간호 · 간병통합서비스 병동에 입원한 근골격계 수술 환자가 지각한 간호서비스 질에 영향을 미치는 요인
Factors that affect Musculoskeletal Surgical Patients’ Perceptions of Nursing Services Quality at Comprehensive Nursing Care Wards
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to investigate the factors that affect the quality of nursing services, as perceived by musculoskeletal surgical patients who are hospitalized in comprehensive nursing care wards. Methods: A cross-sectional study was conducted, with 152 musculoskeletal surgical patients hospitalized of I hospital and K hospital of B City in South Korea. The data were collected from July 26 to October 15, 2019. Analysis of the data used real numbers, percentages, means and standard deviation, minimums, maximums, mean ratings and standard deviations, a t-test, ANOVA and the Scheffétest, Pearson’s Correlation Coefficients, and Stepwise Multiple Regression using the SPSS/WIN 23.0 statistical program. Results: The factors that had the greatest effect on patients’ perceived quality of nursing services were nurses’ friendly communication types (β=.25, p=.012), followed by education level (β=.49, p<.001), and the level of satisfaction with nurses’ pain management performance (β=.39, p=.001). The total explanatory power was 30.4%. Conclusion: In order to improve the quality of nursing services as perceived by patients, it is necessary to provide customized nursing interventions taking patients’ education levels into consideration and to develop programs to improve pain management and friendly communication by nurses.
Abstract
Purpose: The purpose of this study was to investigate the factors that affect the quality of nursing services, as perceived by musculoskeletal surgical patients who are hospitalized in comprehensive nursing care wards. Methods: A cross-sectional study was conducted, with 152 musculoskeletal surgical patients hospitalized of I hospital and K hospital of B City in South Korea. The data were collected from July 26 to October 15, 2019. Analysis of the data used real numbers, percentages, means and standard deviation, minimums, maximums, mean ratings and standard deviations, a t-test, ANOVA and the Scheffétest, Pearson’s Correlation Coefficients, and Stepwise Multiple Regression using the SPSS/WIN 23.0 statistical program. Results: The factors that had the greatest effect on patients’ perceived quality of nursing services were nurses’ friendly communication types (β=.25, p=.012), followed by education level (β=.49, p<.001), and the level of satisfaction with nurses’ pain management performance (β=.39, p=.001). The total explanatory power was 30.4%. Conclusion: In order to improve the quality of nursing services as perceived by patients, it is necessary to provide customized nursing interventions taking patients’ education levels into consideration and to develop programs to improve pain management and friendly communication by nurses.
참고문헌 (44)
- "Pilot project for institutionalization of hospital care service started in May" (2010)[URL]
- Kwag WH, "Contents and problems of the comprehensive nursing service pilot project", Healthcare Policy Forum, 13(2), pp.50~55 (2015)
- Shin KA, "Defamilization of elderly care and the experiences of the aged in Korea", Korean Social Sciences Review, 3(1), pp.71~105 (2013)
- Ko Y, "Standard guidelines for integrated nursing and care services" (2016), National Health Insurance Service
- Kim JW, "Trends in treatment following the introduction of the integrated nursing and care service system" (2018), HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE
- Kwon KN, "Frequency analysis of nursing intervention in musculoskeletal patients", Yeungnam College of Science & Technology Thesis Collection, 28, pp.223~231 (1999)
- 최성남, "근골격계 만성통증 환자의 통증신념과 통증정도, 대처양상 및 통증생활방해정도와의 관계", 재활간호학회지, 15(1), pp.30~38 (2012), 한국재활간호학회[DOI]
- Tashman N, "Improving hospital-acquired pressure ulcer prevention on an orthopedic unit", MedSurg Nursing, 25(4), pp.S4~ (2016)
- 여형남, "탄성밴드운동이 슬관절전치환술 환자의 통증, 관절가동범위, 낙상두려움에 미치는 효과", 임상간호연구, 21(2), pp.266~275 (2015), 병원간호사회
- Cameron LE, "Vision as an instrument of perception in trauma and orthopedic nursing care", Revista da Escola de Enfermagem da USP, 45(1), pp.95~99 (2011)
- 김혜숙, "정형외과 입원환자를 위한 간호과정 전산프로그램 개발 및 적용- 간호진단, 간호결과, 간호중재 연계 -", Journal of Korean Academy of Nursing, 35(6), pp.979~990 (2005), 한국간호과학회
- Lay-Lan Lee, "An evaluation of the quality of nursing care in orthopaedic units", Journal of Orthopaedic Nursing, 11(3-4), pp.160~168 (2007), Elsevier BV[DOI]
