Lee Seon Heui, Yu Soyoung, Kim Miok, Kim Hee Sun
Department of Nursing Science, College of Nursing, Gachon University, Incheon 21936, Korea.
College of Nursing, CHA University, Gyeongghi-do Pocheon 120, Korea.
Healthcare (Basel). 2020 Jul 22;8(3):223. doi: 10.3390/healthcare8030223.
In some Asian and African countries, caregivers of patients are permitted to reside in hospital rooms and support the daily tasks of patient care. To solve the various problems that this system could cause, the Korean government has established a comprehensive nursing service, whereby caregivers are no longer permitted in the hospital and, instead, nurses provide all the patient care. This study aimed to identify and evaluate the effectiveness of the comprehensive nursing service, by surveying 1348 nurses to evaluate nursing outcomes-specifically, the Nurses' Assessment of Quality Scale, job satisfaction, and turnover intention. A total of 396 patients were also surveyed to determine patient outcome, in particular patient satisfaction. In the comprehensive nursing service ward, the total score on the Nurses' Assessment of Quality Scale, job satisfaction, and patient satisfaction scores were higher than in the non-comprehensive nursing service ward. Moreover, turnover intention was lower. All differences were statistically significant. The results of this study demonstrate that the decision to implement policy-based comprehensive nursing services has thus far been beneficial. In the future, the government should revise and supplement its policies through various socioeconomic assessments.
在一些亚洲和非洲国家，患者的护理人员被允许住在病房并协助患者的日常护理工作。为了解决该制度可能引发的各种问题，韩国政府建立了一项全面护理服务，规定护理人员不再被允许进入医院，取而代之的是由护士提供所有的患者护理。本研究旨在通过对1348名护士进行调查，以评估护理结果——具体而言，即护士质量评估量表、工作满意度和离职意向，从而确定并评估全面护理服务的有效性。还对总共396名患者进行了调查，以确定患者的结果，尤其是患者满意度。在全面护理服务病房，护士质量评估量表的总分、工作满意度和患者满意度得分均高于非全面护理服务病房。此外，离职意向较低。所有差异均具有统计学意义。本研究结果表明，实施基于政策的全面护理服务这一决定到目前为止是有益的。未来，政府应通过各种社会经济评估来修订和补充其政策。
