Journal of Korean Academy of Nursing

Original Articles

Analysis of Direct Nursing Activity and Patient Outcomes Related to Graded Fee of Nursing Management for Inpatient: Seong Hi Park; Journal of Korean Academy of Nursing 2003;33(1):122-129. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.122

Purpose

The purpose of this study is to examine the difference of direct nursing activity and patient outcomes as mortality rate, complication rate, readmission rate and length of stay related to graded fee of nursing management for inpatient.

Method

The subjects of this study were 44 general hospitals with more than 500 beds. Data totaled to 86,044 claims provided to inpatients in Jan. 2001 requested by an electronic data interchange from a Health Insurance Review Agency. The data was analyzed by SPSS win(ver.10.0) and statistical methods used were frequency, one-way ANOVA, χ²-Test and regression.

Result

Synthetic judgment through performance index and 95% confidence interval, direct nursing activity showed to provided adequate quality of nursing care on 2nd, 3rd, 4th and 6th nursing degree. Also, patient outcomes showed difference by graded fee of nursing management for inpatient. Mortality rate of 2nd was the lowest with P.I. 67.9, 3rd, 5th, 6th, 4th in order. In case of complication rate, 2nd, 3rd and 4th were lower than other nursing degree. Readmission rate of 4th and 5th was the lowest. Length of stay of 2nd was the shortest with P.I. 88.3, 3rd, 4th, 5th, 4th, 6th in order.

Conclusion

The findings from this study showed that, the higher nurse-to-patient ratio, the greater amount of direct nursing care activity for the patient. Also, the more direct nursing activities influenced a lower mortality rate, complication rate and readmission rate, shorter length of stay.

Citations

Citations to this article as recorded by

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Frontiers in Health Services.2023;[Epub] CrossRef
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International Journal of Nursing Studies.2018; 80: 155. CrossRef
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Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals: Ju Young Yoon, Ji Yun Lee; J Korean Acad Nurs 2010;40(1):110-118. Published online February 28, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.1.110

Abstract PDF

Purpose

To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea.

Methods

The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals.

Results

The inter-rater reliability of items was high (Kappa range: 0.66-0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month.

Conclusion

This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

Citations

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Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388. CrossRef
Mobility is the key! Trends and associations of common care problems in German long-term care facilities from 2008 to 2012
Nils A. Lahmann, Antje Tannen, Simone Kuntz, Kathrin Raeder, Gabriela Schmitz, Theo Dassen, Jan Kottner
International Journal of Nursing Studies.2015; 52(1): 167. CrossRef
Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data
Jong-Ho Park, Yoo-Mi Kim, Sung-Soo Kim, Won-Joong Kim, Sung-Hong Kang
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1739. CrossRef
The impact of organizational factors on the urinary incontinence care quality in long-term care hospitals: A longitudinal correlational study
Ju Young Yoon, Ji Yun Lee, Barbara J. Bowers, David R. Zimmerman
International Journal of Nursing Studies.2012; 49(12): 1544. CrossRef

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