Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2017 Jun;23(3):312-322. Korean.
    Published online Jun 30, 2017.
    https://doi.org/10.11111/jkana.2017.23.3.312
    Copyright © 2017 Korean Academy of Nursing Administration
    Original Article

    Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance

    Jinhyun Kim,1 Sungjae Kim,2 Euntae Park,3 Suyong Jeong,3 and Eunhee Lee4
      • 1College of Nursing · Research Institute of Nursing Science, Seoul National University, Korea.
      • 2Department of Nursing, Kyungbok University, Korea.
      • 3College of Nursing, Seoul National University, Korea.
      • 4Division of Nursing · Research Institute of Nursing Science, Hallym University, Korea.
    • Corresponding author: Lee, Eunhee. Division of Nursing · Research Institute of Nursing Science, Hallym University, 1 Hallymdaehak-gil, Chuncheon 24252, Korea. Tel: +82-33-248-2727, Fax: +82-33-248-2734, Email: ehlee@hallym.ac.kr
    Received April 20, 2017; Revised May 29, 2017; Accepted June 16, 2017.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    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.

    Keywords
    Comprehensive nursing care; Nurse staffing; Patient safety; Job satisfaction

    Tables

    Table 1
    Location, Type and Subjects in Research on Comprehensive Nursing Service

    Table 2
    Trends for Comprehensive Nursing Service Pilots from 2013 to 2016

    Table 3
    Distribution of Comprehensive Nursing Service in 2016

    Table 4
    Criteria for Nurse Staffing Levels

    Table 5
    Research Results by Structure, Process, and Outcome

    Notes

    This work was supported by Mid-career Researcher Program through the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No. 2016R1A2B4015298).

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    MeSH Terms
    Humans
    Job Satisfaction
    National Health Programs*
    Nursing Care
    Nursing Services*
    Nursing*
    Patient Safety
    Patient Satisfaction
    Metrics
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