Purpose This study aimed to identify the effects of shared leadership, communication skills, and team effectiveness, as perceived by nurses and nursing assistants in comprehensive nursing service units.
Methods A cross-sectional research design was adopted, and the sample included 306 nurses, nurse assistants, and caregivers working in nine hospitals with fewer than 500 beds in two South Korean cities. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and four-step hierarchical regression analysis.
Results The factors influencing team effectiveness in the hierarchal multiple regression analysis were shared leadership (β=.57, p<.001) and communication skills (β=.18, p<.001). These factors explained 49% of the total variance.
Conclusion To enhance team effectiveness in compressive nursing service units, educational programs focusing on shared leadership and communication skills among nurses, nursing assistants, and caregivers must be developed.
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
Citations to this article as recorded by
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 examined the subjective frame of patient satisfaction in the comprehensive nursing care services and explored future directions by investigating subjective frame types.
Methods: P-Samples were collected from 30 patients who underwent the comprehensive nursing care service. To enable a forced normal distribution, 31 Q-samples were classified on a 9-point scale considering the degree of agreement. The collected data were analyzed by principal component factor analysis and varimax rotation using the PQ method program.
Results: The subjective frame of patient satisfaction with the comprehensive nursing care service was divided into four types. Considering the characteristics of each, the types were labeled as “the formation of relationships with the surroundings”, “autonomous decision-making”, “non-verbal empathy”, and “therapeutic support resources”. Each type can be classified into therapeutic relationship and therapeutic process categories.
Conclusion: This study revealed changes in expectations regarding new medical services and that the subjective frames that affect the formation of satisfaction are diverse. The study results are expected to be used as basic data to develop strategies for creating a therapeutic environment that improves patient satisfaction in the comprehensive nursing care service.
Citations
Citations to this article as recorded by
Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database Young Shin Cho, Jiwon Hong Journal of Korean Critical Care Nursing.2024; 17(3): 76. CrossRef
The Behavioral and Social Dimension of the Public Health System of European Countries: Descriptive, Canonical, and Factor Analysis Tetiana Vasylieva, Beata Gavurova, Tetiana Dotsenko, Svitlana Bilan, Marcin Strzelec, Samer Khouri International Journal of Environmental Research and Public Health.2023; 20(5): 4419. CrossRef
Effect of patient-related factors on hospitalization service satisfaction and recommendation intention of medical institutions in Korea Jeong Woo Shin, Bo Ram Choi BMC Health Services Research.2023;[Epub] CrossRef
Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study Hee-Sun Choi, Young Shin Cho Korean Journal of Adult Nursing.2023; 35(3): 234. CrossRef
Purpose The purpose of this study was to explore the experiences of the relationship between nurses working on comprehensive nursing care service wards and the inpatients on those wards.
Methods: The phenomenological research method was used. Participants in the study were seven women.
Data were collected through individual in-depth interviews from December, 2018 to January, 2019 Results: Five theme clusters were extracted that described nurses’ patient experiences for comprehensive nursing care service wards. They are “Expansion of relationship formation”, “Transition of place to provide nursing care”, “Expansion of communication”, “Maintaining professional boundaries” and “Realization of professional nursing”.
Conclusion: The results of this study provide a deep understanding and insight in to the nature for nurses on comprehensive nursing care service wards and patients' relationships. It is thought that active development of strategies to support positive relationships will enhance the quality of the comprehensive nursing care service wards and help improve patient care outcomes.
Citations
Citations to this article as recorded by
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
An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park Journal of Korean Academy of Nursing.2022; 52(4): 391. CrossRef
Therapeutic Communication Experiences of Nurses Caring for Patients with Hematology Hyun-Jung Lee, Bom-Mi Park, Mi-Jin Shin, Do-Yeon Kim Healthcare.2022; 10(12): 2403. 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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
PURPOSE This study was done to identify and compare nursing performance including job stress, emotional labor and burnout between nurses who work in comprehensive nursing care service wards and general wards. METHODS Participants were 187 nurses working in a general hospital in Busan which provides comprehensive nursing care service (comprehensive nursing care service ward: 95, general ward: 92). Data were collected using questionnaires and analyzed using descriptive statistics, χ² test, t-test, ANOVA, and multiple regression with the SPSS/WIN 23.0 program. RESULTS There was no significant difference in the variables between comprehensive nursing care service ward nurses and general ward nurses. Factors influencing burnout were emotional labor in comprehensive nursing care service ward nurses while job stress and emotional labor were the factors influencing burnout in general ward nurses. CONCLUSION The findings of this study indicate that comprehensive nursing care service can be a positive delivery system for nurses. Therefore, there is a need for strategies to integrate comprehensive nursing care service systematically.
