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

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Workload Measurement of Home Health Care Nurses' Services using Relative Value Units: Tae Wha Lee, Jung Sook Park, In Sook Kim; Journal of Korean Academy of Nursing 2000;30(6):1543-1555. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.6.1543

Abstract PDF

Home health care is moving into a set of new realities. An era of competition and cost containment has arrived. Before nurses are able to contain costs or describe the relationship between nursing activities, cost must be accurately measured based on the nurse's workload. Nurses in home health care usually desire to measure expenses for one of three reasons : reimbursement, management, or research. The purpose of the study was to investigate the work input by Registered Nurse in each of the home health care activities by relative value units and identify the factors affecting the nurses' total work input in health care services. To measure the work input by nurses, work was defined by four dimensions: time, physical effort, mental effort, and stress. This study used a descriptive-correlational design. Data collection consisted of two phases. In phase I, data on home health activities performed by nurses were collected. In phase II, data on nurses' time, physical effort, mental effort, and stress in each of home health care activities discovered phase I were collected. In this method, the respondent was asked to rate a service in relation to a reference service using a ratio scale. The sample included 39 home health care nurses. The results of the study indicated that home health care activities performed by the nurses were in 10 categories and 69 items. Measuring the relative work inputs in each of home health care activities, and foley catheterization was selected as the reference to service. In terms of time and physical effort dimensions, full bath service was rated as the most strenuous among 69 activities by the respondents, and intramuscular injection was rated as least. It was found that emergency treatment required the highest mental effort and the highest stress, while blood sugar tests required the lowest mental effort. Approximately 91.3% of the variance in total work input was accounted for by the linear combination of time, physical effort, mental effort judgement, and stress. Examining the regression coefficients of those variables, physical effort, time, and stress were found as the predictors which were significantly associated with the total work of nurses in home health care. Professional nursing's next step in the conundrum of economic volatility is to develop a tool to reflect the interaction of functional deficiency and direct professional nursing care. And this will be a more accurate predictor of nursing resource use and ultimately a great forcaeter cost.

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Effects of the Introduction of NIMS on Pharmacy Workflow and Proposal of Reimbursement Adjustment
Im Soon Choi, Tae Hyub Kwon, Kyung Hee Jin, Eun Ju Kim, Eu Jin Chung, Iyn-Hyang Lee
Journal of Korean Society of Health-System Pharmacists.2023; 40(3): 306. CrossRef
Korean and United States: Comparison of Costs of Nursing Interventions
Sung-Jung Hong, Eun-Joo Lee
Korean Journal of Adult Nursing.2012; 24(4): 358. CrossRef
Comparison of Nursing Activity Costs of Chronic Otitis Media Surgery Patients among Time, RBRVS, and CP
Mi Sun Kim, Ji Young Lim
Journal of Korean Academy of Nursing Administration.2010; 16(4): 399. CrossRef
Measuring Workload of Home Visit Care Activities Using Relative Values
Seong-Ok Han, Eun-Cheol Park, Dae-Ryong Kang, Im-Ok Kang
Journal of Preventive Medicine and Public Health.2008; 41(5): 331. CrossRef

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A Study of the Ethical Values of Korean Nurses: Mi Hae Sung; Journal of Korean Academy of Nursing 1999;29(3):551-561. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.551

Abstract PDF

The purse of this to identify whether ethical values of Korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of the literature and inter view of nurses in the clinical settings. Ethical problems are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship. The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee(1990). The analysis of data was done by Pearson's correlation coefficient, t-test and anova. The results of this study were as follows: 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical value of nurse-patient relationship slightly took up deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formulate higher ethical values.

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Influencing factors on perception of patient medical information protection in dental hygiene students
Young-In Kim, Sook-Hyang Kim, Jong-Hwa Jang
Journal of Korean society of Dental Hygiene.2015; 15(4): 743. CrossRef
Nursing Students' Awareness of Human Rights and Influencing Factors
Sun-Woo Hong, Ji-Soo Kim, Hye-Jin Hyun
The Journal of the Korea Contents Association.2011; 11(6): 260. CrossRef
Performance Evaluation of Transmitting Brainwave Signals for Driver's Safety in Urban Area Vehicular Ad-Hoc Network
Jun-Mo Jo
The Journal of the Korea Contents Association.2011; 11(6): 26. CrossRef

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The Effect of a Value Clarification Program on Value Clarification in Juvenile Delinquents: Eun Jin Lee; Journal of Korean Academy of Nursing 2005;35(7):1201-1209. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1201

Abstract PDF: Purpose
The purpose of this study was to identify the effects of a value clarification program on value clarification in juvenile delinquents. This study employed a two-group pre-post test study design. Data was collected from 16 subjects from Sept. 29 to Dec. 26, 2003 at N middle school in Seoul, Korea. 9 subjects constituted the control, while the experimental group was composed of 7 subjects.
Methods
The structured group therapy used in this study was developed on the basis of Raths et al. (1978) theory. The subjects participated in 10 sessions of therapy that lasted 60 minutes. The instruments used were value clarification Test (Lee, 1988), and SPSS Window.
Results
The experimental group showed a significant increase in value clarification after their participation in the program.
Conclusion
Based upon the findings it was concluded that a value clarification program was effective in improving value clarification in juvenile delinquents in the study.

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Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units: Young Mee Kim, Seung-Wan Kang, Se Young Kim; J Korean Acad Nurs 2014;44(2):198-208. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.198

Abstract PDF

Purpose

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used.

