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.

Citations

• Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application
  Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 323.     CrossRef
• Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
  Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 355.     CrossRef
• Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study
  Rahel Naef, Jutta Ernst, Heidi Petry
  Journal of Advanced Nursing.2019; 75(10): 2133.     CrossRef
• Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
  Su Mi Jung, Sook Hee Yoon
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 229.     CrossRef
• Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
  Eun-Kyung Kim, Eun Ha Choi
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 301.     CrossRef
• Nurses' Self-image Perceived by Clinical Nurses: An Application of Q-Methodology
  Eun-Ho Ha, Kyoung Soon Hyun
  Korean Journal of Adult Nursing.2014; 26(1): 117.     CrossRef