Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Comparison of Nursing Activity Time According to the Change in Grade of Nursing Management Fee in One University Hospital

일개 대학병원의 간호관리료 등급변화에 따른 간호사의 간호활동시간 비교

  • Received : 2010.01.30
  • Accepted : 2010.02.25
  • Published : 2010.04.30
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Abstract

Purpose: The purpose of this study was to examine the difference between direct and indirect nursing activity times according to the grade of nursing management fee. Methods: The subjects of this study were 324 working nurses at the time of 3rd grade and 319 working nurses at the 2nd grade of nursing management fee in one university hospital. Nursing activity time was measured in April and May, and in September and October of 2008 for comparison. The data were analyzed by SPSS win using frequency and t-test. Results: Direct nursing care activity time per one patient was significantly higher at 2nd grade than 3rd grade in day shift (t=-2.55, p=.012). Direct nursing care workload per one nurse was significantly lower at 2nd grade than 3rd grade in evening shift (t=2.21, p=.030), whereas indirect nursing care workload was lower at 2nd level in night shift (t=2.43 p=.016). Conclusion: The findings from this study showed that higher nurse-to-patient ratio can provide greater amount of direct nursing care activity for the patient. Also, it decreased workload of nurses. The higher nurse-to-patient ratio will be beneficial for promoting quality of nursing care as well as decreasing nurse's heavy workload.

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References

  1. 강경화(1999). 활동기준원가계산(ABC)을 이용한 간호활동 분석및 간호서비스 원가 분석-일 산부인과 간호단위를 중심으로-. 간호행정학회지, 5(2), 389-400.
  2. 강명자, 김정화, 김영실, 박형숙, 이해정(2001). 환자 분류도구 전산 개발: 간호활동 중심으로. 간호행정학회지, 7(1),15-23.
  3. 고유경, 김병진(2008). 일반병동 간호인력 확보수준과 간호업무성과 분석. 간호행정학회지, 14(4), 413-420.
  4. 김명애(2007). 간호관리료 차등제 주요 개정 내용 및 기대 효과. 대한간호, 46(1), 42-45.
  5. 김보열, 박성애(1999). 간호업무 수행에 대한 자가 및 상급자평가가 직무 모티베이션과 간호업무 성과에 미치는 영향. 간호학논문집, 13(1), 39-56.
  6. 김종경, 박성애(2003). 간호등급별 병원 간호사 직무만족 조사. 간호행정학회지, 9(4), 529-539.
  7. 김혜련(2004). 일 대학병원의 처방전달시스템 도입 전.후 간호업무량의 변화 비교. 인제대학교 석사학위논문, 부산.
  8. 박성희 (2003). 입원환자 간호관리료 차등제에 따른 직접간호활동 및 환자결과 비교. 대한간호학회지, 33(1), 122-129.
  9. 박정호(1988). 한국형 진단명 기준 환자군(K-DRG) 분류를 이용한 입원환자의 간호원가 산정에 관한연구. 이화여자대학교 박사학위논문, 서울.
  10. 박정호, 송미숙(1990). 종합병원에 입원한 환자의 간호원가 산정에 관한 연구. 간호학회지, 20(1), 16-37.
  11. 보건복지부(2006). 보건복지통계연보. 서울: 저자.
  12. 송경화(1992). 간호사의 간호활동시간에 따른 적정 간호인력추정에 관한 연구. 고려대학교 석사학위논문, 서울.
  13. 송영선(1983). 환자분류체계에 의한 병원 간호인력의 적정 수요 측정. 이화여자대학교 박사학위논문, 서울.
  14. 양태영(2002). 일 대학병원 내과병동 초번간호사의 간호업무활동분석. 인제대학교 석사학위논문, 부산.
  15. 이윤신, 박정호(1992). 간호업무량 측정 및 간호인력 수요산정. 간호학회지, 22(4), 589-603.
  16. 이정숙, 김현숙, 곽미정, 박희정, 김연수, 이윤원 등(2003). 일개 3차 의료기관 중환자실의 간호업무량 측정 및 적정 간호인력 수요산정. 임상간호연구, 8(2), 61-75.
  17. 임상간호사회 복지위원회(1992). 환자분류제도에 기초한 적정 간호인력산정. 대한간호, 31(3), 88-103.
  18. 장희연(2007). 간호인력 확보수준에 따른 입원환자 간호관리료차등제의 실시 전후 간호인력 수준의 변화. 연세대학교석사학위논문, 서울.
  19. 전은경(2000). 신생아중환자실 간호사의 간호업무량 분석. 간호행정학회지, 6(1), 55-81.
  20. Al-Kandari, F., & Thomas, D. (2009). Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. Journal of Clinical Nursing, 18(4), 581-590. https://doi.org/10.1111/j.1365-2702.2008.02369.x
  21. Cho, S. H., June, K. J., Kim, Y. M., Cho, Y. A., Yoo, C. S., Yun, S. C., et al. (2009). Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. Journal of Clinical Nursing, 18(12), 1729-1737. https://doi.org/10.1111/j.1365-2702.2008.02721.x
  22. Greenglass, E. R., Burke, R. J., & Moore, K. A. (2003). Reactions to increased workload: Effects on professional efficacy of nurses. Applied Psychology, 52(4), 580-597. https://doi.org/10.1111/1464-0597.00152
  23. Hugonnet, S., Villaveces, A., & Pittet, D. (2007). Nurse staffing level and nosocomial infections: Empirical evaluation of the case-crossover and case-time-control designs. American Journal of Epidemiology, 165(11), 1321-1327. https://doi.org/10.1093/aje/kwm041
  24. Huston, C. J. (1999). Outcomes measurement in health care: New imperatives for professional nursing practice. Nursing Case Management, 4(4), 188-195.
  25. Rothberg, M. B., Abraham, I., Lindenauer, P. K., & Rose, D. N. (2005). Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care, 43(8), 785-791. https://doi.org/10.1097/01.mlr.0000170408.35854.fa
  26. Schubert, M., Glass, T. R., Clarke, S. P., Aiken, L. H., Schaffert-Witvliet, B., Sloane, D. M., et al. (2008). Rationing of nursing care and its relationship to patient outcomes: The Swiss extension of the international hospital outcomes study. International Journal for Quality in Health Care, 20(4), 227-237. https://doi.org/10.1093/intqhc/mzn017
  27. Shamliyan, T. A., Kane, R. L., Mueller, C., Duval, S., & Wilt, T. J. (2009). Cost savings associated with increased RN staffing in acute care hospitals: Simulation exercise. Nursing Economics, 27(5), 302-314.
  28. Sheward, L., Hunt, J., Hagen, S., Macleod, M., & Ball, J. (2005). The relationship between UK hospital nurse staffing and emotional exhaustion and job dissatisfaction. Journal of Nursing Management, 13(1), 51-60. https://doi.org/10.1111/j.1365-2834.2004.00460.x
  29. Virtanen, M., Kurvinen, T., Terho, K., Oksanen, T., Peltonen, R., Vahtera, J., et al. (2009). Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Medical Care, 47(3), 310-318. https://doi.org/10.1097/MLR.0b013e3181893c64
  30. West, E., Mays, N., Rafferty, A. M., Rowan, K., & Sanderson, C. (2009). Nursing resources and patient outcomes in intensive care: A systematic review of the literature. International Journal of Nursing Studies, 46(7), 993-1011. https://doi.org/10.1016/j.ijnurstu.2007.07.011