Journal of Korean Academy of Nursing

Review Article

Nurse Staffing and Health Outcomes of Psychiatric Inpatients: A Secondary Analysis of National Health Insurance Claims Data: Park, Suin , Park, Sohee , Lee, Young Joo , Park, Choon-Seon , Jung, Young-Chul , Kim, Sunah; J Korean Acad Nurs 2020;50(3):333-348. Published online June 30, 2020; DOI: https://doi.org/10.4040/jkan.19203

Purpose
The present study investigated the association between nurse staffing and health outcomes among psychiatric inpatients in Koreaby assessing National Health Insurance claims data.
Methods
The dataset included 70,136 patients aged 19 years who were inpatientsin psychiatric wards for at least two days in 2016 and treated for mental and behavioral disorders due to use of alcohol; schizophrenia,schizotypal and delusional disorders; and mood disorders across 453 hospitals. Nurse staffing levels were measured in three ways: registerednurse-to-inpatient ratio, registered nurse-to-adjusted inpatient ratio, and nursing staff-to-adjusted inpatient ratio. Patient outcomesincluded length of stay, readmission within 30 days, psychiatric emergency treatment, use of injected psycholeptics for chemical restraint,and hypnotics use. Relationships between nurse staffing levels and patient outcomes were analyzed considering both patient and systemcharacteristics using multilevel modeling.
Results
Multilevel analyses revealed that more inpatients per registered nurse, adjusted inpatientsper registered nurse, and adjusted inpatients per nursing staff were associated with longer lengths of stay as well as a higher risk of readmission.More adjusted inpatients per registered nurse and adjusted inpatients per nursing staff were also associated with increased hypnoticsuse but a lower risk of psychiatric emergency treatment. Nurse staffing levels were not significantly associated with the use of injectedpsycholeptics for chemical restraint.
Conclusion
Lower nurse staffing levels are associated with negative health outcomes of psychiatricinpatients. Policies for improving nurse staffing toward an optimal level should be enacted to facilitate better outcomes for psychiatricinpatients in Korea.

Citations

Citations to this article as recorded by

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Samuel Woodnutt, Simon Hall, Paula Libberton, Jane Ball, Chiara Dall'Ora, Peter Griffiths
International Journal of Mental Health Nursing.2025;[Epub] CrossRef
Comprehensive Symptom Prediction in Inpatients With Acute Psychiatric Disorders Using Wearable-Based Deep Learning Models: Development and Validation Study
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Journal of Medical Internet Research.2024; 26: e65994. CrossRef
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BMC Psychiatry.2024;[Epub] CrossRef
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International Journal of Mental Health Nursing.2024; 33(4): 869. CrossRef
NEAT: Nurse Effort Assessment Tool—Human Factors Considerations in Designing for Appropriate Staffing
Scott Good, Michael W. Boyce, Leigh V. Evans, Mark Sevilla
Proceedings of the Human Factors and Ergonomics Society Annual Meeting.2024; 68(1): 1680. CrossRef
Developing nurse‐sensitive outcomes in acute inpatient mental health settings—A systematic review
Irene Ngune, Helen Myers, Amanda Cole, Peter Palamara, Robina Redknap, Michael Roche, Diane Twigg
Journal of Clinical Nursing.2023; 32(17-18): 6254. CrossRef
An Exploratory Study on Current Nursing Issues in the COVID-19 era through Newspaper Articles: The Application of Text Network Analysis
Young Joo Lee
Journal of Korean Academy of Nursing Administration.2022; 28(3): 307. CrossRef
Time to readmission in psychiatric inpatients with a therapeutic leave
Tiziana Ziltener, Julian Möller, Lukas Imfeld, Roselind Lieb, Undine E. Lang, Christian G. Huber
Journal of Psychiatric Research.2021; 144: 102. CrossRef
Physical Comorbidity According to Diagnoses and Sex among Psychiatric Inpatients in South Korea
Suin Park, Go-Un Kim, Hyunlye Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 4187. CrossRef

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Original Article

Development and Validation of the Hospice Palliative Care Performance Scale: So-Hi Kwon; J Korean Acad Nurs 2011;41(3):374-381. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.374

Abstract PDF

Purpose

The purpose of this study was to develop and validate a hospice·palliative care performance measure which would cover more than just physical symptoms or quality of life.

Methods

Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice·palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice·palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency.

Results

Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient' rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach's α of the subscales ranged from .73 to .79.

Conclusion

The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice·palliative care for terminal cancer patients in practice and research.

Citations

Citations to this article as recorded by

Evaluation of Outcomes of the Busan Community-based Palliative Care Project in Korea
Soon-Ock Choi, Sook-Nam Kim, Seong-Hoon Shin, Ji-Seon Ryu, Jeong-Won Baik, Jung-Rim Kim, Nae-Hyeon Kim
Asian Nursing Research.2018; 12(4): 286. CrossRef
Analysis of Knowledge About, Attitude Toward, and Educational Needs for Dementia in Certified Caregivers
Eun-Ho Ha, Jin-Young Cho
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 108. CrossRef
Development and Validation of the Measurement Tool of Public Benefits in Regional Cardiocerebrovascular Center
Kunsei Lee, Eunyoung Shin, Hyoseon Jeong, Jung-Hyun Lee, Hee-Sook Kim, Young Sil Lim, Young Taek Kim
Health Policy and Management.2013; 23(4): 434. CrossRef

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