Comprehensive Nursing Service Research Articles

Trends in private caregiving cost after implementing a comprehensive nursing service covered by national health insurance: Interrupted time series

BackgroundThe Korean government has implemented a comprehensive nursing care service system (CNS) to mitigate the stress faced by caregivers. ObjectiveThis study aimed to assess trends in the estimated average costs of private caregiving and determine the difference in costs between those using CNS and those not using it. DesignA comparative interrupted time series analysis with a 2-year lag period verified total private caregiving cost trends; biannual differences in costs were evaluated based on using CNS. ParticipantsThe main unit of analysis was episode. We extracted a total of 6418 episodes of hospitalization in acute care settings that included the use of caregiving services (formal, informal caregiving and CNS). MethodsWe conducted segmented regression to assess the impact of CNS on total private caregiving costs using data from 2012 to 2018, excluding the years 2015 and 2016 of the Korean Health Panel dataset. ResultsWe presented that the immediate mean difference in total private caregiving costs between CNS users and non-users was −444.7 USD two years after the implementation of the CNS policy (95 % CI −714.5 to −174.5, p-value 0.001). Among individuals living in rural areas, two years after the implementation of the CNS policy, there was a significant immediate mean cost difference of −476.9 USD in total private caregiving costs between CNS users and non-users (p-value 0.011). Similarly, for episodes with a Charlson Comorbidity Index (CCI) score of 0 to 1, there was a substantial immediate mean cost difference in total private caregiving costs between CNS users and non-users, amounting to −399.9 USD two years after the CNS policy (p-value 0.008). ConclusionsThis study evaluated the trend of total private caregiving costs between groups using and not using CNS. After two years of being covered by CNS health insurance, those who utilized CNS paid $433 less for their total private caregiving cost over a 6-month period, compared to those who did not use CNS. The adoption of CNS may be an effective system for relieving the financial burden on inpatients in need of private caregiving services. Tweetable abstractKorean Comprehensive Nursing Service reduces private caregiving costs

Association between caregiver type and catastrophic health expenditure among households using inpatient medical services: using Korean health panel

BackgroundCaregiving services often place a financial burden on individuals and households that use inpatient medical services. Consequently, this study aimed to examine the association between the type of caregiver and catastrophic health expenditure among households utilizing inpatient medical services.MethodsData were extracted from the Korea Health Panel Survey conducted in 2019. This study included 1126 households that used inpatient medical and caregiver services. These households were classified into three groups: formal caregivers, comprehensive nursing services, and informal caregivers. Multiple logistic regression was used to analyze the association between caregiver type and catastrophic health expenditure (CHE).ResultsHouseholds receiving formal caregiving had an increased likelihood of CHE at threshold levels of 40% compared to those who received care from family (formal caregiver: OR 3.11; CI 1.63–5.92). Compared to those who received formal caregiving, households using comprehensive nursing services (CNS) had a decreased likelihood of CHE (CNS: OR, 0.35; CI 0.15–0.82). In addition, considering the economic value associated with informal care, there was no significant relationship between households received formal caregiving and informal caregiving.ConclusionThis study found that the association with CHE differed based on the type of caregiving used by each household. Households using formal care had a risk of developing CHE. Households using CNSs were likely to have a decreased association with CHE, compared to households using informal and formal caregivers. These findings highlight the need to expand policies to mitigate the burden on caregivers for households forced to use formal caregivers.

