• KANAD
  • Contact us
  • E-Submission
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Original Article

Experience of Nurses Participating in Comprehensive Nursing Care

Journal of Korean Academy of Nursing Administration 2017;23(1):76-89.
Published online: January 31, 2017

1Department of Nursing, College of Life Science and Natural Resources, Sunchon National University, Korea.

2College of Nursing, Institute of Health Sciences, Gyeongsang National University, Korea.

3College of Nursing, Dankook University, Korea.

Corresponding author: Yu, Mi. College of Nursing, Gyeonsang National University, 816-15 Jinju-daero, Jinju 52727, Korea. Tel: +82-55-772-8229, Fax: +82-55-772-8222, yumi825@gnu.ac.kr
• Received: December 15, 2016   • Revised: January 11, 2017   • Accepted: January 16, 2017

Copyright © 2017 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 21 Views
  • 0 Download
  • 38 Crossref
prev
  • Purpose
    This study was conducted to examine the experience of nurse in comprehensive nursing care.
  • Methods
    Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was “Can you describe your experience in the comprehensive nursing care unit?” All interviews were recorded and transcribed, then analyzed using Colaizzi's method.
  • Results
    Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system','Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'.
  • Conclusion
    As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

This manuscript was supported by Sunchon National University Research Fund in 2016.

  • 1. Hwang NM. An analysis of the debates on introduction of public caregivers' services in acute medical centers. Health Welf Policy Forum. 2010;170:60-71.
  • 2. Ahn HS, Kim HJ. Challenges for introducing comprehensive nursing service system for hospitalized patients. J Hosp Manag Policy. 2015;4(1):6-16.
  • 3. Hwang NM. Institutionalization of care service issues and tasks. Health Welf Issue Focus. 2012;47:1-8.
  • 4. Hwang NM, Go DK. Status and improvement of caregivers' utilization in general hospital. Korea Institute for Health and Social Affairs Policy Report. Report No.:98-07. Seoul: 1998.
  • 5. Gil HH, Choi JS. Affecting factors of hospital caregivers on the level of practice, knowledge, and importance of work under no guardian. Korean J Occup Health Nurs. 2012;21(1):55-65.
  • 6. Lee YG. Unaccompanied guardian hospital pilot project presentation materials. National Health Insurance Service Policy report. Report No: KIHM 28. Seoul: 2015. 06.
  • 7. Jeong WS. Focus: Enforcement of unacommpanied hospital [Internet]. Seoul, Korea Insurance Research Institute KiRi Weekly. 2014;270:5-7. cited 2016 December 15. Avaliable from; http://www.kiri.or.kr/html/search1.asp
  • 8. Ko YK, Kim BJ. An analysis of nurse staffing level and nursing performance in the general unit. J Korean Acad Nurs Adm. 2008;14(4):413-420.
  • 9. Holden RJ, Scanlon MC, Patel NR, Kaushal R, Escoto KH, Brown RL, et al. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. BMJ Quality and Safety. 2011;20:15-24.
  • 10. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, et al. Outcomes of variation in hospital nurse staffing in English hospitals: Cross-sectional analysis of survey data and discharge records. Int J Nurs Stud. 2007;44:175-182.
  • 11. Ministry of Health and Welfare. Promotion of nursing personnel support measures to expand comprehensive nursing service. 2015;Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=324925&page=1
  • 12. Shin SR, Park KY. Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care units and general care units. J Korean Acad Nurs Adm. 2015;21:469-479.
  • 13. Yeun YR. Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses. J Korea Acad Ind Coop Soc. 2015;16(1):317-323.
  • 14. Lee MK, Jung DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. J Korean Acad Nurs Adm. 2015;21:287-296.
  • 15. Lee E, Chang SS. Factors influencing depression of nurses among comprehensive nursing care service ward. Korean J Occup Health Nurs. 2016;25(4):340-351.
  • 16. Im JA. Factors affecting turnover intention of nurses in comprehensive nursing care wards: Job stress, emotional labor and burnout [master's thesis]. Incheon: Gachon University; 2015. p. 1-66.
  • 17. Lee NS. Comparative study about the clinical nurse's job satisfaction, job stress and turnover intention in a general ward, comprehensive nursing care service ward, and Anshim unit [master's thesis]. Seoul: Samwook University; 2014. p. 1-70.
  • 18. Lee NI. Phenomenology and qualitative research. Seoul: Hangilsa; 2014. 179261 p.
  • 19. Kim SY, Park KO, Kim JK. Nurses' experience of incivility in general hospitals. J Korean Acad Nurs. 2013;43:453-467.
  • 20. Colaizzi PF. Psychological research as the phenomenologist views it. In: Vaile R, King M, editors. Existential phenomenological alternatives for psychology. New York: Oxford University Press; 1978.
  • 21. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA: Jossey-Bass; 1985.
  • 22. Kwag WH. Contents and problems of pilot project on comprehensive nursing care service [Internet]. Seoul, Research Institute for Healthcare Policy. 2015;cited 2015 September 11. Available from: http://webzine.rihp.re.kr/webzine_201506/a_05_02.html
  • 23. Shin SR, Park KY. Comparing satisfaction with nursing care and factors relevant to hospital revisit intent among hospitalized patients in comprehensive nursing care units and general care units. J Korean Acad Nurs Adm. 2015;21:469-479.
  • 24. Choi JS, Park S. Comparison of job stress, hardness, and burnout of nurses between advanced general hospitals and general hospitals. J Korea Contents Assoc. 2012;12(3):251-259.
  • 25. Lee MK, Jung DY. A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. J Korean Acad Nurs Adm. 2015;21(3):287-296.
Table 1

