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KMID : 1004620190250010055
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Clinical Nursing Research
2019 Volume.25 No. 1 p.55 ~ p.66
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Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey
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Park Hyun-Soon
Kim Ha-Woon
Kim Hee-Jung
Kim Son-Ick
Park Eun-Hye
Kang Nam-Mi
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Abstract
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Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women’s hospitals in South Korea.
Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. x2 (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ?= .05.
Results: According to the KPCS-1 (Korean Patient Classification System-1), women’s hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women’s hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women’s hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women’s hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05).
Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women’s hospitals need to be benchmarked with each other.
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KEYWORD
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Postpartum, Nursing Intervention, Time-Motion Studies, Direct, Indirect
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