PERAN PERAWAT PADA BENCANA GEMPA BUMI DI CIANJUR

A disaster becomes an extraordinary event that disrupts and threatens life and livelihoods caused by nature and humans, or both. The existence of natural disasters can have both small and large impacts on the environment. The thing that can be done to reduce the consequences of disasters is that synergy from various parties is needed, one of which is the involvement of nurses. Nurses have a huge role to play in preparing and handling communities in the face of disasters. As health workers, nurses are at the forefront of disaster management so that they can anticipate the prevention of disasters and their impacts (Doondori, A. K., & Paschalia, Y. P. 2021). Cianjur Regency is one of the areas that experienced the impact of natural disasters, namely earthquakes. The earthquake occurred on November 21, 2022 at 13:21:10 WIB with a magnitude of 5.6 in the Cianjur area, West Java. The earthquake caused a lot of infrastructure damage and casualties. This has a great influence on the condition of the community, one of which is in terms of health biopsychosocially and spiritually. Based on the phenomenon that occurs along with the existence of the role of the nurse as a healthcare provider. Universitas Esa Unggul sent a team of health volunteers to carry out several activities for the community such as, providing comprehensive nursing services, becoming collaborators, conducting education and trauma healing. This action is considered sufficient to help patients who have health problems both who come to the post and who are in refugee tents. They feel happy because of the existence of health service facilities so that the public can consult, get education and also trauma healing.

Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals

Purpose : This study aims to identify job stress, emotional intelligence, and exhaustion of the nurses in comprehensive nursing service units and then verify the moderating and mediating effects of emotional intelligence on the relationship between job stress and exhaustion.Methods : Participants are 118 nurses working in two general hospitals. The collected data are analyzed using the SPSS WIN 27.0 and AMOS 18.0 programs by assessing frequency and percentage, mean and standard deviation, independent t-test and one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis and bootstrapping.Results : Exhaustion has a statistically significant positive correlation with job stress (r=.40, <i>p</i> ＜.001) and a statistically significant negative correlation with emotional intelligence (r=-.26, <i>p</i> =.004). A partial mediating effect of emotional intelligence is found between job stress and exhaustion, however, there is no moderating effect.Conclusion : It is expected that to reduce the exhaustion of nurses in comprehensive nursing service units, it is necessary to assess job stress and emotional intelligence, and strengthen emotional intelligence along with job stress intervention.

Cancer-Oriented Comprehensive Nursing Services in Republic of Korea: Lessons from an Oncologist’s Perspective

Background and objectives: As is well known, cancer patients require extensive medical attention as they undergo surgery, chemotherapy, radiotherapy, and supportive care. The importance of high-quality cancer-directed nursing, combined with precision medicine, to maximize their survival outcomes and help them achieve a better quality of life cannot be overemphasized. In this context, we offered a new cancer-oriented comprehensive nursing system to our inpatients and reviewed its clinical outcomes in comparison with those from the preexisting general cancer ward. Materials and Methods: From March 2019 to February 2020, a total of 102 cancer patients and 42 nurses were enrolled in this pilot study. We aimed to analyze their performance in three main categories: structure, process, and patient/nurse outcomes. Results: First, structural (nurse staffing and environment) upgrades were installed in the cancer-oriented comprehensive nursing ward, including an improved nurse-patient ratio (1:8 in the comprehensive ward as compared with 1:14 in the general ward), wider space between beds (1.5 m versus 1.0 m), fully automatic beds with fall prevention sensors, etc. Second, the nursing process was improved (missed care 0.1 event/month vs. 1.3 event/month). Third, both patient and nurse outcomes showed preferable results in the comprehensive ward. The patient satisfaction level was higher in the comprehensive nursing ward than in the general ward (willing to revisit: 91.7% and 78.4%, respectively; willing to recommend to others: 95.0% and 76.8%, respectively). Pressure ulcers, as a patient safety indicator, were also decreased (0.3 events/month vs. 0.8 events/month). However, the fall incidence was similar in both groups (1.6 events/month vs. 1.5 events/month). In terms of nurse outcomes, turnover intention was stabilized and nurses' job satisfaction in the comprehensive ward was superior to that of their counterparts. Conclusions: Our study was a pilot study to demonstrate that cancer patient-oriented comprehensive nursing services can be helpful in improving the quality of cancer treatment and nurses' job satisfaction. Continued interest in and efforts to improve nursing care delivery are also crucial in achieving and maintaining the best possible cancer patient care.

Construction and Application of Comprehensive Nursing Information Service Platform Based on Internet of Things Technology.

