Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance.
10.11111/jkana.2017.23.3.312
- Author:
Jinhyun KIM
1
;
Sungjae KIM
;
Euntae PARK
;
Suyong JEONG
;
Eunhee LEE
Author Information
1. College of Nursing · Research Institute of Nursing Science, Seoul National University, Korea.
- Publication Type:Original Article
- Keywords:
Comprehensive nursing care;
Nurse staffing;
Patient safety;
Job satisfaction
- MeSH:
Humans;
Job Satisfaction;
National Health Programs*;
Nursing Care;
Nursing Services*;
Nursing*;
Patient Safety;
Patient Satisfaction
- From:Journal of Korean Academy of Nursing Administration
2017;23(3):312-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability. METHODS: A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed. RESULTS: For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources. CONCLUSION: Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function.
