-
Effects of Hospital Nurse Staffing on in-hospital Mortality, Pneumonia, Sepsis, and Urinary Tract Infection in Surgical Patients
-
Yunmi Kim, Sung-Hyun Cho, Kyung Ja June, Soon Ae Shin, Jiyun Kim
-
J Korean Acad Nurs 2012;42(5):719-729. Published online October 12, 2012
-
DOI: https://doi.org/10.4040/jkan.2012.42.5.719
-
-
 Abstract
 PDF
- Purpose
This study was done to examine relationships between nurse staffing level and postsurgical patient outcomes using inpatient database from the National Health Insurance.
Methods
Records of 111,491 patients who received one of 12 types of surgery between January and December, 2009 were identified and analyzed in this study. Nurse staffing level was measured using adjusted nurse staffing grades from 0 to 7. Patient outcomes were defined as in-hospital mortality, or pneumonia, sepsis, or urinary tract infection after surgery. Logistic regression analyses estimated by Generalized Estimation Model, were used to analyze the association between nurse staffing level and patient outcomes.
Results
An inverse relationship was found between nurse staffing and patient mortality. Compared with patients who were cared for in hospitals with the highest nurse staffing (Grades 0-1), increases in the odds of dying were found in those with Grades 6-7 [OR (odds ratio)= 2.99, 95% CI (confidence interval)= 1.94-4.60], those with Grades 4-5 (OR= 1.78, 95% CI= 1.24-2.57) and those with Grades 2-3 (OR= 1.57, 95% CI= 1.25-1.98). Lower nurse staffing level was also associated with higher number of cases in pneumonia and sepsis.
Conclusion
Policies for providing adequate nurse staffing is required to enhance quality of care and lead to better perioperative patient outcomes.
-
Citations
Citations to this article as recorded by  - Examining the experiences of mid-career nurses in hospitals: a phenomenological study
Yukyung Ko, Soyoung Yu, Bohyun Park
Contemporary Nurse.2024; 60(4): 333. CrossRef - Differences in Medical Use and Patient Outcomes between Patients Admitted to the Integrated Nursing Care Ward and the General Ward
Jeong Eun Mun, Bohyun Park
Journal of Korean Academy of Nursing Administration.2024; 30(5): 439. CrossRef - Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
Journal of Korean Association for Qualitative Research.2024; 9(3): 215. CrossRef - Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design
Hyun-Joo Kim, Sun-Hee Lee, Jai-Jung Lee, Sun-Suk Seong, Hee Yang, Hyang-Yuol Lee
Journal of Korean Academy of Nursing.2024; 54(2): 237. CrossRef - Exploring nurses' multitasking in clinical settings using a multimethod study
Yoojin Kim, Mi Ja Lee, Mona Choi, Eunhee Cho, Gi Wook Ryu
Scientific Reports.2023;[Epub] CrossRef - Factors related to career interruption and Re‐employment of women in human health and social work activities sector: Comparison with other industry sectors
Younghee Yun, Kyung Jin Hong
Nursing Open.2023; 10(4): 2656. CrossRef - Relationships between Alternative Nurse Staffing Level Measurements and Nurses’ Perceptions of Nurse Staffing Level Adequacy, Fatigue, and Care Quality
Kyung Jin Hong, Hyesook Chung, Young Mi Jo, Paolo C. Colet
Journal of Nursing Management.2023; 2023: 1. CrossRef - Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis
EunYoung Jeong
Frontiers in Health Services.2023;[Epub] CrossRef - The Nurse Staffing in Intensive Care Units based on Nursing Care Needs: A Multicenter Study
Miok Park, Eunjin Yang, Mimi Lee, Sung-Hyun Cho, Miyoung Shim, Soon Haeng Lee
Journal of Korean Critical Care Nursing.2021; 14(2): 1. CrossRef - Is Hospital Nurse Staffing Legislation in the Public’s Interest?
