RESUMEN
BACKGROUND: Efficient resource management should consider the improvement of internal factors first as the unique task of medical institutions that can perform the medical services for efficient hospital management under the optimum management condition. OBJECTIVE: This study aims to suggest the efficient model for nurse resource management that can estimate optimum nurse resources according to the nursing intensity of the hospitalized patients. METHODS: The study was performed with four steps including collection and analysis of requirements, system design, system realization, and evaluation, which took 2 years and 10 months. The measurement tool used in the step of system evaluation was a modified version of Questionnaire for User Interaction Satisfaction (QUIS) 5.0. RESULTS: The system was implemented using Oracle database with Power Builder by Sybase. NRS, PCS, and ONMES were realized with developed NRMIS, and the survey was conducted on the usefulness as the system evaluation. The system evaluation results of User Interaction Satisfaction, means scores of ONMES, PCS, and NRS were 7.15 ± 0.52, 6.21 ± 1.11, and 6.03 ± 1.14 out of 9 points, respectively. Demonstrating the positive change in the subjective usefulness of the respondents after using the system compared to the period before using the system (F= 16.551, p= 0.000). CONCLUSION: It was confirmed that this system contributed to an enhancement of the working process speed, efficiency, and accuracy by simplifying the works which were the purposes of the nursing information system, which changes dynamically, to support decision making on the management of effective and flexible nurse resources.
Asunto(s)
Sistemas de Información Administrativa , Personal de Enfermería en Hospital/organización & administración , Comunicación , Eficiencia Organizacional , Humanos , Satisfacción en el Trabajo , Personal de Enfermería en Hospital/normas , Satisfacción del Paciente , Admisión y Programación de Personal , Interfaz Usuario-Computador , Flujo de Trabajo , Carga de TrabajoRESUMEN
Information system can be useful to effective and flexible decision making of nursing resource administration. A Nurse Resources Management Information Model and a Nurse Resources Management Information System (NRMIS) were developed in this study. The NRMIS consisted of a nursing staff scheduling system (NRS), a patient classification system (PCS), and an optimal nursing manpower estimating system (ONMES). The patient classification system was developed according to nursing intensity. The system was evaluated through user interface satisfaction and usefulness in the clinical settings. The main challenge is how we realize this information model to support evidence-based nursing resource administration.
Asunto(s)
Sistemas de Información en Hospital , Atención de Enfermería/organización & administración , Pacientes/clasificación , Admisión y Programación de Personal , Corea (Geográfico)RESUMEN
PURPOSE: The purpose of the study was to meta-analyze the relationships of major concepts, which were made by synthesizing similar explanatory variables into more comprehensive concepts, to hope. METHOD: The relevant researches from Jan 1980 to Dec 2003, performed in adults or adult patients, were collected. Using the SAS program, meta-analysis were done with the input data of the number of subjects, the correlation coefficients provided from most of the studies or a few transformed correlation coefficients from F value. In order to get the analysis to be done in homogeneous status of the data regarding each relationship of each major concept to hope (p>0.05), heterogeneous data were eliminated in repeating Q-test. RESULT: The major variable regarding relationship to self/transcendental being/life (spiritual wellbeing & self esteem) and social support (social support & family support) have very large positive effects on hope (D=1.72, D=1.27). The negative effect of the variable regarding captive state(uncertainty in illness, perceived unhealthiness status, & fatigue) and positive effect of coping (approach coping) on hope are in the level between moderate to large (D=-0.61, D=0.78). All the effects of the major concepts on hope were verified as significant statistically(p=.000). The Fail-Safe numbers showed the significant effects of the three major concepts except coping on hope were reliable. CONCLUSION: The results can be a guide to advance hope theory for nursing.