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김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학
김성재 ( Kim Sung-Jae ) - 경복대학교 간호학과
박은태 ( Park Eun-Tae ) - 서울대학교 간호대학
정수용 ( Jeong Su-Yong ) - 서울대학교 간호대학
이은희 ( Lee Eun-Hee ) - 한림대학교 간호학부
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Abstract
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Purpose: This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability.
Methods: A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed.
Results: For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources,
Conclusion: Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function.
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KeyWords
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간병통합서비스, 간호인력, 환자안전, 직무만족
Comprehensive nursing care, Nurse staffing, Patient safety, Job satisfaction
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원문 및 링크아웃 정보
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등재저널 정보
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