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KMID : 0614819980040010073
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Journal of Korean Academy of Nursing Administration
1998 Volume.4 No. 1 p.73 ~ p.88
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An analysis on nursing activity in a hospital
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Abstract
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The management of nursing resource is very important, that is because nursing staff accounts for 30--40% of total staff in a hospital and nurses provide patoents with attentive service for hours daily. The continuous turnover of nursing staff. howevE~r. impedes the quality-oriented nursing care. which will consequently leads to the loss of human and material resource in competitive society.
This study aimed to calculate nurses activity and compare the activity amount based on career experience. Futhermore it aimed to find factors which would influence "quality weighed direct nursing aclivity amount.
Questionnaires and check lists for this study were distributed to nurses in a suburban hospital outsidE; of Seoul fi-om October 20 to November 14, 1997.
The nursing activities were calculated according to prof´essionality. independency and working hour. And then it were accumulated by quality score. The collected data was analyzed by statistical methods as t-test, ANOVA, correlation, multiple regression.
The results of this study were as follows
Firstly. carrer experience had no influence on the quality weighed nursing activity amount. But the quality level of service of skilled nurses was higher than that of new nurses.
Secondly. career was a variable affecting the quality in nursing service. So career was positively related to the quality of nursing care. Patient"s disease severity and number of patient were positiveIy correlated with weighed nursing activity amount. But job satisfaction was negatively correlated with the amount.
Thirdly. the independent variables which had si-_~.ificant influence on the weighed nursing activity amount ~.~~ere patients disease severity and the number of patients. The severity score and number of patiera ~~~ere directly proportional to the weighed nursing activity amount.
This results indicated that weighed nursing activity amount was influenced by the number of patient and patient"s disease severity. The quality score of nursing services for experienced members is higher than that of new staff. But both new and skilled :>taff showed no _difference in the quality weighed nursing activity amount.
Internal and external environment influences nursing activities. The quality of nursing services is very important factor in nursing activity. There-fore nursing managers should make an effort to improve nursing care quality through continuous research. Also they should try to maintain experience nurses and assign nursing staff appropriately with patient"s severity and other relevant factors being considered. The quality-improved nursing care in the hospital will strengthen hospital"s competitiveness.
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