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KMID : 0614819970030020061
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Journal of Korean Academy of Nursing Administration
1997 Volume.3 No. 2 p.61 ~ p.80
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The effects of the direct nursing care hours with establishment of the nurse substations
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이정희/Lee, Chug Hee
성영희/권인각/이순규/정연이/허성이/류성숙/Sung, Young Hee/Jung, Yoen Yi/Kim, Jung Suk/Kwon, In Gak/Lee, Soon Kyu/Ryoo, Sung Suk
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Abstract
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The purpose of this study is to measure the direct and indirect nursing care hours with establis hment of nurse substations and compare the experimental nursing units with the existing nursin g units.
For this study, two experimental nursing units (1) a medical nursing unit and (2) a surgical nursing unit with a nurse substation were selected. And two control nursing units ~ (1) a medical nursing unit anti (2) a surgical nursing unit without a nurse substation were selected. After athree-month experimental operation from June 1 to August 31.19 96, research data were collected for three days from September 2 to 4, 1996. We investigated the effects of the direct &indirect nursing care hours with est;ablishment of the nurse substations (impro ved nursing environment) without adding the staf f nurses. The effect of establishment of the nurse s ub-station was measured for the differences direct & indirect nursing care hours between experimenta 1 and control nursing units.
An investigator measured the time for a staff nurse to practice each nursing activity and recorded it every minute. Percentage, average, standard deviation, t-test and ANOVA were used for data analysis.
The results are as follows
1. There was no significant difference between the experimental and control nursing units in staffs workin; hours during their shift.
2. There were significant diffferences between the experimental and control nursing units in dierct nursing carf~ hours (t = 0.0288. p = 0.0001) and indirect nursing care hours (t=0.3886, p=0.0103) per patient.
3. There was significant difference between the experimental and control nursing units in direct nursing care hours done by nurses(t=0.0012, p=0.0 111) and aids(t=0.3011, p=0.0027).
There was significant difference between the experimental and control nursing units in indirect nursing. care hours done by head-nurses(t=0.0051. p=0.0253), nurses(t=0.0071, p=0.0024) and aids (t=0.3227, p=0.0351).
The Nursing Department of Samsung Medical Center
There was significant difference between the experimental and control nursing units in indirect nursing care hours done by nurses(t=0.0005, p= 0.0015) and aids(t=0.2400. p=0.0013) per patient.
There was significant difference between the experimental and control nursing units in indirect nw-sing care hours done by head-nurses(t=0.0005. p=0.0379) and nurses (t=0.0035, p=0.0198) per patient.
4. Thre were significant differences between the experimental and control nursing units in direct nursing care hours (t=0.1134, p=0.0010) and indirect nursing care hours (t = 0.7106, p = 0.0008) per staff during the day shift.
There were significant differences between the experimental and control nursing units in directnunsing care hours during the day(t=0.0723, p= 0.00031 and evening shift (t=0.0004, p=0.0285) .per patient, and indirect nursing care hours during the day shift(t=0.5565, p=0.0036) per patient.
5. There were differences between the experiemental and control nursing units in dircet nursing activi ties including measurement and observation, medi cation, communication, teratment. hygiene, and nutriti~~n, and in indirect nursing activities incl uding ~:onfirmantion. communication, record, com puter work, management of goods. But it was not statistically proven.
6. There was difference between the experimental and control nursing units in unmet-need nursing care hours per patient, but not statistically proven.
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