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- Computerization of Nurse Staffing and Scheduling according to Patient Classification
- Jang Ho Park, Hyeoun Ae Park, Hyon Cho, Yong Sun Choi
- Journal of Nurses Academic Society 1996;26(2):399-412. Published online March 30, 2017
- DOI: https://doi.org/10.4040/jnas.1996.26.2.399
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Abstract
PDF Even though Korean medical law stipulates that number of patients attended by a nurse is 2.5 for hospitalization and 30 for ambulatory care, the number of patients cared by a nurse per day is much greater than the standard prescribed by the medical law. Current nursing productivity of nurses is not desirable unless the quality of care considered. Moreover, nursing manpower staffing based on neither current nurses' productivity nor standard of medical law cannot respond properly to dynamic situation of the medical services. As for the nurse scheduling, the critical problem of it in the hospital is determining the day-to-day shift assignments for each nurse for the specified period in a way that satisfies the given requirements of the hospital. Nurse scheduling, however, involves many factors and requirements, manual scheduling requires much time and effort to produce an adequate schedule. Under these backgrounds, the necessity of more efficient management of nursing manpower occupying 1/3 of total hospital workers has been recognized by many nursing administrators. This study was performed to develop a system computerizing nurse staffing and scheduling based on the patient classification. As a preliminary step for the system development, nursing workload in a secondary hospital was measured from Sep. to Oct. 1994. On the grounds of this result, computerization of nurse staffing and scheduling was proceeded with three options. First one is based on the current medical law. Second one is based on the assigned number of nursing staff. And the last is based on the request by patient classification. Computer languages used in this study were MS Visual Basic 3.0 for the staffing and Access 2.0 for the scheduling, respectively. Prospective users may operate this system easily because icons and mouse are used for easier graphic user interface and reducing the need for typing efforts. This system can help nurse administrators manage nursing manpower efficiently and nurses develop quick and easy schedule generation and allow more time for the patient care.
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- Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals
- Yun Mi Kim, Kyung Ja June, Sung Hyun Cho
- Journal of Korean Academy of Nursing 2005;35(8):1493-1499. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2005.35.8.1493
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Abstract
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Background Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services.
Purpose To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics.
Methods A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals.
Results None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing.
Conclusions The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.
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Citations
Citations to this article as recorded by
- High-Volume Hospital Had Lower Mortality of Severe Intracerebral Hemorrhage Patients
Sang-Won Park, James Jisu Han, Nam Hun Heo, Eun Chae Lee, Dong-Hun Lee, Ji Young Lee, Boung Chul Lee, Young Wha Lim, Gui Ok Kim, Jae Sang Oh
Journal of Korean Neurosurgical Society.2024; 67(6): 622. 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 - Job Analysis of the Nursing Unit Managers of Women's Hospital Using DACUM Analysis
Kyoung-Suk Son, Kyung Sook Cho
Korean Journal of Women Health Nursing.2019; 25(3): 239. CrossRef - Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
Su-Jin Cho, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2014; 20(1): 10. CrossRef - Structure of Nurse Labor Market and Determinants of Hospital Nurse Staffing Levels
Bohyun Park, Sukyung Seo, Taejin Lee
Journal of Korean Academy of Nursing.2013; 43(1): 39. CrossRef - Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units
Sung‐Hyun Cho, Kyung Ja June, Yun Mi Kim, Yong Ae Cho, Cheong Suk Yoo, Sung‐Cheol Yun, Young Hee Sung
Journal of Clinical Nursing.2009; 18(12): 1729. CrossRef - Nurse Staffing and Patient Mortality in Intensive Care Units
Sung-Hyun Cho, Jeong Hae Hwang, Jaiyong Kim
Nursing Research.2008; 57(5): 322. CrossRef - Impact of nurse staffing level on emergency department market share
Jee-In Hwang, Hyejung Chang
Health Care Management Review.2007; 32(3): 245. CrossRef
- High-Volume Hospital Had Lower Mortality of Severe Intracerebral Hemorrhage Patients
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- Impact of Increased Supply of Newly Licensed Nurses on Hospital Nurse Staffing and Policy Implications
- Yunmi Kim, Sunju You, Jinhyun Kim
- J Korean Acad Nurs 2017;47(6):828-841. Published online January 15, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.6.828
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Abstract
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Abstract Purpose This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffing grades for the period of 2009~2014.
Methods Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in 1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in 1,042 hospitals using GEE logistic regression.
