간호 ․ 간병통합서비스 병동 입원 환자가 인식한 환자중심간호와 간호서비스 만족도가 병원 재이용 의도에 미치는 영
Influences of Perceived Patient-centered Care and Nursing Service Satisfaction on Hospital Revisit Intent among Inpatients who Received Comprehensive Nursing Service
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Purpose: This study was done to identify perceived patient-centered care and nursing service satisfaction in order to predict hospital revisit intention among inpatients who received comprehensive nursing service. Methods: Participants were 190 inpatients admitted to the comprehensive nursing service unit of one university hospital in D city. Data were collected with structured questionnaires from April 2 to July 2, 2018, and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation and stepwise multiple regression with SPSS/ WIN 23.0. Results: Scores for patient-centered nursing awareness averaged 4.11, for nursing service satisfaction, 4.49 and for hospital revisit intention 4.65 on a five-point Likert scale. Patient-centered nursing awareness, nursing service satisfaction, and reasons for using comprehensive nursing service explained 36.4% of variance in hospital revisit intention(F=37.10, p<.001). Nursing service satisfaction(β=.41, p<.001) followed by patient-centered nursing awareness(β=.23, p=.001), and reasons for using comprehensive nursing service(β=.15, p=.015) were the significant factors that predicted intention to revisit hospital. Conclusion: Findings show that nursing service satisfaction and patient-centered nursing awareness are crucial to increasing patients’ intention to revisit the hospital. It is important to develop various educational programs and conduct systematic education to strengthen patient-centered nursing to improve the nursing service satisfaction on comprehensive nursing service units.
Abstract
Purpose: This study was done to identify perceived patient-centered care and nursing service satisfaction in order to predict hospital revisit intention among inpatients who received comprehensive nursing service. Methods: Participants were 190 inpatients admitted to the comprehensive nursing service unit of one university hospital in D city. Data were collected with structured questionnaires from April 2 to July 2, 2018, and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation and stepwise multiple regression with SPSS/ WIN 23.0. Results: Scores for patient-centered nursing awareness averaged 4.11, for nursing service satisfaction, 4.49 and for hospital revisit intention 4.65 on a five-point Likert scale. Patient-centered nursing awareness, nursing service satisfaction, and reasons for using comprehensive nursing service explained 36.4% of variance in hospital revisit intention(F=37.10, p<.001). Nursing service satisfaction(β=.41, p<.001) followed by patient-centered nursing awareness(β=.23, p=.001), and reasons for using comprehensive nursing service(β=.15, p=.015) were the significant factors that predicted intention to revisit hospital. Conclusion: Findings show that nursing service satisfaction and patient-centered nursing awareness are crucial to increasing patients’ intention to revisit the hospital. It is important to develop various educational programs and conduct systematic education to strengthen patient-centered nursing to improve the nursing service satisfaction on comprehensive nursing service units.
참고문헌 (30)
- "2016-year health insurance fee increased by 11.4% from the previous year" (2017)[URL]
