• Title, Summary, Keyword: Staffing

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An Analysis of Nurse Staffing Level and Nursing Performance in the General Unit (일반병동 간호인력 확보수준과 간호업무성과 분석)

  • Ko, Yu-Kyung;Kim, Byeong-Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.413-420
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    • 2008
  • Purpose: To examine the relationship between nurse staffing level and nurse perception of nursing performance. Method: The subjects of this study were 724 nurses from 70 medical or surgical wards in 23 hospitals from February to March 2006. A self-reporting questionnaire, which was developed by the researcher through a preceding study, was used. In data analysis, SAS program was utilized for descriptive statistics, t-test, ANOVA, and Tukey test. Results: The mean score of the nursing performance was 53.3. The mean of bed-to nurse ratio was 3.39:1. The study revealed a negative correlation between bed-to nurse ratio and the nurses' perception of nursing performance. There was a significant relationship between above 3.5:1 and below 2.5:1(F=4.59, p=0.010). Conclusion: We found that the higher the nurse staffing, the better the nursing performance. It is recommended that future research measures nurses' performance and nursing organizational performance using objective measurement tools including clinical indicators.

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Case Study : Development of Customer Support Center Staffing Model (고객지원 센터의 최적 인력 일정계획 수립 모델 개발에 대한 사례연구)

  • Yu, Woo-Yeon;Kim, Hee-Dong;Yang, Jaek-Yung
    • IE interfaces
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    • v.18 no.3
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    • pp.317-326
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    • 2005
  • Staff scheduling is an important area, both from an academic and industrial point of view. It has become increasingly important as business becomes more service oriented and cost conscious in a global environment. There has been a lot of study to develop new and efficient staff scheduling models and methods. The purpose of this paper is not to develop new theoretical results but to develop a comprehensive user-friendly staffing model that can be applied to the real-world practice. The developed staffing software, OptStaff, provides the optimal configuration of the customer support center including the selection of customer support center locations, the allocation of staffs to each selected location, and schedules of staffs, so as to minimize the total cost while maximizing the customer satisfaction level. OptStaff also has capability to do scenario analysis by varying the levels of parameters and to create a variety of graphs and reports with user-friendly interfaces.

Factors on the Gap between Predicted Cesarean Section Rate and Real Cesarean Section Rate in Tertiary Hospitals (상급종합병원의 예측 제왕절개분만율과 실제 제왕절개분만율의 격차 관련요인)

  • Kim, Yun-Mi;Kim, Se-Young
    • Korean Journal of Women Health Nursing
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    • v.18 no.3
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    • pp.200-208
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    • 2012
  • Purpose: This study was aimed to examine the gap between predicted cesarean section rate and real cesarean section rate and it's determining factors of 44 tertiary hospitals. Method: This study is a cross-sectional analysis using the data of 25,623 deliveries in 2009 drawn from homepage of Health Insurance Review and Assessment Service. Data were analyzed with t-test, F-test, Scheff$\acute{e}$ test, and logistic regression. Result: There were statistically significant differences in the gap of cesarean section rate (more gap indicates higher quality of delivery) by grade of nurse staffing and delivery cases. Hospitals with nurse staffing grade 1 to 2 had more possibility to be classified into higher grade in quality of delivery (OR 5.67, 95% CI 1.07-30.08). Also hospitals with over 500 delivery cases had more possibility be classified into higher grade in quality of delivery (OR 4.92, 95% CI 1.14-21.23, respectively). Conclusion: The finding suggests that grade of nurse staffing may influence the real cesarean section rate because nurses do a vital role to prevent unnecessary cesarean section. Further study is required to provide evidence that nurse staffing influence on patient outcome and cost-effectiveness in order to obtain adequate number of nursing staffs.

A Study for Dietetic Practitioner's Job Analysis : labor Time Spent and Staffing Need Indices (3 차 의료기관에서의 영양업무 분석 : 업무수행 시간 및 적정인원 산출)

  • Jo, Mi-Ran;Gu, Jeong-Min;Lee, Hye-Ok;Jo, Yeo-Won
    • Journal of the Korean Dietetic Association
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    • v.7 no.1
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    • pp.38-49
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    • 2001
  • This study was designed to analyze the dietetic practitioner's job in the over 600-ed hospitals in korea and to assess their labor time spent and staffing need indices. The actual time spent and expected labor time spent on dietitians' activities were investigated and the proper dietic staffing needs in the hospitals was also calculated. A job analysis questionnaires were developed and mailed to 20 hospitals. Completed questionnaires were received form 12 hospitals for a response rate of 60%. The followings are summary of the results. 1. The jobs dietitians at the hospitals were classified into the following 7 areas, direct patient care, indirect patient care, therapeutic patient care, education & counseling, meeting & research, delay & movement, and administration & food services. 2. The actual time spent on dietetic practice was 48.6 hours and expected labor time spent was 99.2 hours, Therefore, the proper time required to conduct classified jobs was 2.1 times higher than the time spent. Especially, the time required for performing clinical nutrition services including direct patient care, indirect patient care, therapeutic patient care was significantly higher than the time needed. 3. The average times required for the direct patient care was 1334.6min, for the indirect patient care was 796.3min, for the therapeutic patient care was 1634.5min, for the education & counseling was 265.2min, for the meeting & research was 366.7min, for the delay & movement was 327.3min, and for the administration & food services was 1170min. The staffing need indices was 12.3. As a conclusion, the standardized job descriptions for the dietitian to carry out their job at the hospital should be established. And the clinical dietitians as nutrition professionals have to be recruited to provide systematically hospitalized patients with medical nutrition therapy at each hospital.

