Journal of Korean Academy of Nursing

Original Articles

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

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.

Citations

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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

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Gender Difference in Osteoporosis Prevalence, Awareness and Treatment: Based on the Korea National Health and Nutrition Examination Survey 2008~2011: Yunmi Kim, Jung Hwan Kim, Dong Sook Cho; J Korean Acad Nurs 2015;45(2):293-305. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.293

Abstract PDF

Purpose

The aim of the study was to assess and identify gender differences in factors associated with prevalence, awareness, and treatment of osteoporosis.

Methods

Data for 3,071 men and 3,635 women (age≥ 50) from the Korea National Health and Nutrition Examination Survey 2008~2011 were included. Osteoporosis was defined by World Health Organization T-score criteria. Impact factors and odds ratios were analysed by gender using multivariate logistic regression.

Results

Osteoporosis prevalence rates were 7.0% in men and 40.1% in women. Osteopenia rates were 45.5% and 46.0% respectively. Among respondents with osteoporosis, 7.6% men and 37.8% women were aware of their diagnosis. Also 5.7% men with osteoporosis and 22.8% women were treated. Higher prevalence was found among respondents who were older, at lower socioeconomic levels, with lower body mass index and shorter height in both genders, and among women with fracture history, and non-hormonal replacement therapy. Awareness and treatment rates for the risk groups were similar compared to the low risk controls for both genders. Fracture history increased awareness and treatment rates independently for both genders. Women with perceived poor health status and health screening had increased awareness and treatment rates, but not men.

Conclusion

Results indicate that postmenopausal women have a higher prevalence of osteoporosis than men and awareness and treatment rates were higher than for men. Despite gender difference in prevalence, osteoporosis was underdiagnosed and undertreated for both genders. Specialized public education and routine health screenings according to gender could be effective strategies to increase osteoporosis awareness and treatment.

Citations

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The Korean Journal of Oral and Maxillofacial Pathology.2024; 48(3): 23. CrossRef
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Eun Bi Lee, Sang Yun Han
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Renjia Li, Hai Qu, Jinwei Xu, Huiqin Yang, Jinyao Chen, Lishi Zhang, Jiuming Yan
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Tenofovir disoproxil fumarate versus tenofovir alafenamide on risk of osteoporotic fracture in patients with chronic hepatitis B: A nationwide claims study in South Korea
Eunju Kim, Hyun Woong Lee, Soon Sun Kim, Eileen Yoon, Eun Sun Jang, Jong‐In Chang, Young Youn Cho, Gi Hyeon Seo, Hyung Joon Kim
Alimentary Pharmacology & Therapeutics.2023; 58(11-12): 1185. CrossRef
Effect of Spatholobus Suberectus Extract (SSE) on RANKL-treated RAW264.7 and LPS-induced Bone Loss
Dae Joong Lee, Jong Hyun Hwang, Do Hwi Park, Ki Sung Kang, Chan Yong Jeon, Gwi Seo Hwang
The Journal of Internal Korean Medicine.2022; 43(6): 1134. CrossRef
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Armin Hatefi, Amirhossein Alvandi
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Up-to-Date Knowledge on Osteoporosis Treatment Selection in Postmenopausal Women
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Journal of Menopausal Medicine.2022; 28(3): 85. CrossRef
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Donghyun Kim, Anna Han, Yongsoon Park
Nutrients.2021; 13(4): 1149. CrossRef
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Sunyoung Kim, Hee-Won Jung, Chang Won Won
The Korean Journal of Internal Medicine.2020; 35(4): 1004. CrossRef
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Chang-Bum Ahn, Jae-Young Je
Journal of Food Biochemistry.2019; 43(1): e12529. CrossRef
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Chonnam Medical Journal.2019; 55(3): 150. CrossRef
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Miso Jang, Hyunkyung Kim, Shorry Lea, Sohee Oh, Jong Seung Kim, Bumjo Oh
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Risk Factors for Unawareness of Obstructive Airflow Limitation among Adults with Chronic Obstructive Pulmonary Disease
Mirae Jo, Heeyoung Oh
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Seungwon Lee, Da Hea Seo, Kyoung Min Kim, Eun Young Lee, Hyeon Chang Kim, Chang Oh Kim, Yoosik Youm, Yumie Rhee, Dengshun Miao
PLOS ONE.2017; 12(7): e0180017. CrossRef
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Hee-Sook Lim, Soon-Kyung Kim, Hae-Hyeog Lee, Dong Won Byun, Yoon-Hyung Park, Tae-Hee Kim
Journal of Bone Metabolism.2016; 23(3): 143. CrossRef
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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

Abstract PDF

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.

Citations

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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

Abstract PDF

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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Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data: Yunmi Kim, Eun-Young Kim; J Korean Acad Nurs 2011;41(5):593-602. Published online October 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.593

Abstract PDF

Purpose

Purpose: In this study analysis was done of utilization of rooming-in care in South Korean hospitals in order to examine the factors related to mothers and hospitals that affect rooming-in care.

Methods

With the involvement of 254,414 mothers who gave birth across 953 hospitals, the analysis used the health insurance qualification data of the National Health Insurance Corporations and Health Insurance Review and Assessment Service (2006). Factors associated with rooming-in care were analyzed using a GEE logistic regression analysis to consider factors related to both mothers and hospitals.

Results

Only 45.1% of the mothers used rooming-in care. The results of the regression analysis revealed that individual factors of the mothers were not associated with rooming-in care, whereas group factors of the hospitals were. Rooming-in care use was primarily related to small hospital, location of hospital, and higher nurse staffing level.

Conclusion

The findings of this study indicate that the utilization of rooming-in care is not associated with factors an individual mother, but rather with the group factors of the hospitals. Thus, a policy-based approach considering both of these types of factors is required to enhance the utilization of rooming-in care.

Citations

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Neonatal seizures and white matter injury: Role of rotavirus infection and probiotics
Jung Sook Yeom, Ji Sook Park, Young-Soo Kim, Rock Bum Kim, Dae-Sup Choi, Ju-Young Chung, Tae-Hee Han, Ji-Hyun Seo, Eun Sil Park, Jae-Young Lim, Hyang-Ok Woo, Hee-Shang Youn, Chan-Hoo Park
Brain and Development.2019; 41(1): 19. CrossRef

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Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding: Yunmi Kim; J Korean Acad Nurs 2009;39(2):279-287. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.279

Abstract PDF

Purpose

The purpose of this study was to develop an antepartum-postpartum breast-feeding program titled "Breast-feeding Empowerment Program" and to measure the effects of this program on breast-feeding empowerment and the rate of exclusive breast-feeding.

Methods

The study design was a nonequivalent control group design with repeated measures.

Results

The scores for breast-feeding empowerment of the experimental group (EG) were higher than those of the control group (CG) at week 1, 4, 8, 12. The rates for exclusive breast-feeding of the experimental group were also higher than those of the control group: 86.4% in the EG and 40.9% in the CG at week 1; 100% vs 42.9% at week 4; 86.4% vs 38.1% at week 8; 95.5% vs 38.1% at week 12; 94.7% vs 31.6% at 6 months; 89.5% vs 26.3% at 12 months.

Conclusion

The study provided evidence that raising consciousness and strengthening mother's will and skills for exclusive breast-feeding helps them to achieve successful breast-feeding by themselves. In addition mothers need to be empowered to breast-feed starting before delivery and continuing after delivery. This approach could make long-term exclusive breast-feeding successful.

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ANKIT CHORMA, ARUN KUMAR PARGI, RINKU YADAV
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