- Hwang NM, "An analysis of the debates on introduction of public caregivers' services in acute medical centers", Health and Welfare Policy Forum, 170, pp.60~71 (2010)
- Kwag WH, "Contents and problems of pilot project on integrated nursing care service", Research Institute for Healthcare Policy Korean Medical Association, 13(2), pp.50~55 (2015)
- National Health Insurance Service, "Standard guidelines for integrated nursing care service", National Health Insurance Service, ~ (2017)
- "Measures for expanding comprehensive nursing care service" (2017)[URL]
- 김진현, "간호·간병통합서비스 운영성과 및 향후 정책방향", 간호행정학회지, 23(3), pp.312~322 (2017), 간호행정학회[DOI]
- 김인홍, "노인 간호에 대한 간호사의 지각 및 수행과 노인환자의 기대 및 만족도", 임상간호연구, 10(1), pp.6~19 (2004), 병원간호사회
- 곽찬영, "의료기관 종별에 따른 간병인 관리 현황 및 문제점", Journal of The Korean Data Analysis Society, 15(2), pp.827~839 (2013), 한국자료분석학회
- Welfare and Ministry of Health, "Guideline of pilot project on comprehensive nursing service", Ministry of Health and Welfare, 133~ (2016)
- Morgan S, "A concept analysis of person-centered care", Journal of Holistic Nursing, 30(1), pp.6~15 (2012)[DOI]
- Lee JE, "Patients' and nurses' perceptions of patient centered nursing care", Master, pp.2015
- "What is patient-centred healthcare? a review of definitions and principles" (2007)[URL]
- Yang IS, "Individualized care, satisfaction with nursing care and health-related quality of life; focusing on heart disease", Korean Journal of Women Health Nursing, 9(1), pp.37~56 (2008)
- "Service health insurance policy direction" (2018)[URL]
- Oetker-Black S, "A descriptive analysis of nursing satisfaction : first-time versus non-first-time medical-surgical patients", Health Marketing Quarterly, 29(4), pp.303~310 (2012)[DOI]
- 이미애, "간호서비스 질, 의료서비스 만족, 병원 재이용 의도간의 관계", 간호행정학회지, 18(1), pp.96~105 (2012), 간호행정학회
- 이미애, "간호서비스 질, 만족 및 병원 재이용 의도에 관한 소비자와 제공자간의 지각차이 비교", 간호행정학회지, 11(4), pp.425~437 (2005), 간호행정학회
- 정수미, "간호·간병통합서비스병동과 일반병동 입원 환자의 간호만족도와 간호사의 업무 스트레스 비교조사연구", 간호행정학회지, 23(3), pp.229~238 (2017), 간호행정학회[DOI]
- 윤호순, "간호간병통합서비스 병동의 간호서비스에 대한 환자-간호사 인식도 비교", 한국콘텐츠학회 논문지, 17(3), pp.507~522 (2017), 한국콘텐츠학회[DOI]
- 장복순, "국가 간호·간병통합서비스에 대한 의료서비스 고객만족도와 충성도의 상관관계", 한국경영공학회지, 22(3), pp.83~93 (2017), 한국경영공학회[DOI]
- 정윤아, "일반병동과 간호·간병 통합서비스병동에 입원한 환자의 간호서비스 만족도, 병원 몰입 및 재이용 의사 비교", 간호행정학회지, 24(1), pp.30~39 (2018), 간호행정학회[DOI]
- 김소영, "간호·간병통합서비스를 이용한 입원환자가 인식한 간호사의 의사소통유형, 간호서비스 만족도 및 병원재이용 의도의 관계", 한국산학기술학회논문지, 18(11), pp.321~331 (2017), 한국산학기술학회[DOI]
- Suhonen R, "Developing and testing an instrument for the measurement of individual care", Journal of Advanced Nursing, 32(5), pp.1253~1263 (2001)[DOI]
- Suhonen R, "Individualized care, quality of life and satisfaction with nursing care", Journal of Advanced Nursing, 50(3), pp.283~292 (2005)[DOI]
- Parasuraman A, "Servqual : a multipleitem scale for measuring consumer perception of service quality", Journal of Retailing, 64(1), pp.12~40 (1988)
- Joo MK, "A study on the determinants of consumer-oriented nursing service quality : SERVQUAL model based", Journal of Korean Academy of Nursing Administration, 8(1), pp.169~191 (2002)
- 김홍길, "국내 특1급호텔 외식사업부의 서비스품질에 대한 고객과의 기대불일치에 관한 관계연구", 관광연구저널, 20(2), pp.119~142 (2006), 한국관광연구학회
- 김영애, "노인요양시설의 브랜드 이미지 향상을 위한 모형 구축", 박사, 간호과학, pp.2007
- 신사랑, "포괄간호서비스 병동과 일반병동 입원환자의 간호만족도와 병원재이용의도 영향요인 비교", 간호행정학회지, 21(5), pp.469~479 (2015), 간호행정학회[DOI]
- 최희정, "입원환자의 간호서비스만족도 및 재이용의사 비교연구 ― 일반병동, 환자안심병동, 포괄간호서비스병동을 중심으로 ―", 보건과 사회과학, (37), pp.49~64 (2014), 한국보건사회학회
