Purpose
This study examined patients’ call bell use and the relationship between call bell use and nursing care needs. Methods: Nursing staff was asked to report patients’ call bell use during 15 shifts over five days in integrated nursing care wards. Nursing care needs were measured using summary scores of nursing activities and activities of daily living (ADLs). The relationship between call bell use and nursing care needs was analyzed using a zero-inflated negative binomial regression model. Results: A total of 251 patients used call bells 235 times, with an average of 0.94 times per day. Only 72 patients (28.7%) used call bells once or more per day (range, 1~14 times), whereas the rest did not use call bells. Male gender, a high risk for falling, and a higher score on nursing activities were associated with a greater likelihood of using call bells. Pain and higher dependency on ADLs were associated with an increase in the frequency of call bell use. Conclusion: Patients' call bell use needs to be minimized by meeting their nursing care needs to improve patient safety and nursing performance.

Citations

• Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
  Hye Jin Kim, Eunjoo Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
• Cancer Patients' and Caregivers' Experiences Admitted to Comprehensive Nursing Care Service Wards: An Exploratory Qualitative Research
  Sarah Lim, Mee Young Cho, Hyun Joo Shin, Ki Yeon Song, Soo Kyoung Shim, Yoon Jung Lee, Hea Jin Kwon, Ji Eun Kim, Hui Ean Kim, Hyun Ja Park, Han Wool An, So Jeong Hyeon, Sue Kim
  Asian Oncology Nursing.2024; 24(4): 173.     CrossRef

Purpose
This study was performed to compare the perceived level of trust, collaboration, and teamwork about other healthcare personnel, professionals and assistants between nurses who work on integrated nursing care service wards and general wards.
Methods
Participants were 216 nurses working on integrated nursing care service wards and general wards of 5 general hospitals located in Kyeongido and Kyeongsangbuk-do (integrated nursing wards: 109, general wards: 107). Data were collected using structured questionnaires and analyzed using x ² test, two sample independent t-test and Multivariate Analysis of Covariance (MANCOVA) with SPSS/WIN 23.0 programs. In particular, MANCOVA was conducted after controlling two independent variable covariants which are marital status (p=.045) and work department (p=.022) which had significant differences for both groups and three dependent variables which is trust, collaboration, and teamwork that highly correlated.
Results
There were significant differences in the dependent variables of trust (p=.001), collaboration (p=.014), and teamwork (p<.001) between the two groups of nurses. The mean scores for trust, collaboration, and teamwork with other healthcare personnel as perceived by nurses working on integrated nursing care service wards were significantly lower than that of nurses on general wards.
Conclusion
These findings show that strategies are needed to strengthen the trust, collaboration, and teamwork among nurses working on integrated nursing care service wards and other healthcare personnel.

Citations

• Influences of professional self-concept and job stress of nurses working in Korea dementia care centers on turnover intention
  Mi Young Kim, Minkyung Gu, Nam Kyung Oh, Sohyune Sok
  Frontiers in Public Health.2025;[Epub]     CrossRef
• Influences of communication ability, organizational intimacy, and trust among colleagues on job satisfaction of nurses in comprehensive nursing care service units
  Sue Young Hahm, Minkyung Gu, Sohyune Sok
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards
  Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 478.     CrossRef

PURPOSE
The purpose of this study was to explore and analyze the latest trends in domestic research related to integrated nursing care service and to present a practical direction for future research.
METHODS
This study was focused on domestic nursing research related to integrated nursing care service as published in journals until March 20, 2019. After reviewing the quality of the papers, 34 papers were finally selected for analysis. In order to analyze the overall trends, the analysis was reviewed by year, source, research design, and subjects, and content analysis was used to identify trends by topic.
RESULTS
From the content analysis, the top categories were divided into nurses' view and patients' view, with both nurses' view and patients' view for the subcategories of ‘input’, ‘process’ and ‘output’ respectively. From both the nurse and patient view, the sub-category ‘input’ included ‘service environment’, ‘process’ and ‘service throughput’ and for the ‘output’ subcategory, three subjects, ‘performance’, ‘service-related perception change’ and ‘social psychological change’ were derived from the nurses' view, and two subjects ‘performance’ and ‘service-related perception change’ were derived from the patients' view.
CONCLUSION
In order for future studies to provide practical basic data for stable settlement and improvement of integrated nursing care service, it is necessary to develop and study various aspects without bias, and in a balanced and integrated manner.

Citations

• Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses
  Anyeong Kim, Duckhee Chae
  JONA: The Journal of Nursing Administration.2025; 55(5): 267.     CrossRef
• Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
  Hye Jin Kim, Eunjoo Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
• Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes
  Sung-Heui Bae
  Journal of Nursing Care Quality.2025;[Epub]     CrossRef
• Relationship between nurses’ critical thinking disposition and patient safety incident reporting: The mediating role of patient safety culture in a comprehensive nursing service ward
  Nam-Yi Kim, Sung-Jung Kwak, Ayman Mohamed El-Ashry
  PLOS ONE.2024; 19(12): e0315679.     CrossRef
• 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
• Evaluating the Correlation Between Nursing Practice and Electronic Nursing Records Using Importance-Performance Analysis
  Hyunbong Park, Soyoung Yu, Seon Heui Lee
  CIN: Computers, Informatics, Nursing.2021; 39(9): 492.     CrossRef
• Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach
  Purum Kang, Jiwon Kang
  Journal of Korean Academy of Nursing Administration.2021; 27(3): 149.     CrossRef