- Joo MK, "A Study on the determinants of consumer-oriented nursing service quality: SERVQUAL model based", pp.2001
- 송희정, "병원 간호사의 자아존중감과 의사소통능력이 셀프리더십과 간호서비스 질에 미치는 영향", 간호행정학회지, 22(3), pp.220~229 (2016), 간호행정학회[DOI]
- Riley JB, "Communication in nursing", pp.8~9 (2015), Elsevier Health Sciences
- E Idvall, "Patient and nurse assessment of quality of care in postoperative pain management", Quality and Safety in Health Care, 11(4), pp.327~334 (2002), BMJ[DOI]
- Hideyuki Kobayashi, "Patient perception of nursing service quality; an applied model of Donabedian’s structure-process-outcome approach theory", Scandinavian Journal of Caring Sciences, 25(3), pp.419~425 (2011), Wiley[DOI]
- Medina-Mirapeix F, "Is patient satisfaction and perceived service quality with musculoskeletal rehabilitation determined by patient experiences?", Clinical Rehabilitation, 27(6), pp.555~564 (2013)
- Kim SH, "Nurses' communication, trust in nurses, and satisfaction of nursing service perceived by inpatients", master, pp.2013
- Hwang SJ, "Understanding organizational communication", pp.13~17 (2006), Bubmunsa
- Edwards C, "Exploration of the orthopaedic patient's 'need to know'", Journal of Orthopaedic Nursing, 7(1), pp.18~25 (2003)
- Judith Shindul-Rothschild, "Beyond the Pain Scale: Provider Communication and Staffing Predictive of Patients’ Satisfaction with Pain Control", Pain Management Nursing, 18(6), pp.401~409 (2017), Elsevier BV[DOI]
- Lubbers CA, "Communication skills for continuing education in nursing", The Journal of Continuing Education in Nursing, 21(3), pp.109~112 (1990)
- Nasiripour AA, "Correlation between nurses'communication skills and inpatient service quality in the hospitals of Kashan University of Medical Sciences", Journal of Health Promotion Management, 1(1), pp.45~54 (2012)
- 이복남, "통증조절 개별교육이 부인과 수술환자의 통증조절 방해,수술 후 통증 및 통증조절 만족도에 미치는 효과", Journal of Korean Academy of Nursing, 36(6), pp.968~975 (2006), 한국간호과학회
- Kim SG, "Occupational musculoskeletal disorders 22_Medical management of musculoskeletal disorders(1)", Korean Industrial Health Association, 356, pp.42~43 (2017)
- Bardiau FM, "Effectiveness of an acute pain service inception in a general hospital", Journal of Clinical Anesthesia, 11(7), pp.583~589 (1999)
- 최정숙, "중소병원에 입원한 의료소비자가 지각하는 간호서비스 질과 의료서비스 만족도 및 병원 재이용 의도", 석사, 간호학과, pp.2013
- Marci L. Nilsen, "Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU", Research in Gerontological Nursing, 7(3), pp.113~125 (2014), SLACK, Inc.[DOI]
- 이미애, "간호서비스 질, 만족 및 병원 재이용 의도에 관한 소비자와 제공자간의 지각차이 비교", 간호행정학회지, 11(4), pp.425~437 (2005), 간호행정학회
- Mi Aie Lee, "A Study of the Perception Gap on Nursing Service between Consumers and Providers", Journal of Korean Academy of Nursing, 31(5), pp.871~884 (2001), Korean Society of Nursing Science[DOI]
- 정수연, "간호사의 커뮤니케이션 스타일에 따른 환자 만족도 연구", 의료커뮤니케이션, 8(1), pp.35~44 (2013), 대한의료커뮤니케이션학회[DOI]
- Lee YY, "A study on the effectiveness of nurse-led acute pain service after surgery led by nurses on pain management after surgery", Korean Nurses Association, 41(2), pp.51~60 (2002)
- Yoo HJ, "Effect of nurses' knowledge and attitude in the management of postoperative pain on patients' satisfaction", master, pp.2010
- Parasuraman A, "Servqual : A multipleitem scale for measuring consumer perc", Journal of Retailing, 64(1), pp.12~ (1988)
- 이미애, "소비자가 지각하는 간호서비스 질과 괴리에 관한 연구", Journal of Korean Academy of Nursing, 34(2), pp.2~234 (2004), 한국간호과학회
- Lee HJ, "A study on quality of ambulatory nursing service", Health & Nursing, 23(1), pp.61~73 (2011)
- 김기숙, "일 지역 중소 종합병원 입원환자와 간호사가 지각한 간호서비스 질과 의료기관 재이용 의도에 영향을 미치는 요인", 임상간호연구, 15(2), pp.103~114 (2009), 병원간호사회
- 성영희, "일 병원 간호서비스 질에 대한 소비자와 제공자의 지각차이 비교", 임상간호연구, 12(1), pp.109~123 (2006), 병원간호사회
- Pi-Chu Lin, "Orthopaedic inpatient rehabilitation conducted by nursing staff in acute orthopaedic wards in Taiwan", International Journal of Nursing Practice, 19(6), pp.618~626 (2013), Wiley[DOI]
- Lim EY, "Impact of nurses' communication style and health literacy on self-care behaviors that elderly diabetic patients acknowledge in comprehensive nursing-care service wards", master, pp.2018
- 김소영, "간호·간병통합서비스를 이용한 입원환자가 인식한 간호사의 의사소통유형, 간호서비스 만족도 및 병원재이용 의도의 관계", 한국산학기술학회논문지, 18(11), pp.321~331 (2017), 한국산학기술학회[DOI]
- Lambrini Kourkouta, "Communication in Nursing Practice", Materia Socio Medica, 26(1), pp.65~67 (2014), ScopeMed[DOI]
- 남순열, "간호간병통합서비스 병동 입원 환자의 만족도와 서비스 평가를 위한 ICT 기반 통계분석", 한국전자통신학회 논문지, 12(1), pp.229~236 (2017), 한국전자통신학회[DOI]
