Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Performance of Comprehensive Nursing Care Service in an Acute Care Hospital: Focusing on Accidental Falls and Pressure Injuries

급성기병원에서의 간호 · 간병통합서비스 운영 전후 낙상 및 욕창 발생 변화

  • Nam, Seung Nam (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Ryu, Hye Ran (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Kim, Se Hyun (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Seo, Su Ryang (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Oh, Yoon Hee (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Choi, Sun Mi (Department of Nursing, SMG-SNU Boramae Medical Center) ;
  • Chung, Eun Jin (Department of Nursing, SMG-SNU Boramae Medical Center)
  • Received : 2022.09.30
  • Accepted : 2023.02.20
  • Published : 2023.04.30
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Abstract

Purpose: This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries. Methods: This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated. Results: Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant. Conclusion: It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

Keywords

Acknowledgement

We would like to thank Dr. Choi Jimi for giving us statistical advice and nurse managers who participated in the initial work.

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