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Original Article

Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG

Eun Ha1, Kyeha Kim2
Journal of Korean Academy of Nursing Administration 2012;18(2):176-188.
Published online: June 30, 2012

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Correspondence: Kyeha Kim. Department of Nursing, Chosun University 375 Seosuk-dong, Dong-gu, Gwangju, 501-759, Korea. Tel: 82-62-230-6326, Fax: 82-62-230-6329, kyehakim@hanmail.net
• Received: April 6, 2012   • Revised: May 6, 2012   • Accepted: May 6, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system.
  • Method
    This study was a descriptive survey involving 161 nurses working in 12 long-term care hospitals located in Gwangju city and Chonnam area. Data were analyzed using the SPSS 18.0 version program. Data analyses utilized descriptive test, chi-square test, Fisher's exact probability test, t-test, and one-way ANOVA.
  • Result
    There was no change in cognition of DRG in 55.3% of the nurses, and 26.1% takes to 'change positively'. More than half of the respondents (57.8%) agreed to the application of DRG. After application of DRG, the nurses responded 'there were changes in nursing care' in 23 of the 25 care items. Two items had an increase in nursing care.
  • Conclusions
    No distinct changes in nursing care were evident after DRG application. Therefore, there is need to provide education programs related to DRG for nurse in long-term care hospitals.
  • Key Words: Diagnosis-related groups; Cognition; Nurse

This article is a based on a part of the first author's master's thesis from Chosun University.

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Table 1
General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i001.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Table 2
Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)
jkana-18-176-i002.jpg
Table 3
Changes in Nursing Care after Application of DRG (N=161)
jkana-18-176-i003.jpg
Table 4
Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i004.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Table 5
Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i005.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Changes in Public Hospital Employees’ Perceptions Following the Introduction of the New Diagnosis-Related Groups (DRG)-Based Payment System in the Republic of Korea
      Hyun Joo Kim, Jin Yong Lee
      Quality Improvement in Health Care.2021; 27(2): 30.     CrossRef
    • Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses
      Jung Mi Ryu, Myoung Soo Kim
      Journal of Health Informatics and Statistics.2016; 41(4): 392.     CrossRef

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    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    J Korean Acad Nurs Adm. 2012;18(2):176-188.   Published online June 30, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.2.176
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    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    J Korean Acad Nurs Adm. 2012;18(2):176-188.   Published online June 30, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.2.176
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    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG

    General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)

    Changes in Nursing Care after Application of DRG (N=161)

    Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record
    Table 1 General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 2 Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)

    Table 3 Changes in Nursing Care after Application of DRG (N=161)

    Table 4 Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 5 Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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