This study illustrates the construction and application of comprehensive nursing information service platform based on Internet of Things technology. An Internet-based cardiovascular care management platform, convenient before and after platform application, was constructed; 42 patients with cardiovascular disease were selected as the control group and observation group and 33 nurses participated in the same group, and the intervention lasted for 4 months. The control group received routine admission nursing, and the follow-up nursing nurses received traditional face-to-face teaching, training in the form of assessment. The observation group with the help of the cardiovascular specialist nursing management platform, during the whole process of nursing, nurses also manage patients and receive training through the platform. Experiments show the following: As a result, after the application of the platform, the satisfaction rate of nurses and patients on the platform was high, both reaching more than 92%. After the application of the platform, the scores of various nursing indicators were significantly higher than those before application (all P < 0.01). The construction of a cardiovascular specialist nursing management platform based on IoT technology integrates multiple modules on the medical and patient ends, which not only improves the level of nursing management but also improves the satisfaction of nurses and patients and, at the same time, helps to improve the self-value of nurses.

Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses

Purpose This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (β=−0.18, p<.032) and awareness of patient safety culture (β=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture. Key Words: Patient safety, Organizational culture, Emotions, Occupational stress, Safety management nursing care 주요어: í™˜ìžì•ˆì „, 조직문화, ê°ì •, ì§ë¬´ìŠ¤íŠ¸ë ˆìŠ¤, ì•ˆì „ê°„í˜¸ê´€ë¦¬

KHẢ NĂNG GIAO TIẾP VỚI ĐỒNG NGHIỆP VÀ NGƯỜI BỆNH CỦA ĐIỀU DƯỠNG VIÊN TẠI MỘT SỐ BỆNH VIỆN KHU VỰC MIỀN NÚI PHÍA BẮC

Introductuon: Effective communication helps nurses building the relationships with others, what are foundations for comprehensive nursing services. Objectives: This study investigated nurses’ evaluation of their competencies in daily communication with colleagues and patients. Participants and Methods: With the cross-sectional descriptive design, data was collected by self-administered questionnaires from 125 nurses who were working in selected public health institutions of the Northern Mountains. Nurses were asked to rate their ability in communication with patients and their family, physicians, pharmacists, hospital staff, and other nurses against a 4-point numeric scale, ranging from be able to communicate from very easily (3 point) to very difficultly (0 point). Results: The overall score showed that nurses can communicate easily with others, with the mean score of 2.13 out of 3.0. Score of communication with other nurses was ranked highest (2.83/3), followed by with physicians and pharmacists (both scores were 2.18/3), and with hospital staff (2.14/3). However, nurses showed limited ability in communication with patients and their family by reporting a score of 1.95/3, which felt to the range of “difficult”. Conclusion: Nurses reported difficulty in communicating with patients and their family. However, they found it was easy to communicate with colleagues from both health professional and staff group. Communication with other nurses seemed to be easily the most. Keywords: Communication competencies, nursing communication

Evaluating the Correlation Between Nursing Practice and Electronic Nursing Records Using Importance-Performance Analysis.

This study aimed to analyze the importance and performance of nursing task items in the standard guidelines for comprehensive nursing services and confirm whether they are reflected in the nursing records. A total of 120 nurses from three hospitals were surveyed for the importance-performance analysis of standard nursing services and their correlation with nursing records. The average scores for importance, performance, and correlation to nursing records were 3.65, 3.31, and 3.08, respectively, demonstrating a significant positive correlation. Regarding the correlation between nursing tasks and nursing records, spiritual and emotional assessment, mobilization, education and counseling, and escaping and suicide prevention items had moderately low scores. In the importance correlation to the nursing records of the task items matrix, 10 items in quadrant 1 were strengths. Conversely, in quadrant 2, suicide and escape prevention require critical areas for improvement. The other six items were low-priority items in quadrant 3, and the three items in quadrant 4 were hygiene, elimination, and nutrition, which required excessive effort. It is necessary to evaluate the electronic nursing records system periodically according to the nursing environment and modify and supplement the records if required.