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Developing standardized dietetic staffing indices in employee foodservice by job analysis methodology (사업체 급식소 영양사 직무분석 ( 제 2 보 ) : 업무수행시간 및 적정인원산출)

  • Lee, Jin-Mi;Yang, Il-Seon;Kim, Hyeon-A;Cha, Jin-A
    • Journal of the Korean Dietetic Association
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    • v.1 no.1
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    • pp.79-88
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    • 1995
  • The purposes of this study were to : a) investigate actual time spent and expected labor time spent on management activities, and b) develop standardized indices of dietetic staffing needs in employee foodservice. A job analysis questionnaires were developed and mailed to 65 dietitians who were members of The Korean Dietetic Association Practice Group, members with management responsibilities in employee foodservices. Completed questionnaires were received from 32 dietitians for a response rate of 49%. The questionnaire contained two parts with a total of 99 statements. Statistical data analysis was completed using the SAS programs for descriptive analysis, wilcoxon signed ranks test, wilcoxon rank sum test, and pearson correlation. The results of this study can be summarized as follows. 1. The actual time spent on management activities by dietitians in employee foodservice was 69.80 hours and expected labor time spent was 61.81 hours. And they were significantly different (p<0.05). 2. ILO allowance rate( 11%) was applied: The standardized working hours per week of dietitians working in employee foodservice with manufacturing and industrial plants, and office building were 79.61 and 64.25 respectively ; Staffing need indices were 1.81 and 1.46 respectively on the base of 44 working hours. 3. The average standardized working hours per week was 68.61 hours and staffing need indices was 1.56

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Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care (간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발)

  • Cho, Sung-Hyun;Song, Kyung Ja;Park, Ihn Sook;Kim, Yeon Hee;Kim, Mi Soon;Gong, Da Hyun;You, Sun Ju;Ju, Young-Su
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.211-222
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    • 2017
  • Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals (요양병원 간호인력 확보수준에 따른 입원환자의 간호결과)

  • Kim, Eun Hee;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.715-727
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    • 2015
  • This study was conducted to explore the impact of nursing staffing on inpatient nursing outcomes in long term care hospitals. A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals. Patients per RN was a significant indicator of foley catheter ratio in high risk group and low risk group. Patients per RN&NA was a significant indicator of decline in ADL for patients with dementia, non dementia, urinary incontinence and new pressure ulcer development in the high risk group. The average nursing outcome of inpatient in high grade was higher than that low grade in long care hospital. This higher level of nursing staffing and the higher the grade shown a positive effect on the nursing outcomes of the inpatient. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving nursing outcomes.

The Optimal Staffing Problem at the Reservation Call Center in the Hospital (진료예약콜센터의 인력 배치 최적화 연구)

  • Kim, Seong-Mun;Na, Jeong-Eun
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • pp.493-505
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    • 2006
  • Call center staffing problems have often relied upon queueing models, which are traditionally used to compute average call waiting time. However, the relationship between the in-bound call volume and call abandon rate is not directly explained even with the complex queueing formula while that relationship is a major interest to the hospital due to profitability. In this paper we provide a novel approach for the call center staffing problem by incorporating the relationship between the in-bound call volume and call abandon rate with a nonlinear integer programming, rather than using the traditional queueing model. We perform numerical analyses with actual data obtained from a reservation call center in a hospital.

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A Preliminary Studty on the Efficient Management Manpower Staffing According to the Building Size -Focused on Office Buildings- (건축규모에 따른 관리인력의 효율적 배치에 관한 기초연구 -오피스 건물을 중심으로-)

  • Lee, Won-Suk;Kim, Shin-Eun;Kim, Sun-Kuk;Lee, Dong-Hoon;Won, Il-Woo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • pp.191-194
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    • 2010
  • Construction companies are now trying a variety of cost-cutting strategies in the midst of recent slump of construction market. Notably, contract workers and local hires are accounting for increasing portion of management manpower as a part of their cost-reduction drive. However, construction site manpower researches to date have focused primarily on productivity analysis of site laborers, with little attention to the productivity of site management resources. This study aims to analyze the staffing status of office building construction site management manpower in reference to project size. Conclusions herein will provide basic inputs for subsequent attempts to build a model to enable efficient staffing of construction site management manpower.

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The Impact of Nurse Staffing Level on In-hospital Death and Infection in Cancer Patients Who Received Surgery (간호사 확보수준이 수술한 암환자의 원내 사망 및 감염에 미치는 영향)

  • Kim, Myo-Gyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.408-417
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    • 2017
  • This study was conducted to examine the influence of the nurse staffing level on the level of in-hospital death and infection in cancer patients who received surgery. Secondary data were used and the subjects of this study were 24,510 patients who received surgery for six types of cancer with a high postoperative mortality rate in the first half of 2012 at 260 hospitals. Simple logistic and GEE multiple logistic regression analyses were used. After adjusting for the patient and hospital characteristics, a greater likelihood of dying was found in the nurse staffing level 2-3 group (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11) and in the level 6-7 group (OR, 3.28; 95% CI, 1.87-5.74) compared to the level 0-1 group. The likelihood of in-hospital infection increased with each additional bed per nurse, being 6.63 times higher (95% CI, 3.00-14.62) in the level 2-3 group, 5.79 times higher (95% CI, 1.88-17.78) in the level 4-5 group, and 8.4 times higher (95% CI, 1.82-38.84) in the level 6-7 group, as compared to the level 0-1 group. A lower nurse staffing level was associated with higher in-hospital death and infection levels. This shows that an appropriate nurse staffing level is associated with superior postoperative cancer patient outcomes. Policies for providing adequate nurse staffing should be maintained for the sake of ensuring improved care quality and patient safety.