Results An increase of one newly licensed nurse per 100 beds in general units had significantly lower odds of improving staffing grades (grades 6~0 vs. 7) (odds ratio=0.95,
p =.005). The supply of newly licensed nurses increased by 32% from 2009 to 2014, and proportion of hospitals whose staffing grade had improved, not changed, and worsened was 19.1%, 70.1%, and 10.8% respectively. Compared to 2009, the supply variation of newly licensed nurses in 2014 was not significantly related to the increased odds of improving staffing grades in the region (OR=1.02,p =.870).Conclusion To achieve a balance in the regional supply and demand for hospital nurses, compliance with nurse staffing legislation and revisions in the nursing fee differentiation policy are needed. Rather than relying on increasing nurse supply, retention policies for new graduate nurses are required to build and sustain competent nurse workforce in the future.
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Citations
Citations to this article as recorded by- Empirical Analysis of Geographic Inequalities in the Distribution of Nurses
Euntae Park, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2024; 30(3): 271. CrossRef - Turnover Rates and Factors Associated With Turnover: A Longitudinal Analysis of the Retention Period of Clinical Nurses in Korea Using National Data
Yunmi Kim, Hyun-Young Kim
Policy, Politics, & Nursing Practice.2024; 25(2): 83. CrossRef - The Number of Practicing Nurses Required to Resolve Differences in Staffing Levels between Capital and Non-capital Regions and the Relationship of Regional Differences in Staffing and Salary
Sung-Hyun Cho, Ji-Yun Lee, Jinhyun Kim, U Ri Go, Jiyeong Seong
Journal of Korean Academy of Nursing Administration.2024; 30(2): 175. CrossRef - A comparison of work characteristics and health status between Korean and US hospital nurses
Kihye Han, Alison M. Trinkoff, Hyang Baek, Yeonhee Kim
Nursing Open.2024;[Epub] CrossRef - Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study
Yunmi Kim, Hyun-Young Kim
International Journal of Environmental Research and Public Health.2021; 18(19): 10013. CrossRef - Factors Influencing Nursing Students' Choices of a Place of Employment
Sun Ju You, Jong Kyung Kim, Myun Sook Jung, Se Young Kim, Eun Kyung Kim
Korean Journal of Health Promotion.2018; 18(4): 184. CrossRef - Nurses’ needs for care robots in integrated nursing care services
Jai‐Yon Lee, Young Ae Song, Ji Young Jung, Hyun Jeong Kim, Bo Ram Kim, Hyun‐Kyung Do, Jae‐Young Lim
Journal of Advanced Nursing.2018; 74(9): 2094. CrossRef - The Study of Preceptor Nurses’ Occupational Stress and Burden
Joohee Han, Eun Kwang Yoo
Korean Journal of Stress Research.2018; 26(1): 38. CrossRef
- Empirical Analysis of Geographic Inequalities in the Distribution of Nurses
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- 8 Crossref
- Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals
- Yunmi Kim, Ji Yun Lee, Hyuncheol Kang
- J Korean Acad Nurs 2014;44(1):21-30. Published online February 28, 2014
- DOI: https://doi.org/10.4040/jkan.2014.44.1.21
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Abstract
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Purpose This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals.
Methods A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators.
Results Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable.