Karen B. Lasater, Linda H. Aiken, Douglas M. Sloane, Rachel French, Colleen V. Anusiewicz, Brendan Martin, Kyrani Reneau, Maryann Alexander, Matthew D. McHugh
Medical Care.2021; 59(5): 444. CrossRef - The Relationship between Nursing Care Needs and Nurse Staffing in Pulmonology Nursing Units
Hye-Kyung Jo, Sung-Heui Bae
Korean Journal of Adult Nursing.2021; 33(3): 236. CrossRef - Association between perioperative chlorhexidine oral care and postoperative pneumonia in non-cardiac surgical patients: A systematic review and meta-analysis
Shiqi Liang, Xingxia Zhang, Yanjie Hu, Jie Yang, Ka Li
Surgery.2021; 170(5): 1418. CrossRef - Changes in Nurse Staffing Grades of Korean Hospitals during COVID-19 Pandemic
Young-Taek Park, JeongYun Park, Ji Soo Jeon, Young Jae Kim, Kwang Gi Kim
International Journal of Environmental Research and Public Health.2021; 18(11): 5900. CrossRef - Relationship between hospital specialization and health outcomes in patients with nonsurgical spinal joint disease in South Korea
Boyoung Jung, Jiyoon Yeo, Sun Jung Kim, In-Hyuk Ha
Medicine.2021; 100(32): e26832. CrossRef - Association between registered nurse staffing levels and in-hospital mortality in craniotomy patients using Korean National Health Insurance data
Yunmi Kim, Se Young Kim, Kyounga Lee
BMC Nursing.2020;[Epub] CrossRef - Association between the bed-to-nurse ratio and 30-day post-discharge mortality in patients undergoing surgery: a cross-sectional analysis using Korean administrative data
Yunmi Kim, Hyun-Young Kim, Eunyoung Cho
BMC Nursing.2020;[Epub] CrossRef - Evaluating Nursing Needs in the Neonatal Intensive Care Unit with the Korean Patient Classification System for Neonatal Intensive Care Nurses
Hyo nam An, Sukhee Ahn
Journal of Korean Critical Care Nursing.2020; 13(2): 24. CrossRef - A multilevel investigation of cultural competence among South Korean clinical nurses
Duckhee Chae, Yunhee Park, Kyeonghwa Kang, Jongdae Kim
Scandinavian Journal of Caring Sciences.2020; 34(3): 613. CrossRef - Influence of Hospital Nurse Staffing Levels on the Colorectal Cancer Evaluation Grades, Mortality, and Length of Stay
Yunmi Kim, Se Young Kim
Korean Journal of Adult Nursing.2019; 31(5): 479. CrossRef - Relationship between the legal nurse staffing standard and patient survival after perioperative cardiac arrest: A cross-sectional analysis of Korean administrative data
Yunmi Kim, Jiyun Kim, Soon Ae Shin
International Journal of Nursing Studies.2019; 89: 104. CrossRef - The association between nurse staffing levels and paediatric nursing-sensitive outcomes in tertiary hospitals
Chul-Gyu Kim, Ji-Soo Kim
Journal of Nursing Management.2018; 26(8): 1002. CrossRef - Relationship between nurse staffing level and adult nursing-sensitive outcomes in tertiary hospitals of Korea: Retrospective observational study
Chul-Gyu Kim, Kyun-Seop Bae
International Journal of Nursing Studies.2018; 80: 155. CrossRef - The Impact of Nurse Staffing on In-Hospital Mortality of Stroke Patients in Korea
Wankyo Chung, Min Sohn
Journal of Cardiovascular Nursing.2018; 33(1): 47. CrossRef - Effect of nurse staffing variation and hospital resource utilization
Yunmi Kim, Seon‐Ha Kim, Young Ko
Nursing & Health Sciences.2016; 18(4): 473. CrossRef - Relationship between Medical Service Specialization and Operational Performance in Hospitals: Focusing on Length of Stay and Medical Expense
Hai-Won Yoo, Kyoung-Hoon Kim
The Korean Journal of Health Service Management.2016; 10(1): 1. CrossRef - Nurse Staffing Levels and Proportion of Hospitals and Clinics Meeting the Legal Standard for Nurse Staffing for 1996~2013
Sung-Hyun Cho, Ji-Yun Lee, Kyung-Ja June, Kyung Jin Hong, Yunmi Kim
