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
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.
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)
*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
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