Citations
Citations to this article as recorded by
Emotional labor and coping strategies of gynecological nurses in recurrent pregnancy loss care: a qualitative phenomenological study Fang Yang, Dandan Liu, Guangrui Fan BMC Nursing.2025;[Epub] CrossRef
Influence of Job Delegation Preparedness, Individual and Organizational Communication Skills on Job Stress of Nurses in Comprehensive Nursing Care Service Wards Soo Jin Lee, Ji Won Kim, Nam Hee Park Journal of Korean Public Health Nursing.2025; 39(1): 5. CrossRef
Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards Sumin Gwon, Gaeun Kim Journal of Korean Academy of Nursing Administration.2024; 30(5): 517. CrossRef
Effects of ageism on burnout among clinical nurses Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer PLOS ONE.2024; 19(11): e0313043. CrossRef
A phenomenological study of the experiences of nurses working in integrated nursing care wards in Korea Young-mi Cho, Sun-hui Kim BMC Nursing.2024;[Epub] CrossRef
Cardiovascular nurses and organizational well-being: a systematic review Francesco Zaghini, Jacopo Fiorini, Philip Moons, Alessandro Sili European Journal of Cardiovascular Nursing.2024; 23(3): 213. CrossRef
Cancer-Oriented Comprehensive Nursing Services in Republic of Korea: Lessons from an Oncologist’s Perspective Suk Hun Ha, Moonho Kim, Hyojin Kim, Boram No, Ara Go, Miso Choi, Seol Lee, Yongchel Ahn Medicina.2023; 59(1): 144. CrossRef
Factors affecting triage competence among emergency room nurses: A cross‐sectional study Seokhwa Hwang, Sujin Shin Journal of Clinical Nursing.2023; 32(13-14): 3589. CrossRef
Çocuk Evlerinde Çalışan Bakım Personellerinin Tükenmişlik ve Yaşam Doyumlarının Çeşitli Değişkenler Açısından İncelenmesi Gizem Tatlı, Mustafa Kale, Ayse Avcı Toplum ve Sosyal Hizmet.2023; 34(2): 405. CrossRef
The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses Doo-Nam Oh, Ye-Won Lee Quality Improvement in Health Care.2022; 28(2): 2. CrossRef
Effects of the Violence Experience and Emotional Labor on Burnout among Tertiary Hospital Nurses Su Hyang Kim, Yoon Goo Noh Journal of Health Informatics and Statistics.2022; 47(4): 290. CrossRef
Nursing leadership in clinical practice, its efficacy and repercussion on nursing‐sensitive outcomes: A cross‐sectional multicentre protocol study Jacopo Fiorini, Francesco Zaghini, Alice Mannocci, Alessandro Sili Journal of Nursing Management.2022; 30(7): 3178. CrossRef
The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon Sustainability.2021; 13(21): 11634. CrossRef
Family incivility, burnout and job satisfaction: examining the mediation effect Maria Tresita Paul V, Nimitha Aboobaker, Uma Devi N Benchmarking: An International Journal.2021; 28(6): 2110. CrossRef
Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses Hyo Jeong Choi, Yun Mi Lee, Hyo Jin Park Journal of Korean Critical Care Nursing.2021; 14(3): 87. CrossRef
The Impact of Job Demands and Organizational Culture on Work Performance, Burnout, and Job Satisfaction in Healthy Family and Multicultural Family Support Centers during the Covid-19 Pandemic Sun Kang Koh, Jeong Yun Park, Meejung Chin Family and Environment Research.2021; 59(2): 185. CrossRef
Factors Influencing Nurses’ Performance of Care in COVID-19 Wards Yoon Sun Kim, Mi-Ae Kim Journal of Korean Academy of Nursing.2021; 51(6): 678. CrossRef
Research Trends in Korea on Integrated Nursing Care Service: A Scoping Review Jui Kim, Hyoung Shim Choi Korean Journal of Adult Nursing.2020; 32(5): 455. CrossRef
The Influences of Grit, Emotional Labor and Organizational Intimacy on Nurses' Intention to Stay in Comprehensive Nursing Care Service Units Dae Yeon Lee, Sook Young Kim The Korean Journal of Rehabilitation Nursing.2020; 23(2): 149. CrossRef
The role of occupational stress in the association between emotional labor and burnout in nurses: A cross-sectional study Francesco Zaghini, Valentina Biagioli, Miriana Proietti, Sondra Badolamenti, Jacopo Fiorini, Alessandro Sili Applied Nursing Research.2020; 54: 151277. CrossRef
Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260. CrossRef
A Comparative Study on the Job Stress, Burnout and Nursing Performance of Nurses in Comprehensive Nursing Care Service Wards and Nurses in General Wards Youn Sil Kim, Jung Ae Park, Eun Koung Seo Stress.2019; 27(1): 46. CrossRef
Video Recording of Nursing Care Activities in Gerontological Nursing to Compare General Units and Comprehensive Nursing Care Units Sung-Heui Bae, Jeonghyun Kim, Inyoung Lee, Seung Jin Oh, Sujin Shin Journal of Korean Gerontological Nursing.2019; 21(3): 165. CrossRef
First
Prev
