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간호서비스 질, 의료서비스 만족, 병원 재이용 의도간의 관계
이미애(Mi Aie Lee),공성화(Soung Wha Gong),조수정(Su Jung Cho) 한국간호행정학회 2012 간호행정학회지 Vol.18 No.1
This study was done to examine the influence of nursing service quality and medical service satisfaction on intent to revisit the hospital, and to identify mediating effects of medical service satisfaction between nursing service quality and intent to revisit the hospital. Methods: This study was a cross-sectional survey. Participants were 390 hospitalized patients at one general hospital in Gyeonggi Province. Data were collected from July 21 to September 10, 2010 and analyzed using SPSS/PC version 18.0. Results: The score for nursing service quality continuously improved but the scores for medical service satisfaction and intent to revisit the hospital did not changed significantly after estimated. Factors influencing intent to revisit the hospital were nursing service quality, medical service satisfaction, ``same religion``, and ``Christian``, and the explanation power of these four factors was 79.7%. Medical service satisfaction had a partial mediating effect between nursing service quality and intent to revisit the hospital. Conclusion: Findings indicate that nursing service quality is a very important factor to improve both medical service satisfaction and intent to revisit the hospital. Nursing managers should develop strategies to improve nursing service quality.
말기 위암 외래 환자에게 제공된 통증관리의 염려 및 주저정도에 미치는 효과
공성화,이상홍,정자현,김지영,이수연,김순애 임상간호사회 2004 임상간호연구 Vol.10 No.1
Purpose: This study was designed to evaluate the effect of cancer pain-management-education on the concerns and hesitancy of pain-management in out-patient of terminal gastric cancer. Method: 24 terminal gastric cancer patients who had not surgery, were assigned to the control group and 24 were assigned to the experimental group receiving pain-management-education. As Measurement-instrument of concern on pain-management and questionnaire on degrees of hesitancy were used the questionnaire developed by Ward( 1993) and translated by Kim Hong-Soo(1998). Data were analyzed per descriptive analysis, x²-test and t-test with the SPSS 10.0 program. Result: Degrees of concern of cancer-patient on pain-management between experimental-group and control-group showed significant difference: Experimental-group changed from 2.52 to 1.13 point(maximum 5 point) and control-group from 2.59 to 2.40 point(p=.000). Degrees of hesitancy of cancer-patient on pain-management between two groups showed significant difference. Experimental-group changed from 2.33 to 1.35 point and control-group from 2.77 to 2.52 point(p=.000). Conclusion: Above findings showed that pain-management-education reduces the concern and hesitancy on pain-management in out-patient of terminal gastric cancer. We conclude that the pain-management-education in this study was identified the effective nursing program.
공성화,방찌야,서민숙,현신숙,김희정,이미애1,이미애2,유현희,허재경,김은애,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1
Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990). that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management. the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids. 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016). years of experiences(p=.002), experience of cancer pain education(p= .001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.
간호사의 근무부서와 경력에 따른 항암제 안전수칙에 대한 지식과 이행
최진선,김연희,공성화,전명희,박종순,김매자 병원간호사회 2004 임상간호연구 Vol.9 No.2
Purpose: To investigate the level of knowledge and compliance on guidelines for safe handling of cytotoxic drugs by career and work units in clinical nurses. Method: 255 nurses working at two university hospitals, located at Seoul, Korea were asked to fill out questionnaires. Tools of this study were developed by investigators based on the guidelines issued by OSHA and Oncology Nursing Society in America. Result: Nurses working at oncology wards showed higher level of knowledge and compliance compared with nurses working at non-oncology wards. The differences between two groups were statistically significant. Also, the level of knowledge and compliance was increased with career. The differences in the level of knowledge were statistically significant with career, but the differences in the level of compliance were not statistically significant. Conclusion: We suggest that education program be provided to novice nurses intensively and be reinforced to the nurses with over 10 years experiences. Nowadays cancer patients be found at any ward regardless of disease types. Thus, the nurses who should handle the cytotoxic drugs should be educated the guideline for safe handling of cytotoxic drugs.