Factors Associated with the Utilization of Comprehensive Nursing Services in Hospitals among Elderly Inpatients after Surgery

Purpose The aims of this study were to compare patient characteristics and healthcare utilization of the comprehensive nursing service (CNS) and general ward groups among elderly patients after surgery and to identify the factors associated with CNS use. Methods This secondary data analysis was conducted using the 2016 inpatient claims data of the Health Insurance Review and Assessment Service-National Inpatients Sample (HIRA-NIS). Elderly CNS patients were defined as those with at least one hospitalization record based on a CNS code. Independent t-tests, chi-squared tests, and hierarchical logistic regression analyses were performed by employing the Anderson behavioral model. Results A total of 81,840 elderly patients with a history of surgery (6,374 in the CNS group vs. 75,466 in the general ward group) were identified using the 2016 HIRA-NIS data. The average number of hospital days was greater (14.25 vs. 13.07) and the average cost per hospitalization was higher (Korean won 4,567,915 vs. 3,374,410) for the CNS group. Factors associated with the utilization of CNS included age, gender, department type, major diagnosis, admission route, intensive care unit entrance, medical assistance type, and healthcare institution type, location, and the number of doctors and nurses per 50 beds (all p<.001). Conclusion Based on our study findings, it is necessary to meet patients’ needs by focusing on dominant users and consider institutional characteristics that reflect the target group to apply the CNS policy more effectively. 주요어: ë ¸ì¸, ìˆ˜ìˆ , 간호서비스, 환자건강관리수용 Key Words: Aged, General surgery, Nursing services, Patient acceptance of health care

요양병원 입원환자의 포괄간호서비스 요구도 및 만족도에 관한 탐색적 연구

본 연구는 요양병원 입원환자의 포괄간호서비스에 대한 요구도 및 만족도를 파악하여 서비스 질 향상을 위한 전략을 수립하는데 기초자료를 제공하고자 하는 서술적 조사연구이다. 2020년 2월 3일부터 6월 20일까지 구조화된 설문지로 자료를 수집하였다. 자료분석은 SPSS 22.0으로 기술통계를 실시하였고, 그에 따른 제 변수와 차이는 t-test, ANOVA로 분석하였으며, 사후분석은 Scheffe’s로 하였다. 연구결과, 요양병원 입원환자의 포괄간호서비스 요구도는 연령(F=1.73, p=.020)과 일상생활 수행능력(F=7.66, p=.003)에서 유의한 차이가 있었고, 포괄간호서비스 만족도는 연령(F=2.27, p=.036)에서 유의하게 나타났다. 이상의 결과들을 종합해보면, 포괄간호서비스 요구도와 만족도를 높이기 위한 다양한 연구와 프로그램을 개발하고 적용하여 다양한 변인들을 찾는 후속연구가 필요하리라 생각된다.

Impact of South Korea's Comprehensive Nursing Service Policy on Nurse and Patient Outcomes.

In some Asian and African countries, caregivers of patients are permitted to reside in hospital rooms and support the daily tasks of patient care. To solve the various problems that this system could cause, the Korean government has established a comprehensive nursing service, whereby caregivers are no longer permitted in the hospital and, instead, nurses provide all the patient care. This study aimed to identify and evaluate the effectiveness of the comprehensive nursing service, by surveying 1348 nurses to evaluate nursing outcomes—specifically, the Nurses’ Assessment of Quality Scale, job satisfaction, and turnover intention. A total of 396 patients were also surveyed to determine patient outcome, in particular patient satisfaction. In the comprehensive nursing service ward, the total score on the Nurses’ Assessment of Quality Scale, job satisfaction, and patient satisfaction scores were higher than in the non-comprehensive nursing service ward. Moreover, turnover intention was lower. All differences were statistically significant. The results of this study demonstrate that the decision to implement policy-based comprehensive nursing services has thus far been beneficial. In the future, the government should revise and supplement its policies through various socioeconomic assessments.

