Journal of Korean Academy of Nursing

Original Articles

Estimation of Psychiatric Nursing Costs by Using the Resource-Based Relative Value Scale(RBRVS): Eun Kyung Kim, Young Dae Kwon, Yoon Kim; Journal of Korean Academy of Nursing 2000;30(6):1580-1591. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.6.1580

This study was conducted to assess the amount of nursing services for psychiatric inpatients and to estimate psychiatric nursing costs by using the RBRVS. Full details of medical services, including physician and nursing services, for psychiatric inpatients were surveyed and data of general characteristics of hospitals and patients were also collected. The cost of nursing activities was estimated by the multiple conversion factor which was drawn from the Korean RBRVS Development Project to the RBRVS score of each nursing activities, which was drawn from the results of Korean Nurses Association (KNA)'s projects about nursing RBRVS development and cost of nursing activities. The data about 89 inpatients from 3 general hospitals with psychiatric departments were analyzed. The total cost of nursing activities for each patient per admission day was from KRW 22,185 to KRW 27,954 by hospital, and KRW 25,220 in average. The percent of nursing cost to the total cost of medical services was from 36% to 48% by characteristics of patients and 41.4% in average. The cost of nursing activities estimated in this study was between the existing NHI fee schedule and the one suggested by KNA. It is considered as appropriate and acceptable level compared to the total amount of medical services. In the process of KNA's activities to get nursing fee in NHI fee schedule, results of additional studies to estimate the cost of nursing activities balanced with total cost of medical services in every departments should be found and utilized.

Citations

Citations to this article as recorded by

Development of Psychiatric Inpatient Classification System based on Nursing Care Needs
In Ohg Oh, Kyoung A Nam
Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(3): 243. CrossRef
Analysis of Psychiatric Nursing Activity and Time for Development of Nursing Cost
Sook Bin Im, Whasoon Chang, Moon Hee Ko, Youngsuk Park, Eun-Kyung Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(1): 41. CrossRef

96 View
0 Download
2 Crossref

Comparison of Nursing Activities Reflected in Nursing Notes and In-depth Interviews of Nurses in an Acute Hospital: Misoon Song, Mae Ja Kim, Young Sook Park, Eun Ok Lee, Yang Sook Hah, Kyung Ja Han, Se Ang Ryu, Hae Young Kang, Kyung Nam Kim, Moon Sook Cho; Journal of Korean Academy of Nursing 2003;33(6):802-811. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.802

Abstract PDF

Purpose

The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes.

Method

The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared.

Result

Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record.

Conclusion

Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.

Citations

Citations to this article as recorded by

Effects on Knowledge and Performance in Clinical Nursing of Education on Nursing Recording Focusing on Legal Aspects
Eun-Young Kim, Yeo-Jin Yi
Journal of Korean Academy of Nursing Administration.2011; 17(3): 277. CrossRef
A Comparison of the Nursing Records of Hysterectomy Patients: Pre and Post Implementation of an ICNP Based Electronic Nursing Record System
Woan Heui Choi, Young Sook Park, InSook Cho
Journal of Korean Society of Medical Informatics.2009; 15(4): 455. CrossRef
Identifying outcomes from the nursing outcomes classification as indicators of quality of care in Korea: A modified delphi study
B. Lee
International Journal of Nursing Studies.2007; 44(6): 1021. CrossRef

125 View
1 Download
3 Crossref

First
Prev
Page of 1
Next
Last

Search