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김정자
황경자/김숙현/이계숙/이정숙/김인영/조윤희
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Abstract
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The purpose of this study was to develop a nursing care delivery system which can provide patient focused care and increase satisfaction for both patients and nurses.
This study was a quasi-experimental study to test the effectiveness of direct/indirect nursing care hours, patient satisfaction, nurse's job satisfaction, and the difference of the length of stay between model and control group.
Control group data were collected from 100 patients who had lumbar disease in the neuro-surgical unit and model group data were from 66 patients who didn't have family residents from August 21, 1995 to February 29, 1996.
Model unit was operated by modified PPM(Professional Practical Model) system for 3 months from December 1, 1995 to february 29, 1996.
Working committee empowered nurses to make a decision to provide increased opportunities for autonomy, accountability, and control over the environment in which they deliver care.
Satisfaction survey was done twice and analyzed by the SPSS program.
The results of the study were as follows;
1. Mean direct nursing care hours of the model group was 90.47 minutes as it was 28.04 in the control group which shows significant statistical difference (t=18.0, p=0.000).
2. Patient satisfaction to nursing care of in the model group was significantly higher than the control grop (t=-6.77, p=0.000) and it apples to the all subcategories, too.
3. Nurse's job satisfaction shows the significant increase in the model group than the control group(Z=-3.0405, p=0.0024).
4. There was no statistical difterence between 2 groups in average length of stay except for the post-op patient which shows 5.4 days less in the model group.
This study shows that patient satisfaction and nurse's job satisfaction were increased and length of stay was decreased in the model group.
Even though this new developed Patient-Nurse Oriented Model can provide nursing with the opprtunity to improve patient care to increase productivdity and highly valued, it is very difficult to practice due to the limited nursing resources, higher
acuity
levels and nursing care cost.
It is strongly recommeded that the government needs to look at the unreasonable reimbursement system and recognize the nursing care costs to the high acuity level patients. Otherwise, make the patient responsible for the nursing care cost so that
we can
provide more efficient and patient focused care.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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