Job stress and job satisfaction of the nurses in comprehensive nursing service units and the nurses in general units

Job stress and job satisfaction of the nurses in comprehensive nursing service units and the nurses in general units

Effect of the application of nursing quality sensitive indicators in burn patients

Objective To investigate the effect of the application of nursing quality sensitive indicators on the nursing care of burn patients and their satisfaction with nursing care. Methods A total of 90 cases of burn patients admitted from January 2015 to December 2016 were selected as study subjects. They were divided into pre-implementation group (January 2015-December 2015) and implementation group (January 2016-December 2016) for 45 cases each based on sensitive indicators of care quality. The traditional quality management control method was adopted before implementation. The quality-sensitive indicators of nursing quality were used for quality management after the implementation. The quality monitoring indicators, nursing adverse events, and nursing satisfaction were compared before and after implementation. Results After the implementation, the implementation rate of graded nursing, the accuracy of patient identification, the qualified rate of qualified nurses, the passing rate of risk assessment, and the passing rate of high-risk drugs were 97.78% (44/45) , 93.33% (42/45) , 95.56% (43/45) , 97.78% (44/45) , and 97.78% (44/45) , which were significantly higher than those before implementation 84.44% (38/45) 、77.78% (35/45) , 82.22% (37/45) , 82.22% (37/45) , and 84.44% (38/45) , respectively, and the difference was statistically significant (χ2= 4.050-, 6.049, P<0.05). After the implementation, drug errors and other adverse events were used. The incidence rate of 0.22% (1/450) was significantly lower than the pre-implementation rate of 1.78% (8/450) , and the difference was statistically significant (χ2=5.499, P<0.05). After implementation, patient satisfaction with service attitude, basic nursing, professional skills, and comprehensive nursing service quality was 95.56% (43/45) , 97.78% (44/45) , 95.56% (43/45) , 97.78% (44/45) , and 95.56% (43/45) , which were significantly higher than those before implementation 88.89% (40/45) , 84.44% (38/45) , 82.22% (37/45) , 80.00% (36/45) and 82.22% (37/45) , and the difference was statistically significant (χ2= 4.050-7.200, P <0.05). Conclusion The application of sensitive indicators of nursing quality can help improve the care quality of burn patients, reduce the occurrence of adverse care events, and enhance patient satisfaction. Key words: Burns; Nursing quality sensitive indicators; Nursing adverse events; Satisfaction

The effects of comprehensive nursing care on anxiety, stress status and satisfaction of emergency surgery patients

Objective To explore the effects of comprehensive nursing care on anxiety, stress status and satisfaction in emergency surgery patients. Methods A total of 240 cases of patients receiving surgical treatment in the hospital from February 2015 to March 2016 were selected as the study subjects, and were randomly divided into the experimental group and the control group, 120 cases of each group.The patients in the control group were given routine operating room nursing, and the experimental group was given comprehensive nursing care on the basis of routine care.The anxiety, stress status and satisfaction of the two groups were compared. Results With regard to the self-rating depression scale comparison of patients in experimental group and control group 2 hours before surgery, the difference had no statistical significance(P>0.05). After surgery, SAS score of patients in experimental group was significantly lower than it of control group, and the difference was statistically significant(P 0.05). With regard to the systolic pressure and diastolic pressure comparison of patients in both groups 2 hours before surgery, the difference had no statistical significance(P>0.05). The systolic pressure and diastolic pressure of patients in experimental group were significantly lower than it of control group, and the difference had statistical significance(P<0.01). The nursing satisfaction of the control group was significantly lower than that in the experimental group, and the difference was statistically significant(P<0.01). Conclusion Comprehensive nursing care in the operating room can help alleviate the anxiety and stress in the operation and improve the patient's satisfaction with nursing. Key words: Operation room; High quality and comprehensive nursing service; Anxiety; Stress state; Degree of satisfaction

Changes in nursing professions’ scope of practice: A pilot study using electronic nursing records

ObjectivesThis study aims to identify and evaluate comprehensive nursing service as a new nursing care service in Korea. To this end, we performed comparison analyses between the comprehensive nursing service and non-comprehensive nursing service wards’ nursing practices through nursing documentation. MethodsThe hospital in this study was a general hospital in South Korea with 750 beds. The research wards were selected randomly from among the total wards, and the nursing records of inpatients staying in the hospital in the two weeks from September 1 to 14, 2015, were analyzed. Among 198 inpatients whose admissions to the hospital were confirmed, 10 inpatients were randomly selected, using a table of random numbers, and a total of 7340 of their nursing records were analyzed. Both quantitative and qualitative analyses of the contents of nursing records were conducted, on the basis of individual nursing statements. ResultThrough the electronic nursing records, it can be found that comprehensive nursing service varied in the records of “fall prevention activities” and “check of the patient's condition.” The difference between the nursing records of the non-comprehensive and comprehensive nursing service wards for “check of the patient's condition, were 188 versus 524 respectively. In addition, there were variances found in checking and recording the overall condition of a patient, such as food intake, sleep, and transfer. ConclusionThrough the electronic nursing record, the application of comprehensive nursing service enables a nurse to attend to an inpatient directly, without any support for daily activities by family or a paid caregiver.

