Purpose
This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients.
Methods
This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0.
Results
The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement.
Conclusion
Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.

Citations

• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef

PURPOSE
This study examined differences in nursing care activity, work performance outcomes, and job satisfaction associated with upgrading nurse staffing of a nurse-to-patients ratio.
METHODS
Descriptive design was used in this study. In total, 148 medical and surgical nurses were recruited from one university hospital. Three instruments were used for data collection: Scale of Nursing Care Activity, Nurses' Work Performance Outcome Measurement Scale and Nurses' Job Satisfaction Scale. Data were analyzed by using descriptive statistics, t-test, ANOVA, and paired t-test.
RESULTS
There were significant differences in nursing care activity (t=-5.06, p<.001), in work performance outcomes (t=-5.46, p<.001) and in job satisfaction (t=4.61, p<.001) when the grading for the nursing staff was changed from three to two indicating increasing number of nurses.
CONCLUSION
The findings from this study showed that there were more nursing care activities, better work performance outcomes, and higher job satisfaction when numbers of nurses were increased. The changes in the scale to evaluate nursing staff influence nursing activities, work performance and job satisfaction.

Citations

• Knowledge, Attitude, and Performance of Nurses in a Tertiary Hospital toward Older Adults
  Eun Ji Kim, Kyung Hee Lee
  Journal of Korean Gerontological Nursing.2020; 22(2): 165.     CrossRef
• Communication Competence, Nursing Professionalism and Job Performance among Home Healthcare Nurses
  Eunha Jeong, Sujeong Han
  Journal of Korean Academy of Nursing Administration.2020; 26(4): 409.     CrossRef
• Emergency Department Nursing Activities: Retrospective Study on Data from Electronic Nursing Records
  Seung Yeon Baik, Eunhee Cho, Young Ah Kim, Mona Choi
  Korean Journal of Adult Nursing.2019; 31(5): 496.     CrossRef

PURPOSE
The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings.
METHODS
This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method.
RESULTS
Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects." Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect.
CONCLUSION
These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role.

Citations

• Job performance of nurses with gerontological nurse practitioner certification: A descriptive survey study
  Suyeon Kim, Minjae Lee, Sujin Shin
  Journal of Korean Gerontological Nursing.2025; 27(2): 199.     CrossRef
• Reflections Professional Characteristics of Nurse Specialists
  Yeoung Ju Ju, Eun Mi Kim
  Journal of Korean Public Health Nursing.2024; 38(1): 71.     CrossRef
• Catalysts for change: A qualitative study of middle managers' perception of nursing professional competence in primary healthcare
  Choi Kristian Wiik, Anne Vifladt, Sevald Høye
  Scandinavian Journal of Caring Sciences.2024; 38(4): 854.     CrossRef
• A Systematic Review of Outcomes Research in the Hospital Pharmacists’ Interventions in South Korea
  So Young Lee, Eun Cho
  Korean Journal of Clinical Pharmacy.2019; 29(3): 193.     CrossRef
• Common Scope of Practice for Advanced Practice Nurses in Korea Derived from Expert Agreement
  Cho Sun Leem, Su Jung Choi, Kyung-Choon Lim, Young Hee Yi, Jae Sim Jeong, Yong Ae Shin, Young-ah Kang, Hayoung Park, Eun Mi Kim
  Journal of Korean Critical Care Nursing.2019; 12(3): 35.     CrossRef

PURPOSE
The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units.
METHODS
This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program.
RESULTS
In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management.
CONCLUSION
The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

