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Changes in Nurse Staffing Grades in General Wards and Adult and Neonatal Intensive Care Units

의료기관의 일반병동, 성인 중환자실, 신생아 중환자실의 간호등급 변화

  • Hong, Kyung Jin (College of Nursing, Seoul National University) ;
  • Cho, Sung-Hyun (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • 홍경진 (서울대학교 간호대학) ;
  • 조성현 (서울대학교 간호대학.간호과학연구소)
  • Received : 2017.01.31
  • Accepted : 2017.02.16
  • Published : 2017.04.30

Abstract

Purpose: This study aimed to explore the distributions of nurse staffing grades and to report changes in staffing grades in general wards and adult and neonatal intensive care units(ICUs) by hospital type and location. Methods: Data collected from the Health Insurance Review and Assessment Service were analyzed. Nurse staffing was categorized from grades 1 to 6 or 7 for general wards, 1 to 9 for adult ICUs, and 1 to 4 for neonatal ICUs based on the nurse-to-bed ratio. Results: The staffing grade for the general wards improved during 2008-2016 in 69.8% of the tertiary hospitals, 58.5% of the general hospitals, and 31.7% of the non-general hospitals. The adult ICUs at tertiary hospitals exhibited a greater improvement in staffing grades (48.8%) than did those of general hospitals (44.2%) during 2008-2015. Tertiary hospitals in non-capital regions showed a greater improvement than those in the capital region. The majority of neonatal ICUs (67.1%) had no change in the staffing grade during 2008-2015. Conclusion: Improvements in nurse staffing differed by hospital type and location. Government policies to improve nurse staffing in non-tertiary hospitals and those in non-capital regions are required to reduce variations in nurse staffing.

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