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KMID : 0613620210410030195
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Health Social Welfare Review
2021 Volume.41 No. 3 p.195 ~ p.209
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Moderation Effect of Nurse Staffing Level on the Association Between Integrated Nursing Care Adoption and Patient Experience Evaluation
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Choi Han-Sil
Lee Jin-Hyung
Choi Jae-Young
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Abstract
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This study was aimed at investigating the association of integrated nursing and care service program adoption with patient experience evaluation and the interaction effect of nurse staffing level. Toward this end, we performed robust regression analyses using multiple data sources including patient experience evaluation administered by health insurance review and assessment services (HIRA), adoption level of the integrated nursing and care service program, inpatient quality indicators, and hospitals’ structural and operational characteristics. Key findings are as follows.
First, we observed a statistically significant positive relationships between integrated nursing and care service program adoption and physical hospital environmental domain of patient experiences evaluation and marginally significant association with overall evaluation domain, respectively. Second, we found strong evidence for the moderating effect of nurse staffing level on the association between integrated nursing and care service program adoption and patient experiences evaluation.
Moderating effect of nurse staffing grade was significant in all domains of patient experience but nursing and patient rights protection. Hospitals with difficulties in retaining an appropriate level of nurse staffing may consider introducing and expanding an integrated nursing and care service program.
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KEYWORD
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Integrated Nursing and Care Service Program, Patient Experience Evaluation, Nurse Staffing Grade, Moderating Effect
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