Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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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 (College of Nursing, Research Institute of Nursing Science, Seoul National University) ;
  • Song, Kyung Ja (Public Health Medical Service, Seoul National University Hospital) ;
  • Park, Ihn Sook (Department of Nursing, Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Kim, Yeon Hee (Department of Nursing, Asan Medical Center) ;
  • Kim, Mi Soon (Department of Nursing, Samsung Medical Center) ;
  • Gong, Da Hyun (Department of Nursing, Dongguk University Ilsan Medical Center) ;
  • You, Sun Ju (Department of Nursing, Mokpo National University) ;
  • Ju, Young-Su (College of Medicine, Hallym University)
  • 조성현 (서울대학교 간호대학.간호과학연구소) ;
  • 송경자 (서울대학교병원 공공보건의료사업단) ;
  • 박인숙 (서울특별시보라매병원 간호부) ;
  • 김연희 (서울아산병원 간호부) ;
  • 김미순 (삼성서울병원 간호본부) ;
  • 공다현 (동국대학교 일산병원 간호부) ;
  • 유선주 (국립목포대학교 간호학과) ;
  • 주영수 (한림대학교 의과대학)
  • Received : 2017.02.15
  • Accepted : 2017.03.20
  • Published : 2017.03.31
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Abstract

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.

Keywords

References

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