Experience of Comprehensive Nursing Care in Hospital Nurses

jkana-23-76-i001.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • 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
    • Hospitalization experience of elderly surgical patients: A phenomenological study
      Yujeong Shin, Dukyoo Jung, Hyunjoo Oh
      Journal of Korean Gerontological Nursing.2025; 27(1): 84.     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
    • Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
      Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
      Journal of Korean Academy of Nursing Administration.2024; 30(2): 114.     CrossRef
    • Effects of Grit, Patient Safety Competence, and Patient Safety Culture on the Patient Safety Nursing Activities of Nurses in Comprehensive Nursing Service Wards
      Ji Hyun Kim, Haena Jang
      Journal of Korean Critical Care Nursing.2024; 17(3): 62.     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
    • 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
    • Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type
      Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
      Journal of Korean Academy of Nursing Administration.2022; 28(2): 131.     CrossRef
    • Factors Influencing on Performance for Infection Control of Nurses Working in Comprehensive Nursing Care Service Ward under COVID-19 Pandemic
      Mi Jin Kwon, Yeojin Yi
      Journal of Korean Academy of Nursing Administration.2022; 28(2): 121.     CrossRef
    • Factors Influencing Probability and Increase of Patients’ Call Bell Use in Integrated Nursing Care Wards
      Jiyeong Seong, Sung-Hyun Cho
      Journal of Korean Academy of Nursing Administration.2022; 28(3): 273.     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
    • Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience
      So Hee Lee, Roma Seol, Min Hye Kim
      Journal of Korean Critical Care Nursing.2021; 14(3): 50.     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
    • 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
    • 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
    • Impact of South Korea’s Comprehensive Nursing Service Policy on Nurse and Patient Outcomes
      Seon Heui Lee, Soyoung Yu, Miok Kim, Hee Sun Kim
      Healthcare.2020; 8(3): 223.     CrossRef
    • Assessing How Well Electronic Nursing Records Reflect Changes in the Nursing Profession's Scope of Practice in Korea
      Seungshin Lee, Soyoung Yu, Hyunbong Park, Tae Gon Kim
      CIN: Computers, Informatics, Nursing.2020; 38(6): 312.     CrossRef
    • A Comparison of Nursing Work Environment, Role Conflict, and Job Embeddedness of Nurses Working in Comprehensive Nursing Care Service Wards and General Wards in a Tertiary Hospital
      Hye-Eun So, Jee-In Hwang
      Quality Improvement in Health Care.2020; 26(1): 11.     CrossRef
    • Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
      Mi Ryeong Song, Su Hyang Ryu
      Journal of Korean Academy of Nursing Administration.2020; 26(4): 419.     CrossRef
    • Impact of nurse staffing on intent to leave, job satisfaction, and occupational injuries in Korean hospitals: A cross‐sectional study
      Sujin Shin, Seung Jin Oh, Jeonghyun Kim, Inyoung Lee, Sung‐Heui Bae
      Nursing & Health Sciences.2020; 22(3): 658.     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
    • A Study of Desired Work Conditions of Nurses in Small-Medium Hospitals
      Kwang-Ok Park, Jong Kyung Kim
      Journal of Korean Academy of Nursing Administration.2019; 25(1): 1.     CrossRef
    • Patient safety competency and the new nursing care delivery model
      Jaeok Jin, Yeo Jin Yi
      Journal of Nursing Management.2019; 27(6): 1167.     CrossRef
    • The Analysis of Trends in Domestic Nursing Research on Integrated Nursing Care Service
      Hyun Ju Choi
      Journal of Korean Academy of Nursing Administration.2019; 25(5): 510.     CrossRef