Journal of Korean Academy of Nursing Administration.2016; 22(3): 209. CrossRef - Impact of Nurse Staffing Level and Oral Care on Hospital Acquired Pneumonia in Long-term Care Hospitals
Jung Mi Chae, Hyunjong Song, Gunseog Kang, Ji Yun Lee
Journal of Korean Academy of Nursing Administration.2015; 21(2): 174. CrossRef - Impact of a financial incentive policy on Korean nurse staffing
Y. Kim, J. Kim
International Nursing Review.2015; 62(2): 171. CrossRef - A Delphi Study to Elicit Policies for Nurse Workforce based on Patient Safety
Sung Ok Chang, Byoung Sook Lee, Jong Im Kim, Sung Rae Shin
Journal of Korean Academy of Nursing Administration.2014; 20(2): 215. CrossRef - Analysis on Satisfaction of Nursing Services for Elderly hospitalized in Attended Ward and General Ward
Mee-Suk Wang, In Deok Lee, M.S. Kang, Eun-Kwang Cha, Dae-Ho Choi, Hyeon-Cheol Jeong
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(5): 3014. CrossRef - Financial Projection of the Nursing Fee Differentiation Policy Improvement Proposal in the National Health Insurance: Using a Break-even Analysis Model for the Optimal Nursing Fee
Sungjae Kim, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2013; 19(5): 565. CrossRef
-
213
View
-
1
Download
-
31
Crossref
-
Impact of level of physical activity on healthcare utilization among Korean adults
-
Jiyun Kim, Seungmi Park
-
J Korean Acad Nurs 2012;42(2):199-206. Published online April 30, 2012
-
DOI: https://doi.org/10.4040/jkan.2012.42.2.199
-
-
Abstract
PDF
-
Purpose
This study was done to identify the impact of physical activity on healthcare utilization among Korean adults.
Methods
Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the χ2-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare.
Results
Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors.
Conclusion
An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.
-
Citations
Citations to this article as recorded by - Mediating Effects of Health-Promotion Behaviors on the Correlation between Self-Perceived Health and Medical Care Utilization among Older Adults
Kyu-Min Kim, Han-Kyoul Kim, Hyun-Sill Rhee
The Korean Journal of Health Service Management.2019; 13(4): 179. CrossRef - Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials
Ahrin Kim, Chanyeong Kwak, Eun Shil Yim
Korean Journal of Occupational Health Nursing.2012; 21(3): 209. CrossRef - The Comparison between Physical Activity and Health Related Factors of the Korean Male Adult
Jisu Kim, Gyeongnam Lee
Journal of Korean Biological Nursing Science.2012; 14(3): 166. CrossRef
-
177
View
-
6
Download
-
3
Crossref
-
Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients
-
Seungmi Park, Yun Jin Lee, Doo Nam Oh, Jiyun Kim
-
J Korean Acad Nurs 2011;41(6):814-820. Published online December 31, 2011
-
DOI: https://doi.org/10.4040/jkan.2011.41.6.814
-
-
Abstract
PDF
-
Purpose
This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.
Methods
A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.
Results
In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.
Conclusion
SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.
-
Citations
Citations to this article as recorded by - Adapted Crusting Technique in Children with Peristomal Lesions: A Case Series
Ana Cristina Santos Monteiro, Maria Lucia Barbosa Maia dos Santos, Marcia Aparecida Souza, Juliana Caires de Oliveira Achili Ferreira
Advances in Skin & Wound Care.2020; 33(6): 329. CrossRef - Scientific and Clinical Abstracts From the WOCN® Society's 49th Annual Conference
Journal of Wound, Ostomy & Continence Nursing.2017; 44(Supplement): S1. CrossRef - Scientific and Clinical Abstracts From the WOCN® Society's 45th Annual Conference
Journal of Wound, Ostomy & Continence Nursing.2013; 40(Supplement): S1. CrossRef
-
240
View
-
6
Download
-
3
Crossref
|
KSNS
E-SUBMISSION
