임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제23권1호
  • /
  • Pages.64-72
  • /
  • 2017
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

의료기관의 일반병동, 성인 중환자실, 신생아 중환자실의 간호등급 변화

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

  • 홍경진 (서울대학교 간호대학) ;
  • 조성현 (서울대학교 간호대학.간호과학연구소)
  • Hong, Kyung Jin (College of Nursing, Seoul National University) ;
  • Cho, Sung-Hyun (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2017.01.31
  • 심사 : 2017.02.16
  • 발행 : 2017.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patientmortality, nurse burnout, and job dissatisfaction. The Journal of the American Medical Association. 2002;288(16):1987-1993. http://dx.doi.org/10.1001/jama.288.16.1987
  2. Cho SH, Ketefian S, Barkauskas VH, Smith DG. The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nursing Research. 2003;52(2):71-79. https://doi.org/10.1097/00006199-200303000-00003
  3. Kim Y, Cho SH, June KJ, Shin SA, Kim J. Effects of hospital nurse staffing on in hospital mortality, pneumonia, sepsis, and urinary tract infection in surgical patients. Journal of Korean Academy of Nursing. 2012;42(5):719-729. http://dx.doi.org/10.4040/jkan.2012.42.5.719
  4. Organisation for Economic Co-operation and Development. OECD health data [Internet]. France: Organisation for Economic Co-operation and Development. 2016 [cited 2016 December 30]. Available from: http://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_STAT#.
  5. Cho SH, Lee JY, June KJ, Hong KJ, Kim Y. Nurse staffing levels and proportion of hospitals and clinics meeting the legal standard for nurse staffing for 1996-2013. Journal of Korean Academy of Nursing Administration. 2016;22(3):209-219. http://dx.doi.org/10.11111/jkana.2016.22.3.209
  6. Ministry of Health and Welfare. Medical service act [Internet]. Sejong: Ministry of Health and Welfare; 2017[cited 2017 January 16]. Available from: http://www.mohw.go.kr/front_new/jb/sjb0406ls.jsp?PAR_MENU_ID=03&MENU_ID=030406.
  7. Yun SG, Park JY, Kim KH, Han CH. Evaluation on the performance of nursing in according to the nursing grade of hospitals. Korean Journal of Hospital Management. 2010;15(3):1-16.
  8. Cho SJ, Lee HJ, Oh JY, Kim JH. Inpatient outcomes by nurse staffing grade in Korea. Korean Journal of Health Policy and Administration. 2011;21(2):195-212. http://dx.doi.org/10.4332/KJHPA.2011.21.2.195
  9. Cho SH, Yun SC. Bed-to-nurse ratios, provision of basic nursing care, and in-hospital and 30-day mortality among acute stroke patients admitted to an intensive care unit: cross-sectional analysis of survey and administrative data. International Journal of Nursing Studies. 2009;46(8):1092-1101. http://dx.doi.org/10.1016/j.ijnurstu.2009.02.001
  10. Cho SH, June KJ, Kim YM, Park BH. Changes in hospital nurse staffing after implementing differentiated inpatient nursing fees by staffing grades. Journal of Korean Academy of Nursing Administration. 2008;14(2):167-175.
  11. Kim YM, Kim J, June KJ, Ham EO. Changing trend in grade of nursingmanagement fee by hospital characteristics: 2008-2010. Journal of Korean Clinical Nursing Research. 2010;16(3):99-109.
  12. Statistics Korea. Medical care institutions [Internet]. Daejeon: Statistics Korea; 2017[cited 2017 January 16]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont.
  13. Park JO, Kim HY, Roh GS, Roh YD, Park MB, So JE, et al. Comparison of nursing activity time according to the change in grade of nursing management fee in one university hospital. Journal of Korean Clinical Nursing Research. 2010;16(1):95-105.
  14. Hugonnet S, Chevrolet JC, Pittet D. The effect ofworkload on infection risk in critically ill patients. Critical Care Medicine. 2007;35(1):76-81. http://dx.doi.org/10.1097/01.CCM.0000251125.08629.3F
  15. National LawInformation Center. NationalHealth Insurance Act [Internet]. Sejong: National Law Information Center; 2017[cited 2017 January 16]. Available from: http://law.go.kr/lsInfoP.do?lsiSeq=84529&ancYd=20080318&ancNo=00005&efYd=20080401&nwJoYnInfo=N&efGubun=Y&chrClsCd=010202#0000.
  16. National LawInformation Center. Medical ServiceAct [Internet]. Sejong: National Law Information Center; 2017 [cited 2017 January 16]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=86777&ancYd=20080411&ancNo=00011&efYd=20080411&nwJoYnInfo=N&efGubun=Y&chrClsCd=010202#0000.
  17. Choi HM, Han NK, Lee SK, Kim HS, Choi S, Chung W. Study on factors associated with the rise in grade of nursing management fee among Korean hospitals. Health Policy and Management. 2015;25(1):40-52. http://dx.doi.org/10.4332/KJHPA.2015.25.1.40
  18. Shin YS, Hwang DK, Kim SW, Park GR. The study for improving differentiated inpatient nursing fees by staffing grades. Sejong city, Korea Institute for Health and Social Affairs, 2015 December. Report No.: G000CU1-2015-200.
  19. Cho SH, Lee JY, Mark BA, Lee HY. Geographical imbalances: Migration patterns of new graduate nurses and factors related to working in non-metropolitan hospitals. Journal of Korean Academy of Nursing. 2012;42(7):1019-1026. https://doi.org/10.4040/jkan.2012.42.7.1019