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KMID : 0926620160210020024
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Korean Journal of Hospital Management
2016 Volume.21 No. 2 p.24 ~ p.36
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The status nursing care delivery system and the influencing factors on quality of nursing care
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Kim Ji-Youn
Park Bo-Hyun
Ko Yu-Kyung
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Abstract
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The aims of this study is to investigate the status of nursing care delivery systems and nurse staffing levels and to analyze differences in the quality of nursing care by the type of nursing care delivery system. This research was based on data from 723 nurses working in 55 medical and surgical units in 26 general hospitals. Descriptive statistics on nurse staffing levels and the nursing care delivery system, and multi-level logistic regression were used to estimate the determinants of quality of nursing care. The number of patients per nurse is 17.74 patients in functional nursing care and 15.56 patients in total nursing care. In comparison to hospitals adopting total nursing care, hospitals with functional nursing care had greater patients. The nurses rated units using total nursing care as significantly better quality of nursing care than the units with functional nursing care. Total nursing care or modified total nursing care, rather than functional nursing care, could lead to improvement in the quality of care(total nursing care OR=3.895, modified total nursing care OR=2.475). Patient-centered approaches under proper circumstances can be successfully implemented and the positive effects demonstrated.
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KEYWORD
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Nursing delivery system, Quality of nursing care, Functional nursing, Primary nursing
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