Methods

A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results

The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion

This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

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Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
Journal of Korean Academy of Nursing Administration.2021; 27(5): 355. CrossRef
Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
Young Mee Kim, Se Young Kim
International Journal of Health Care Quality Assurance.2019; 32(5): 832. CrossRef

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Effects of Nurses' Perception of Servant Leadership on Leader Effectiveness, Satisfaction and Additional Effort: Focused on the Mediating Effects of Leader Trust and Value Congruence: Sang Sook Han, Nam Eun Kim; J Korean Acad Nurs 2012;42(1):85-94. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.85

Abstract PDF

Purpose

This study was done to examine the effects of nurses' perception of servant leadership on leader effectiveness, satisfaction and promoting additional effort. The focus was the mediating effects of leader trust and value congruence.

Methods

Data were collected from 361 RN-BSN students and nurses participating in nationally attended in-service training programs. Data were analyzed using descriptive statistics and structural analysis with SPSS 17.0 windows program and Amos 7.0.

Results

Direct effects of nurses' perception of servant leadership were negative, but mediating effects of trust and value congruency were positively correlated with leader effectiveness, satisfaction and additional effort, that is servant leadership should be effective through mediating factors.

Conclusion

The study results indicate that if the middle managers of nurses can build leader trust and value congruency between nurses through servant leadership, leader effectiveness, satisfaction and additional effort on the part of the nurses could result in a positive change in the long term.

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Servant Leadership and Organizational Citizenship Behavior in Indonesian Christian Higher Education: Direct and Indirect Effects
Zummy Anselmus Dami, Ali Imron, Burhanuddin, Achmad Supriyanto
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Servant leadership and job satisfaction: The mediating role of trust and leader-member exchange
Zummy Anselmus Dami, Ali Imron, Burhanuddin Burhanuddin, Achmad Supriyanto
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A meta-analytic review of the consequences of servant leadership: The moderating roles of cultural factors
Yucheng Zhang, Yuyan Zheng, Long Zhang, Shan Xu, Xin Liu, Wansi Chen
Asia Pacific Journal of Management.2021; 38(1): 371. CrossRef
Effects of nurses’ emotional intelligence on their organizational citizenship behavior, with mediating effects of leader trust and value congruence
So‐Hee Lim, Sang‐Sook Han, Yun‐Su Joo
Japan Journal of Nursing Science.2018; 15(4): 363. CrossRef
Leadership Experience of Clinical Nurses: Applying Focus Group Interviews
Byoung-Sook Lee, Yong-Sook Eo, Mi-Aie Lee
Journal of Korean Academy of Nursing.2015; 45(5): 671. CrossRef
Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units
Young Mee Kim, Seung-Wan Kang, Se Young Kim
Journal of Korean Academy of Nursing.2014; 44(2): 198. CrossRef

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Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance: Jin Hyun Kim, Myung Ae Kim, Mi Won Kim, Kyung Sook Kim, Cheong-Suk Yoo; J Korean Acad Nurs 2011;41(3):302-312. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.302

Abstract PDF

Purpose

The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units.

Methods

The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed.

Results

Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%.

Conclusion

Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

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Measuring the Work Relative Value of Common Nursing Items for the General Departments of Tertiary Hospitals: A Descriptive Study
Yingli Wang, Cong Wang, Hongfei Ren, Ling Mao, Fenjiao Chen, Taoyun Liang, Yuqin Luo, Yan Jiang
Journal of Evaluation in Clinical Practice.2025;[Epub] CrossRef
A Resource-Based Relative Value for Clinical Research Nurses’ Workload
Sangmi Lee, Ihn Sook Jeong
Therapeutic Innovation & Regulatory Science.2018; 52(3): 313. CrossRef
An Empirical Analysis of Costs related to Nursing Practice
Yu Kyung Ko, Bo-Hyun Park
Journal of Korean Academy of Nursing Administration.2017; 23(2): 139. CrossRef
Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner
Jin Hyun Kim, Kyung Sook Kim, Mi Won Kim, Kyoung-A Lee
Korean Journal of Adult Nursing.2013; 25(3): 275. CrossRef

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Development of a Nursing Professional Values Scale: Eun Ja Yeun, Young Mi Kwon, Ok Hee Ahn; Journal of Korean Academy of Nursing 2005;35(6):1091-1100. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.1091

Abstract PDF

Purpose

The purpose of this study was to develop an instrument to measure nursing professional values.

Method

Forty preliminary items were selected by classifying 223 basic items extracted via a literature study and in-depth interviews of subjects and testing the relevance of their contents. In order to verify the reliability and relevance of the preliminary instrument, data was collected from 504 nurses in 3 general hospitals.

Result

As a result of the item analysis, 29 items were selected from a total of 40 items. Five factors were extracted by factor analysis, and the total variance was 51.5%. For the explanation of variances by factors, the 1st factor, ‘self-concept of the profession’ accounted for 14.8%, the 2nd factor, ‘social awareness’ 12.1%, the 3rd factor, ‘professionalism of nursing’ 9.8%, the 4th factor, ‘the roles of nursing service’ 9.1%, and the 5th factor, ‘originality of nursing’, 5.6%. Cronbach's Alpha of those 29 items was .9168, which was high.

Conclusion

This paper is meaningful in a way that it developed a tool capable of measuring nursing professional values, which reflects the characteristics of our country. In order to re-verify the relevance and stability of this tool, it is necessary that comparative studies should be conducted.

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