간호⋅간병통합서비스 병동의 시설개선을 위한 디자인요소

Purpose : This study is to establish guidelines for the facilities of comprehensive nursing services suitable for the domestic situation, and to draw up the issues of the nursing service through the review of related domestic and foreign literature. It is hoped that this study is to suggest design factors for the improvement of nursing service facilities. Method : This study is limited to the looking into the literature in the field of nursing and architecture, which focuses on the understanding of domestic wards of hospitals performing comprehensive nursing services since 2013. The guidelines (2017) of the Korean Medical Law and the relevant international standards/ guidelines are based on those of the United Kingdom (HBN Guideline) and Canada (CSA). Result : The most important issue in the implementation of the comprehensive nursing service is to change the functions of NS according to the team nursing and the nursing area in the ward. It is also pointed out that the nursing movement becomes longer due to the unreasonable arrangement of the nursing rooms. The comprehensive nursing service is based on team nursing, and since the nurse’s patient is determined, therefore, the basic unit cluster plan should be based on the nursing activity by providing effective nursing placement, patient privacy, comfort. It is also necessary to prepare measures to solve the separation of pollutants.

Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System

This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

Need for Consultation and Training during Bed Rest in Women with High Risk Pregnancy Experience: a Qualitative Study

Background: Pregnancy in a woman's life is a unique experience. But due to high risk pregnancy and the need to rest in bed, the women and her family are faced with different challenges and needs. The inability to manage these needs will result in crisis and understanding the needs of pregnant women during bed rest is essential to provide comprehensive health care for them. So this qualitative study was designed and conducted to examine the needs of women with high-risk pregnancy experience during bed rest to improve health in this group. Materials and Methods: This is a qualitative study conducted in 1393 using inductive qualitative content analysis. 32 individual semi-structured interviews were performed with 21 women with high-risk pregnancy and four members of their family (mother of a participant and husbands of three participants) and seven medical staff involved in their healthcare. Collected information was analyzed concurrently with information collecting. Results: Data analysis led to the emersion of the last category of need that was training and consultation. This main category has sub-categories such as: need for consultation on physical problems, psychological problems, marital problems, fear and the stresses caused by bed rest, common problem in pregnancy and childbirth and the need for help for planning various activities during bed rest. Conclusion: Conducting a comprehensive nursing and education services and counseling to women with high-risk pregnancy during bed rest leads to a reduction in their physical and psychosocial problems.

A Comparison of the Influence of Work Satisfaction and Job Stress on the Turnover Intention of Nurses in the General Ward and the Comprehensive Nursing Service Ward

This study was conducted with the aim of providing baseline data for the establishment of policies for system enhancement, by identifying the influences of work satisfaction and job stress on turnover intention within the nursing force in the Comprehensive Nursing Service ward, a newly adopted service, and the General ward. The study subjects were nurses in the General and Comprehensive Nursing Service wards at two hospitals in Seoul, and one in Gyeonggi region. The survey was conducted in the form of a self-administered questionnaire. The study discovered no significant disparities between the two groups, with regard to the salience of the variables, namely, turnover intention and work satisfaction and job stress levels. In both groups, there was a significant negative correlation between work satisfaction level and turnover intention, and between turnover intention and job stress level. Moreover, in both groups, work satisfaction and job stress levels had significant influences on turnover intention. In conclusion, to enable the establishment of the Comprehensive Nursing Service ward system as an effective healthcare management system, nurses’ work satisfaction and job stress levels must become critical factors of consideration. It is necessary for the system to evolve into a form that is satisfactory to patients, families, and nurses.