    • Conflicts Experienced by the Nurses in Hospital Nursing Organizations
      Sung-Bok Kwon, Hwa-Young Ahn, Myung-Hee Kwak, Suk-Hyun Yun
      Journal of Korean Academy of Nursing Administration.2019; 25(5): 499.     CrossRef
    • Relation of Gratitude Disposition, Organizational Intimacy and Organizational Well-being on Comprehensive Nursing Service Units of Nurses
      Soon Neum Lee, So Yeon Gu
      Journal of Korean Academy of Nursing Administration.2019; 25(2): 97.     CrossRef
    • A Topic Modeling Analysis for Online News Article Comments on Nurses' Workplace Bullying
      Jiyeon Kang, Soogyeong Kim, Seungkook Roh
      Journal of Korean Academy of Nursing.2019; 49(6): 736.     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
    • Factors Influencing Nurses’ Job Satisfaction in Integrated Nursing and Care Services Unit: Focused on Compassion Fatigue, Compassion Satisfaction and Communication Efficacy
      Kyounghee Kim, Jongeun Lee
      The Korean Journal of Rehabilitation Nursing.2019; 22(2): 124.     CrossRef
    • The influence of nursing care integration services on nurses’ work satisfaction and quality of nursing care
      Jeong-Im Ryu, Kisook Kim
      Journal of Nursing Management.2018; 26(8): 1024.     CrossRef
    • Nurses’ needs for care robots in integrated nursing care services
      Jai‐Yon Lee, Young Ae Song, Ji Young Jung, Hyun Jeong Kim, Bo Ram Kim, Hyun‐Kyung Do, Jae‐Young Lim
      Journal of Advanced Nursing.2018; 74(9): 2094.     CrossRef
    • Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals
      Hyun Ju Choi, A Leum Han, Young Mi Park, JI Hyeon Lee, Young Sook Tae
      Journal of Korean Academy of Nursing Administration.2018; 24(5): 396.     CrossRef
    • Adequacy of Nurse Staffing Level in Integrated Nursing Care
      Jinhyun Kim, Sungjae Kim, Jinhee Park, Euntae Park, Suyong Jeong, Eunhee Lee
      Journal of Korean Academy of Nursing Administration.2018; 24(4): 288.     CrossRef
    • A Comparison of Patients' Nursing Service Satisfaction, Hospital Commitment and Revisit Intention between General Care Unit and Comprehensive Nursing Care Unit
      Yun A Jung, Kyung Mi Sung
      Journal of Korean Academy of Nursing Administration.2018; 24(1): 30.     CrossRef
    • Comparison Analysis between Integrated Nursing Care Service and Non Integrated Nursing Care Service through Electronic Nursing Documentation
      Seung Shin Lee, Soyoung Yu
      Journal of Health Informatics and Statistics.2017; 42(2): 170.     CrossRef
    • Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance
      Jinhyun Kim, Sungjae Kim, Euntae Park, Suyong Jeong, Eunhee Lee
      Journal of Korean Academy of Nursing Administration.2017; 23(3): 312.     CrossRef
    • Clinical Nurses' Job Stress, Emotional labor, Nursing Performance, and Burnout in Comprehensive Nursing Care Service Wards and General Wards
      So-Eun Kim, Ji-Young Han
      Journal of Korean Academy of Nursing Administration.2017; 23(3): 336.     CrossRef
    • A Study on the Types of Hospitals Participating and the Factors Influencing Comprehensive Nursing Service
      Ki-Sung Kim, Shin-Ho Lee, Mun-Hyung Ryu
      The Korean Journal of Health Service Management.2017; 11(4): 239.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Experience of Nurses Participating in Comprehensive Nursing Care
    J Korean Acad Nurs Adm. 2017;23(1):76-89.   Published online January 31, 2017
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Experience of Nurses Participating in Comprehensive Nursing Care
    J Korean Acad Nurs Adm. 2017;23(1):76-89.   Published online January 31, 2017
    Close
    Experience of Nurses Participating in Comprehensive Nursing Care
    Experience of Nurses Participating in Comprehensive Nursing Care

    Experience of Comprehensive Nursing Care in Hospital Nurses

    Table 1 Experience of Comprehensive Nursing Care in Hospital Nurses

    TOP