Conclusion To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
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Citations
Citations to this article as recorded by- The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
Inhee Choo, Milim Cho, Eunha Kim
Journal of Korean Gerontological Nursing.2024; 26(4): 392. CrossRef - Physical Therapy Provider Continuity Predicts Functional Improvements in Inpatient Rehabilitation
Mitchell D. Adam, Debra K. Ness, John H. Hollman
Journal of Neurologic Physical Therapy.2023; 47(2): 91. CrossRef - The effect of the reformed nurse staffing policy on employment of nurses in Korea
Jinhyun Kim, Sungjae Kim, Eunhee Lee, Hyunjeong Kwon, Jayon Lee, Hyunji Bae
Nursing Open.2021; 8(5): 2850. CrossRef - Nurses’ Clinical Work Experience during Pregnancy
Hyunjung Lee, Hyoung Eun Chang, Jiyeon Ha
Healthcare.2020; 9(1): 16. CrossRef - Exploring Nurses' Perceptions of Nursing Home Care in South Korea: A Qualitative Study
Eunhee Cho, Hyejin Kim, Soo Jung Chang, Hyang Kim, Jeongah Kim
Journal of Korean Gerontological Nursing.2020; 22(2): 85. CrossRef - The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
Kyung Jin Hong
Journal of Korean Academy of Nursing Administration.2020; 26(4): 354. CrossRef - A Comparative Study on the Job Stress, Burnout and Nursing Performance of Nurses in Comprehensive Nursing Care Service Wards and Nurses in General Wards
Youn Sil Kim, Jung Ae Park, Eun Koung Seo
Stress.2019; 27(1): 46. CrossRef - Experiences of Long-term Care Hospital Nurses Caring for Elders with Dementia
Eun Kyoung Suh, Hye Ryoung Kim
Journal of Korean Gerontological Nursing.2019; 21(2): 99. CrossRef - Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea
Yoonseo Kim, Kihye Han
Journal of Nursing Management.2018; 26(5): 518. CrossRef - Influence of Nurses' Work Environment, Organizational Commitment, and Nursing Professionalism on Turnover Intention of Nurses in Long Term Care Hospitals
Hyun Suk Joo, Won Hee Jun
Journal of Korean Academy of Nursing Administration.2018; 24(4): 265. CrossRef - Importance, Performance and Rates of Nurse Performance of Nursing Interventions in Long-term Care Hospitals
Sunmi Kim, Seok Hee Jeong, Myung Ha Lee, Hyun Kyung Kim
Journal of Korean Academy of Nursing Administration.2017; 23(4): 359. CrossRef - Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
Su Mi Jung, Sook Hee Yoon
Journal of Korean Academy of Nursing Administration.2017; 23(3): 229. CrossRef - Delegation of Nursing Activities in Long-term Care Hospitals
Eun Ju Jang, Su Hyun Kim
Journal of Korean Gerontological Nursing.2017; 19(2): 101. CrossRef - Effects of Empathy and Attitude in Caring for Elders by Nurses in Geriatric Nursing Practice in Long-term Care Hospitals
Young Kyoung Kim, Suhye Kwon
Journal of Korean Gerontological Nursing.2017; 19(3): 203. CrossRef - Predictors of Turnover among New Nurses using Multilevel Survival Analysis
Suhee Kim, Kyongeun Lee
Journal of Korean Academy of Nursing.2016; 46(5): 733. CrossRef - Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area
Youn Sun Hwang, Eunyoung Cho
Korean Journal of Occupational Health Nursing.2016; 25(3): 156. CrossRef - Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals
Eun Hee Kim, Eunjoo Lee
Journal of the Korean Data and Information Science Society.2015; 26(3): 715. CrossRef - The Effects of Emotional Labor and Job Involvement on Turnover Intention of Nurses in Long-term Care Hospitals
Su-Jeong Kang, Suhye Kwon
Korean Journal of Occupational Health Nursing.2015; 24(4): 290. CrossRef
- The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
- 233 View
- 3 Download
- 18 Crossref
- 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
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Abstract
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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.
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Citations
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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
- Examining the experiences of mid-career nurses in hospitals: a phenomenological study
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- 31 Crossref
- Variations in Nurse Staffing in Adult and Neonatal Intensive Care Units
- Sung Hyun Cho, Jeong Hae Hwang, Yun Mi Kim, Jae Sun Kim
- Journal of Korean Academy of Nursing 2006;36(5):691-700. Published online August 31, 2006
- DOI: https://doi.org/10.4040/jkan.2006.36.5.691
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Abstract
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Purpose This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUs).
Method A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N)ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics.
Result A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in staffing ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU.
Conclusion Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.
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Citations
Citations to this article as recorded by- Development of a competency for professional oral hygiene care of endotracheally-intubated patients in the intensive care unit: development and validity evidence
Eun-Sil Choi, Hie-Jin Noh, Won-Gyun Chung, So-Jung Mun
BMC Health Services Research.2021;[Epub] CrossRef - Associated Factors with Performance of Infection Control for the Prevention of Ventilator-associated Pneumonia among Some Intensive Care Unit Nurses
Hyeon Hwa Lee, Mi Ah Han, Jong Park, Seong Woo Choi
Journal of Health Informatics and Statistics.2018; 43(1): 1. CrossRef - Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit
Soon Ok Kim, Jin Suk Ra
Korean Journal of Healthcare-Associated Infection Control and Prevention.2018; 23(2): 39. CrossRef - The Study of Preceptor Nurses’ Occupational Stress and Burden
Joohee Han, Eun Kwang Yoo
Korean Journal of Stress Research.2018; 26(1): 38. 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 - Nurse Staffing and Patient Mortality in Intensive Care Units
Sung-Hyun Cho, Jeong Hae Hwang, Jaiyong Kim
Nursing Research.2008; 57(5): 322. CrossRef
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