, G. S., Kim, K. N., Park, K. O., & Moon, S. M. (2010). Survey on nursing care delivery systems of university affiliated hospitals in Korea. Journal of Korean Clinical Nursing Research, 16, 167-175.
  9. Kim, Y. S., Kim, H. S., & Kim, C. Y. (1998). Comparative Analysis of Structural, Process, and Outcome Indicators for Evaluating the Quality of Nursing Care. Journal of Korean Academy of Nursing, 28, 17-25.
  10. Lee, C. H., Sung, Y. H., Jung, Y. Y., Kim, J. S., Kwon, I. G., Lee, S. K., et al. (1997). The effect of the direct nursing care hours with establishment of the substation. Journal of Korean Nursing Administration Academic Society, 3, 61-80.
  11. Manthey, M. (1991) Delivery System and Practice Models: A dynamic balance. Nursing Management, 22(1), 28-30.
  12. Moon, S. H. (2011). Supportive primary care model development and its effects on nurses' job satisfaction and job stress at hospital. Unpublished master's thesis, Catholic University, Pusan, Korea.
  13. Moon, K. H. (2003). A study on restructuring to a patient-oriented primary care team model. Unpublished doctoral dissertation, Yonsei University, Seoul, Korea.
  14. Park, G. O. (1994). A study of variables related to nursing productivity. Journal of Korean Academy of Nursing, 24, 584-596.
  15. Slavitt, D. B., Stamps, P. L., Piedmont E. B., & Haase, A. M. (1978). Nurses' satisfaction with their work situation. Nursing Research, 27, 114-120.
  16. Song, K. J., Kim, E. H., Yoo, C. S., Park, H. O., & Park, K. O. (2009). Development of KPCS (Korean Patient Classification System for Nurses) based on nursing needs. Journal of Korean Clinical Nursing Research, 15, 5-17.
  17. Song, K. J., Kim, E. H., Yoo, C. S., Park, H. A., Song, M. S., Park, K. O., et al. (2010). Verification of reliability and validity of KPCS-1 and estimation of nursing time conversion index. Journal of Korean Clinical Nursing Research, 16, 127-140.
  18. Tiedeman, M. E., & Lookinland, S. (2004). Traditional models of care delivery: What have we learned?. Journal of Nursing Administration, 34, 291-297. https://doi.org/10.1097/00005110-200406000-00008
  19. Yang, T. Y. (2002). The time and motion study of the evening duty nurse in a university hospital internal medicine dept. Unpublished master's thesis, Inje University, Seoul, Korea.
  20. Yom, Y. H., Ko, M. S., Kim, K. K., Kim, T. S., Min, S., Park, J. S., et al. (2009). Nursing management. Seoul: Sumunsa.

Cited by

  1. Nurses' Self-Image Perceived by Clinical Nurses: An Application of Q-Methodology vol.26, pp.1, 2014, https://doi.org/10.7475/kjan.2014.26.1.117
  2. Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress vol.23, pp.3, 2017, https://doi.org/10.11111/jkana.2017.23.3.229
  3. Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital vol.23, pp.3, 2017, https://doi.org/10.11111/jkana.2017.23.3.301
  4. 간호·간병통합서비스병동 간호사의 이직의도 경로분석 vol.17, pp.3, 2019, https://doi.org/10.14400/jdc.2019.17.3.341
  5. Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study vol.75, pp.10, 2013, https://doi.org/10.1111/jan.13995