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Choi, Lee, Kim, Ko, and Kim: Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(2): 217-226.

Published online: 31 March 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.217

Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time

Eun Hee Choi1, Hyun Su Lee2, Jin Hee Kim2, Mi Suk Ko2, Bok Soon Kim2

1Department of Nursing, Korean Bible University, Korea.

2Chung-Ang University Healthcare System, Korea.

Correspondence: Lee, Hyun Su. Chung-Ang University Healthcare System, 224-1 Heukseok-dong, Dongjak-gu, Seoul 156-755, Korea. Tel: 82-2-6299-3960, Fax: 82-2-6299-2526, soo10000se@naver.com

Received 18 September 2012       Revised 27 October 2012       Accepted 23 December 2012

Copyright © 2013 Korean Academy of Nursing Administration

Abstract

Purpose

Purpose of this research was to identify effects of application of a modified primary nursing system.

Methods

Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul.

Results

There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference.

Conclusion

Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

Keywords: Nursing models, Job satisfaction, Patient satisfaction, Direct nursing time

Figures and Tables

Table 1
Homogeneity Test for General Characteristics of the Patient Satisfaction Survey Questionnaire (N=79)
jkana-19-217-i001
Table 2
Homogeneity Test for General Characteristics Patients Measured for Direct Nursing Care Time (N=204)
jkana-19-217-i002
Table 3
Comparison of Patient Satisfaction Before and After Application of the Modified Primary Nursing System (N=79)
jkana-19-217-i003
Table 4
Comparison of Nurse Job Satisfaction Before and After Application of the Modified Primary Nursing System (N=19)
jkana-19-217-i004
Table 5
Direct Nursing Care Time per Patient for 24 hours Using the Conversion Index for Korean Patient Classification System-1 Scores (N=204)
jkana-19-217-i005

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