Citations

• Configuring a computer‑based nursing process form to support nursing diagnosis in rural healthcare clinics in Nigeria
  Chinemerem Eleke, Ada C. Nwaner, Joy C. Samuel, Sabinah Ngbala‑Okpabi, Ifeyinwa S. Agu, Damiete M. Amachree, Tex‑Jack Dokuba
  Journal of Public Health in Africa.2023; 14(10): 9.     CrossRef
• Effectiveness of Nursing Interventions using Standardized Nursing Terminologies: An Integrative Review
  Sena Chae, Hyunkyoung Oh, Sue Moorhead
  Western Journal of Nursing Research.2020; 42(11): 963.     CrossRef
• Identification of Nursing Diagnosis–Outcome–Intervention Linkages for Inpatients in the Obstetrics Department Nursing Unit in South Korea
  Min Ji Yang, Hye Young Kim, Eun Ko, Hyun Kyung Kim
  International Journal of Nursing Knowledge.2019; 30(1): 12.     CrossRef
• Identification of Nursing Diagnosis-Outcome-Intervention Linkages for Inpatients in Gynecology Department Nursing Units
  Min Ji Yang, Hye Young Kim
  Korean Journal of Women Health Nursing.2016; 22(3): 170.     CrossRef
• Analysis of Nursing Diagnoses Applied to Emergency Room Patients - Using the NANDA Nursing Diagnosis Classification -*
  Young A Kim, Soon Hee Choi
  Journal of Korean Academy of Fundamentals of Nursing.2015; 22(1): 16.     CrossRef
• Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy
  Su Mi Song, Hyangsook So, Minjeong An
  Korean Journal of Adult Nursing.2014; 26(4): 413.     CrossRef

PURPOSE
The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. METHODS: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. RESULTS: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. CONCLUSION: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

PURPOSE
This study was designed to investigate the survey of analyzing nursing interventions and nursing outcomes of the patients with liver transplantation. METHOD: The subjects of this study consisted of 83 patients and fifteen nurses who took care of them. The methods of this study were retrospective and descriptive survey. RESULT: The mean age of patients was 42.7 years and the subjects were 62.7% males. 56.7% of these patients were diagnosed with liver cirrhosis of B type. The mean duration of hospitalization was 48.6 days. Ninety-five nursing interventions were performed at least daily. The most frequent used interventions were "environmental management: comfort", "medication administration: parenteral", "cough enhancement", and " oxygen therapy". Even though SGOT level to identify nursing outcomes was decreased, SGOT was not within normal limits. Therefore, even after discharge of patients, There is a need to take care of them carefully. CONCLUSION: Conclusion: These findings revealed the significance and need of nurse practitioners who performed professional nursing intervention for the patients with liver transplantation. Especially, it is necessary needs to develop the nursing intervention programs for comfort.

PUPPOSE: This study was conducted to develop nursing outcome indicators based on nursing activities done for stroke patients.
METHOD
focus group meeting and delphi technique, which consisted of clinical nurse experts, neurologist, and nursing professors. CVI(Index of Content Validity) and user validity test was performed.
RESULT
12 nursing diagnoses, 29 nursing interventions and nursing outcomes were identified. The former were from NIC and the latter were developed according to nursing interventions. They were verified by experts in focus group. 199 nursing activities were identified, 133 nursing outcome indicators were developed. In user validity, usefulness and usability were tested.
CONCLUSION
This systemic approach of measuring nursing outcomes verified nurses' positive effects in changing patients health status and nursing contributions in the health care system as a profession.

The purpose of this study was to identify factors influencing patient satisfaction and to evaluate the utility of patient satisfaction as an outcome indicator. The study was conducted by mailed questionnaire. The subjects were 900 patients discharged from adult nursing units in a tertiary teaching hospital. On the discharge date, questionnaires were distributed by two trained research assistants. The questionnaire developed by the researchers was based on Larson(1996)'s study, and consisted of 71 items with the following components: overall satisfaction, domain-specific satisfaction(administration process, hospital facility and environment, nurses, and doctors), patients' loyalty(intention to use the health care service of the hospital in the future), recommendation to others, health benefits, and demographic characteristics. Each item was rated using a five point Likert scale ranging from '1=strongly disagree' to '5= strongly agree'. The response rate was 43%(387/900). The satisfaction level with the health care service was generally high. Perceived health status was the only significant factor influencing satisfaction level. Satisfaction with doctors contributed the most to explaining overall satisfaction. Overall satisfaction was significantly correlated with patient loyalty, recommendation, to other and perceived health benefit. It was found that the score of satisfaction was positively correlated with the score of loyalty, recommendation, and health benefit. Therefore, patient satisfaction seems to be a good outcome indicator.

The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson &Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.