Journal of Korean Academy of Nursing

Original Articles

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

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

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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
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Exploring nurses' multitasking in clinical settings using a multimethod study
Yoojin Kim, Mi Ja Lee, Mona Choi, Eunhee Cho, Gi Wook Ryu
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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

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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

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