Purpose The aim of this study was to explain the patient assessment experiences of the medical staff responsible for customer satisfaction and quality improvement at their respective medical institutions. Methods This was a qualitative study using a focus group with quality improvement or custom service department managers. Participants were selected using purposive sampling. Data collection was conducted with seventeen participants divided into three focus group interviews from July 3 to 5, 2017. Each interview took an average of 1 hour and 40 minutes. Transcribed data were analyzed using qualitative thematic analysis. Results Base on the analysis, four categories and eight themes were derived. The categories were: 1) what is the quality of hospital service? 2) between directionality and timeliness, 3) variations in recognition and application, and 4) changing in hospital culture Conclusion: The assessment of patient's experience has spread a patient-centered culture and elicited significant changes in the behavior of medical and hospital staff. However, the survey instruments and procedures for assessing patient experiences need to be continuously improved, and additional research is required to secure evidence related to patient experiences.
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Purpose This study was conducted to identify the effects of nursing work environment, job crafting and organizational commitment on nurses’ job satisfaction perceived by nurses Methods: The research model was designed based on Hayes’s PROCESS macro model 6. Participants were 122 nurses from general hospitals. A survey was conducted and data were collected in March 2019. Data were analyzed using descriptive statistics, correlations and Hayes's PROCESS macro method for mediation.
Results: Job satisfaction showed a significant positive correlation with the nursing work environment, job crafting and organizational commitment. Furthermore, job crafting and organizational commitment had a mediating effect on the relationship between the nursing work environment and job satisfaction.
Conclusion: The impact of the nursing work environment on job satisfaction among general hospital nurses was mediated by job crafting and organizational commitment. Considering the mediating effects of job crafting and organizational commitment on the relationship between nursing work environment and job satisfaction, a strategy should be developed for enhancing job crafting and organizational commitment to improve nurses’ working environments and, thus, their job satisfaction.
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Purpose This study investigated patient safety culture, safety knowledge, incident reporting attitude, and safety nursing activities, and determined the factors influencing nurses’ safety nursing activities at a nationally designated infectious disease hospital.
Methods: A cross-sectional descriptive survey was conducted with 169 nurses. Data analysis, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson’s correlations, and hierarchical multiple regression analysis, were performed using SPSS 26.0.
Results: Factors influencing safety nursing activities included patient safety culture (β=.26, t=2.39, p=.018), safety knowledge (β=.25, t=2.67, p=.009), and mild severity (β=.17, t=2.52, p=.013). These variables explained 31.0% of the safety nursing activities.
Conclusion: Therefore, it is necessary to establish an organizational culture that emphasizes patient safety by establishing safety management regulations for quarantined patients and provision of education on patient safety for employees to empower them to respond to emerging infectious diseases. Additionally, it is essential to operate given the patient’s severity and to increase knowledge about patient safety through regular education based on quarantine facilities and environmental management regulations.
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Purpose The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants.
Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants).
Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants.
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Purpose This study aimed to identify ICU nurses‘experiences with patient care after death.
Methods: The data were collected through two focus group interviews with eight nurses who had experienced the death of patients in the ICU. Giorgi’s method of descriptive phenomenology was used to interpret the data.
Results: Five constituents and 14 subconstituents were extracted from the 68 units of meaning. The five constituents were as follows: respect the body as a person, consideration and support for the family, dichotomy between personal courtesy and performing tasks, overcoming the patient’s death and growing, and care after death: a unique role left to the nurse.
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Purpose This study aimed to identify the effects of preceptors' teaching behavior, resilience, and organizational socialization on new graduate nurses' intention to stay.
Methods: Data were collected from 167 new graduate nurses working at a university hospital for a period of three months to one year and analyzed using SPSS 24.0, PROCESS Macro ver. 3.5.
Results: The results show that preceptors' teaching behavior, resilience, and organizational socialization had strong correlations with new graduate nurses' intention to stay. Preceptors' teaching behavior directly affected new graduate nurses' resilience and intention to stay. However, the results showed that preceptors' teaching behavior did not affect organizational socialization. Resilience directly affected organizational socialization and intention to stay, and had a simple mediation effect between preceptors' teaching behavior and intention to stay.
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Conclusion: The results suggest that preceptors' teaching behavior is a key factor that strengthens new graduate nurses' intention to stay, as it promotes successful organizational socialization by improving their resilience and helping them overcome transition shock.
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