Asian Oncol Nurs.  2014 Mar;14(1):41-49. 10.5388/aon.2014.14.1.41.

Satisfaction with Korean Oncology Advanced Practice Nurses' Role: A Study of Patients, Physicians, and Nurses

• Kim SH
• Ham YH
• Kim JH
• Kim HK
• Hwang OH
• Kim MY
• Lee I
• Lee J
• Kim SH
• Sung JH
• Tae YS

• KMID: 2269473
• DOI: http://doi.org/10.5388/aon.2014.14.1.41

Abstract

PURPOSE
The purpose of this study was to describe the level of satisfaction with the role of Korean oncology advanced practice nurses (KOAPNs) among cancer patients, physicians, and nurses.
METHODS
This study was conducted with 176 patients who had experienced KOPANs' care more than three times, as well as 82 physicians and 190 nurses who have worked with KOAPNs at four hospitals in Korea.
RESULTS
The results indicate that 1) Overall satisfaction in the patient group was high (3.61) and they were most satisfied with the 'attentiveness' domain; 2) Overall satisfaction in the physician group was also high (3.61), however, that in the nurse group was relatively low (3.28); 'coordination & cooperation' showed the highest score for satisfaction in both groups, while 'research' domain showed the lowest score; 3) Cancer type in patients, working department in physicians or nurses, and duration working with KOAPNs in nurses showed significant association with satisfaction; and 4) The ratio of KOAPNs-to-patient, time since introduction of the KOAPNs policy, and incentive system were institutional factors showing significant association with it.
CONCLUSION
These findings suggest the necessity for identification and standardization of the roles of KOAPNs, as well as promotion of awareness of KOAPNs' care.

Keyword

Advanced Practice Nursing; Satisfaction; Oncology Nursing

MeSH Terms

Advanced Practice Nursing
Humans
Korea
Motivation
Oncology Nursing

Reference

1. National Cancer Information Center. Cancer Facts and Figures 2011. Accessed Jan 25, 2014. http://www.cancer.go.kr.

2. Kim DS, Kim SH, Kim KS, Jun MH, Kim J, Lee HJ. The real picture of the care costs paid to Korean oncology advanced practice nurses. J Korean Oncol Nurs. 2011; 11(2):155–162.

3. Cunningham RS. Advanced practice nursing outcomes: a review of selected empirical literature. Oncol Nurs Forum. 2004; 31(2):219–232.

4. Kim MY, Park SA. The role behaviors of oncology nurse specialist. J Korean Oncol Nurs. 2003; 3(1):24–44.

5. Lynch MP, Cope DG, Murphy-Ende K. Advanced practice issues: results of the ONS advanced practice nursing survey. Oncol Nurs Forum. 2001; 28(10):1521–1530.

6. Kim MY. Effects of oncology clinical nurse specialists' interventions on nursing-sensitive outcomes in South Korea. Clin J Oncol Nurs. 2011; 15(5):E66–E74.

7. Sung YH, Yi YH, Lim KC, Jeong JS, Cho MS, Kim KO, et al. The development of outcome indicators for advanced practice nurses. J Korean Clin Nurs Res. 2010; 16(3):157–174.

8. Kwon YD, Sung YH, Kwon IG, Hwang MS. A study on the present status of clinical nurses with expanded role. J Korean Clin Nurs Res. 2008; 14(3):99–115.

9. Lee ER, Kwak MK, Kim EJ, Kwon IG, Hwang MS. Job analysis of Korean oncology advanced practice nurses in clinical workplace-Using the DACUM method. J Korean Oncol Nurs. 2010; 10(1):68–79.

10. Lee CH, Sung YH, Yi YH, Cho YA, Kwon IG. The role analysis of intensive care unit nurse and critical care advanced practice nurse. Clin Nurs Res. 2007; 13(3):93–108.

11. Oh PJ, Lee MN, Kang HS, Kim KS, Kim HO, Seol ME, et al. Development and analysis of job description for Korean oncology APN. J Korean Oncol Nurs. 2006; 6(1):3–14.

12. Kim KS, Kang JY, Kim BJ, Lee YH, Lee EN. A delphi survey on performance indicators of Korean advanced practice nurses. J Korean Clin Nurs Res. 2010; 16(1):131–143.

13. Sung YH, Hwang MS, Yi YH. Oncology advanced nurses' use of outcome indicators and perception of outcome evaluation. J Korean Acad Nurs Adm. 2012; 18(2):189–201.

14. Ingersoll GL, McIntosh E, Williams M. Nurse sensitive outcomes of advanced practice. J Adv Nurs. 2000; 32(5):1272–1281.

15. Sidani S, Irvine D. A conceptual framework for evaluating the nurse practitioner role in acute care settings. J Adv Nurs. 1999; 30(1):58–66.

16. Cho MS, Cho YA, Kwon IG, Seo MJ, Baek HJ. Importance, satisfaction and contribution of advanced practice nurses' role recognized by health care professionals. J Korean Acad Nurs Adm. 2011; 17(2):168–179.

17. Thrasher C, Purc-Stephenson R. Patient satisfaction with nurse practitioner care in emergency departments in Canada. J Am Acad Nurse Pract. 2008; 20(5):231–237.

18. Lee YK. Cancer patients' utilization of advanced oncology nursing service [dissertation]. Seoul: Sungkyunkwan Univ.;2011.

19. Douglas HR, Halliday D, Normand C, Corner J, Bath P, Beech N, et al. Economic evaluation of specialist cancer and palliative nursing: Macmillan evaluation study findings. Int J Palliat Nurs. 2003; 9(10):429–438.