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Original Article

Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time

Journal of Korean Academy of Nursing Administration 2013;19(2):217-226.
Published online: March 31, 2013

1Department of Nursing, Korean Bible University, Korea.

2Chung-Ang University Healthcare System, Korea.

Correspondence: Lee, Hyun Su. Chung-Ang University Healthcare System, 224-1 Heukseok-dong, Dongjak-gu, Seoul 156-755, Korea. Tel: 82-2-6299-3960, Fax: 82-2-6299-2526, soo10000se@naver.com
• Received: September 18, 2012   • Revised: October 27, 2012   • Accepted: December 23, 2012

Copyright © 2013 Korean Academy of Nursing Administration

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  • 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.
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Table 1
Homogeneity Test for General Characteristics of the Patient Satisfaction Survey Questionnaire (N=79)
jkana-19-217-i001.jpg
Table 2
Homogeneity Test for General Characteristics Patients Measured for Direct Nursing Care Time (N=204)
jkana-19-217-i002.jpg
Table 3
Comparison of Patient Satisfaction Before and After Application of the Modified Primary Nursing System (N=79)
jkana-19-217-i003.jpg
Table 4
Comparison of Nurse Job Satisfaction Before and After Application of the Modified Primary Nursing System (N=19)
jkana-19-217-i004.jpg
Table 5
Direct Nursing Care Time per Patient for 24 hours Using the Conversion Index for Korean Patient Classification System-1 Scores (N=204)
jkana-19-217-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    • Nurses' Self-image Perceived by Clinical Nurses: An Application of Q-Methodology
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      Korean Journal of Adult Nursing.2014; 26(1): 117.     CrossRef

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    Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time
    J Korean Acad Nurs Adm. 2013;19(2):217-226.   Published online March 31, 2013
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    Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time
    J Korean Acad Nurs Adm. 2013;19(2):217-226.   Published online March 31, 2013
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    Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time
    Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time

    Homogeneity Test for General Characteristics of the Patient Satisfaction Survey Questionnaire (N=79)

    Homogeneity Test for General Characteristics Patients Measured for Direct Nursing Care Time (N=204)

    Comparison of Patient Satisfaction Before and After Application of the Modified Primary Nursing System (N=79)

    Comparison of Nurse Job Satisfaction Before and After Application of the Modified Primary Nursing System (N=19)

    Direct Nursing Care Time per Patient for 24 hours Using the Conversion Index for Korean Patient Classification System-1 Scores (N=204)

    Table 1 Homogeneity Test for General Characteristics of the Patient Satisfaction Survey Questionnaire (N=79)

    Table 2 Homogeneity Test for General Characteristics Patients Measured for Direct Nursing Care Time (N=204)

    Table 3 Comparison of Patient Satisfaction Before and After Application of the Modified Primary Nursing System (N=79)

    Table 4 Comparison of Nurse Job Satisfaction Before and After Application of the Modified Primary Nursing System (N=19)

    Table 5 Direct Nursing Care Time per Patient for 24 hours Using the Conversion Index for Korean Patient Classification System-1 Scores (N=204)

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