Purpose
This study aimed to identify the factors affecting patient satisfaction in an emergency department based on the use of the Korea Triage and Acuity Scale (KTAS).
Methods
A survey and medical record review were conducted. Participants included 100 patients and 20 nurses from an emergency medical institution located in B city, between June and August 2020. Data were analyzed using descriptive statistics, independent t-test, one way analysis of variance, partial correlation, and multiple regression.
Results
The mean score of patient satisfaction was 3.99±0.63. The mean waiting time, duration of stay, and occupation rate were 14.29±10.97 min, 104.96 ±67.35 min, and 22.0±7.4%, respectively. From the multiple regression analysis, waiting time (β=-.36, p<.001), nurse’s self-efficacy (β=.19, p=.013), and professional competence (β=.36, p<.001) explained 57.9% of the patients’ satisfaction with their use of the emergency medical institution (F=34.50, p<.001).
Conclusion
Patient satisfaction after experiencing the KTAS was influenced by waiting time, nurses’ self-efficacy, and professional competence. Therefore, institutions need to define an appropriate waiting time that does not reduce patient satisfaction, and introduce an internal marketing strategy to increase nurses’ professional competence and self-efficacy.

Citations

• Factors Influencing Sleep Quality in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization: A Cross-Sectional Study
  Ji Young Park, Myoung Soo Kim, Han Byeol Lim
  Korean Journal of Adult Nursing.2024; 36(2): 160.     CrossRef
• Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica.2024; 34(5): 408.     CrossRef
• Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica (English Edition).2024; 34(5): 408.     CrossRef
• Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
  Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
  Journal of Clinical Nursing.2024;[Epub]     CrossRef
• Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
  Soyoung Shin, Hye Jin Yoo
  International Emergency Nursing.2023; 66: 101240.     CrossRef

PURPOSE
The purpose of this study was to identify the level of terminal care performance of nurses in long-term care hospitals, and investigate how nursing professionalism, attitudes on advance directives and death anxiety affects their terminal care performance.
METHODS
Total of 294 nurses from long-term care hospitals completed the structured questionnaires including nursing professionalism scale, advance directives attitude survey, death anxiety scale and terminal care performance scale. Data were analyzed using the SPSS/WIN 24.0.
RESULTS
There were significantly correlation among terminal care performance of nurse, nursing professionalism, attitudes on advance directives, and death anxiety. The key factor that affected nurses terminal care performance was nursing professionalism(β=.26, p < .001), followed by attitudes on advance directive (β=.20, p < .001), participation of terminal care education (β=.15, p=.006), total work experience (β=.13, p=.015), and participation of Do-Not-Resuscitate education (β=.13, p=.018), which explained about 23.1% of the variance in nurses terminal care performance (F=17.05, p < .001).
CONCLUSION
The results of this research suggest that to enhance the nursing performance of nurses in long-term care hospital, it is necessary to develop an education program that can enhance a professionalism and the attitudes on advance directives, and reduce death anxiety experienced by nurses.

Citations

• The mediating effects of nurses’ professional values on the relationship between work environment and organizational commitment among long-term care hospital nurses
  Won Hee Jun
  BMC Nursing.2025;[Epub]     CrossRef
• Investigation of the effect of nurses’ professional values on their perceptions of good death: a cross-sectional study in Türkiye
  Fatma Aksoy, Sule Biyik Bayram, Aysel Özsaban
  BMC Nursing.2024;[Epub]     CrossRef
• Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses
  Ji-yeon Kim, Hyun-sun Kim, Mi-jung Kang, Hee-young Oh, Mi-rae Jo
  Healthcare.2024; 12(16): 1580.     CrossRef
• Relationship Between Physician’s and Nurses’ Attitudes Towards Futile Treatment and Their Approach to Death and Terminally Ill Patients
  Gulay Yildirim, Meryem Türkan Işık, Sibel Oner Yalcin
  OMEGA - Journal of Death and Dying.2023;[Epub]     CrossRef
• The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study
  JinShil Kim, Seongkum Heo, Jisun Yang, Miyeong Kim, SeongHu Park, KyungAh Cho, JungHee Kang, Hani Yi, Minjeong An, Jeong-Ah Ahn
  PLOS ONE.2023; 18(10): e0292135.     CrossRef
• StructuralEquation Model of End-of-Life Nursing Performance of Home Visiting Nurses
  Sukhee Kim, Soongnang Jang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(2): 124.     CrossRef
• Factors associated with attitudes toward advance directives in nurses and comparisons of the levels between emergency nurses and palliative care nurses
  Jisun Yang, Hee Jung Kim, Seongkum Heo, Minjeong An, SeongHu Park, Songthip Ounpraseuth, JinShil Kim
  Japan Journal of Nursing Science.2023;[Epub]     CrossRef
• Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital
  Mira Lee, Jiyoung Kim, Boyeon Kim, Yooyun Park, Jiyoo Han, Seunghee Lee, Hyunju Lee
  The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 124.     CrossRef
• Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives
  Go Eun Park, Nae Young Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 139.     CrossRef
• Trends in Nursing Research on Life-Sustaining Treatment in South Korea after the Enforcement of the Act on Decisions on Life-Sustaining Treatment
  Jun-Hwa Choi, Eun-Suk Choi
  The Korean Journal of Hospice and Palliative Care.2022; 25(1): 25.     CrossRef
• Nurses' views and applications on palliative care
  Diğdem Lafci, Ebru Yildiz, Seda Pehlivan
  Perspectives in Psychiatric Care.2021; 57(3): 1340.     CrossRef
• Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses
  Sun-Hee Kim, Eun-Young Kim
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 26.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
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  Chun Yee Lee, Ga Eon Lee
  Journal of Korean Academy of Community Health Nursing.2020; 31(2): 199.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
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  Young Hye An, Soon Rim Suh
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  Meera Park, Nam Joo Je
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The concept of caring as the core value of nursing has been widely explored in many researchers. However, a clear conceptualization of what caring in nursing does not yet exist. The purpose of this study is to examine the attributes of caring by content analysis of journaling and to provide basic information for developing the theory of caring and teaching the humanism centered education. The study design was descriptive survey design. Data was colleged 82 cases of journaling which came from 26 junior and 30 senior nursing students from Oct. 1995 to June 1996. The collected data were analyzed using the content analysis by Ko, and et als.(1989) and Polit & Hngler(1987). To improve the validity two researchers examined the significant statements extracted from original contents. The results are as follows: The emphasized contents clusters of caring were 12 categories- , , , , , , , , , , , . , elements of the caring emerged new attributes of caring and the <> element of the caring was mentioned with high frequency as strongest element. The emphasized contents clusters of non caring were 9 categories - , , , , , , , , .