Moderation Effect of Nurse Staffing Level on the Association Between Integrated Nursing Care Adoption and Patient Experience Evaluation
| DC Field | Value |
|---|---|
| dc.contributor.author | 최한실 |
| dc.contributor.author | 이진형 |
| dc.contributor.author | 최재영 |
| dc.date.accessioned | 2021-10-12T06:51:57Z |
| dc.date.available | 2021-10-12T06:51:57Z |
| dc.date.issued | 2021-09-30 |
| dc.identifier.issn | 1226-072X |
| dc.identifier.uri | https://repository.kihasa.re.kr/handle/201002/38488 |
| dc.description.abstract | 본 연구의 목적은 간호･간병통합서비스와 환자경험평가의 관계를 조직 수준에서 분석하고 간호인력 확보 수준의 조절효과를 살펴보는 데 있다. 이를 위해 환자경험평가, 요양급여 적정성 평가, 의료기관 특성, 일반병동 간호등급, 간호･간병통합서비스 운영 병상 수 및 총 허가 병상 수 자료들을 이용하여 로버스트 회귀분석을 실시하였다. 주요 연구 결과는 다음과 같다. 첫째, 간호･간병통합서비스 병상 도입과 병원 환경 영역의 환자경험과 유의한 정(+)의 관계에 있었으며, 전반적 평가 영역의 환자경험과는 한계 수준에서 정(+)의 관계에 있었다. 둘째, 의료기관의 간호등급이 낮을수록 간호･간병통합서비스 병상 도입 수준과 환자경험평가의 관계는 커지는 것으로 나타났으며, 이를 통해 간호등급은 유의한 조절변수임을 확인하였다. 이러한 간호등급의 조절효과는 간호사 경험과 환자권리 보장 경험을 제외한 모든 영역에서 유의한 것으로 나타났다. 적정 수준의 간호인력 보유가 어려운 의료기관은 간호･간병통합서비스 병상 도입 및 확대를 통해 환자중심성 향상을 기대할 수 있을 것이다. |
| dc.description.abstract | This study was aimed at investigating the association of integrated nursing and care service program adoption with patient experience evaluation and the interaction effect of nurse staffing level. Toward this end, we performed robust regression analyses using multiple data sources including patient experience evaluation administered by health insurance review and assessment services (HIRA), adoption level of the integrated nursing and care service program, inpatient quality indicators, and hospitals’ structural and operational characteristics. Key findings are as follows. First, we observed a statistically significant positive relationships between integrated nursing and care service program adoption and physical hospital environmental domain of patient experiences evaluation and marginally significant association with overall evaluation domain, respectively. Second, we found strong evidence for the moderating effect of nurse staffing level on the association between integrated nursing and care service program adoption and patient experiences evaluation. Moderating effect of nurse staffing grade was significant in all domains of patient experience but nursing and patient rights protection. Hospitals with difficulties in retaining an appropriate level of nurse staffing may consider introducing and expanding an integrated nursing and care service program. |
| dc.format | text/plain |
| dc.format | application/octet-stream |
| dc.format | application/octet-stream |
| dc.format.extent | 15 |
| dc.language | kor |
| dc.publisher | 한국보건사회연구원 |
| dc.publisher | Korea Institute for Health and Social Affairs |
| dc.rights | KOGL BY-NC-ND |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ |
| dc.rights.uri | http://www.kogl.or.kr/info/licenseType4.do |
| dc.title | 간호･간병통합서비스 운영과 환자경험평가의 관계에서 간호인력 확보 수준의 조절효과 |
| dc.title.alternative | Moderation Effect of Nurse Staffing Level on the Association Between Integrated Nursing Care Adoption and Patient Experience Evaluation |
| dc.type | Article |
| dc.type.local | Article(Series) |
| dc.subject.keyword | 간호･간병통합서비스 |
| dc.subject.keyword | 환자경험평가 |
| dc.subject.keyword | 간호등급 |
| dc.subject.keyword | 조절효과 |
| dc.subject.keyword | Integrated Nursing and Care Service Program |
| dc.subject.keyword | Patient Experience Evaluation |
| dc.subject.keyword | Nurse Staffing Grade |
| dc.subject.keyword | Moderating Effect |
| dc.description.eprintVersion | published |
| dc.contributor.alternativeName | Choi, Han-Sil |
| dc.contributor.alternativeName | Lee, Jinhyung |
| dc.contributor.alternativeName | Choi, Jae-Young |
| dc.citation.title | 보건사회연구 |
| dc.citation.title | Health and Social Welfare Review |
| dc.citation.volume | 41 |
| dc.citation.number | 3 |
| dc.citation.date | 2021-09-30 |
| dc.citation.date | 2021-09-30 |
| dc.citation.startPage | 195 |
| dc.citation.endPage | 209 |
| dc.identifier.bibliographicCitation | 보건사회연구 제41권 제3호, pp.195-209 |
| dc.identifier.bibliographicCitation | Health and Social Welfare Review Vol.41 No.3, pp.195-209 |
| dc.date.dateaccepted | 2021-10-12T06:51:57Z |
| dc.date.datesubmitted | 2021-10-12T06:51:57Z |
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