• Journal of the Korean Data and Information Science Society
• /
• v.26 no.3
• /
• pp.715-727
• /
• 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.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.1
• /
• pp.104-115
• /
• 2021

The purpose of this review was to systematically assess empirical studies on the relationship between nurse staffing and patient outcomes through systematic literature review. Peer-reviewed articles published between January 2009 and December 2018 were identified in CINAHL, Pubmed, EBSCOhost, RISS, and Dbpia databases. A total of 13 articles relating to nurse staffing and patient outcomes in Korea were systematically reviewed and analyzed. The review showed that better nurse staffing aligned with better patient outcomes. However, some studies did not directly correlate patient outcomes with nurse staffing. This is because each study examined varied aspects of nurse staffing and different patient outcomes. These inconsistent study results indicate that continuous study is required. There should be continued efforts to establish guidelines and strategies for deploying nurse staff by maintaining optimal patient-to-nurse ratio.

• Journal of Digital Convergence
• /
• v.11 no.6
• /
• pp.275-287
• /
• 2013

This study aims to derive implications on current problems in the nursing manpower management in Korea through the comparison with the nursing workforce and employmentrent in the United States and Japan. There are various issues in nursing policy, such as nursing shortage, quality of the nursing service, and the increased cost of management due to the high turnover rate of nursing staffs and it is urgent to seek various policy measures to resolve this. Although nursing shortage is a commom problem in the world, the U.S. and Japan were higher rate of employment than Korea in nursing staffs, which implicates the importance of the legislation of mandatory minimum staffing ratios, the establishment of policies such as the fees and charge policy and the nursing work environments. For quality nursing care and patient safety through the stable workforce of qualified nursing staffs, administrative mechanisms that support adequate nurse staffing and promote positive work conditions are needed, for which the improvement of legal system is required.

• Journal of Korean Academy of Nursing Administration
• /
• v.20 no.1
• /
• pp.10-21
• /
• 2014

Purpose: This study was done to identify determinants of registered nurse (RN) skill mix and staffing level focused on hospital characteristics. Methods: Data were obtained from health insurance claims data and hospital reporting system in the Health Insurance Review and Assessment Service (HIRA) for the year 2010. Data from 2,998 hospitals were analysed using t-test, ANOVA, Pearson correlation, and regression analysis. Results: The RN skill mix and staffing level were positively related to hospital size and the percentage of inpatients to total patients. RN skill mix and staffing level were statistically different across regions. Including nursing aides (NA), however, there was no difference in staffing levels across regions. Medically vulnerable regions, bed operation rate, and the number of patients per doctor were also related to RN skill mix and staffing level. Conclusion: The statically significant determinants of RN skill mix and staffing level included hospital size, region, bed operation rate, percentage of inpatients, doctor-patient ratio. Further study needs to be done to investigate factors including RN supply and wages.

• The Korean Nurse
• /
• v.18 no.2 s.100
• /
• pp.57-69
• /
• 1979

오늘날 건강은 생존하는 인간이 지녀야 할 기본권리로 인정되고 있으며 국민의 복지향상이 없는 경제발전은 국제사회에서도 신망을 얻지 못하는 시대에 이르렀다. 국민의 건강수준은 그 사회전체의 문명척도를 의미하는 것이기 때문에 세계도처에서 인간의 복지향상과 인권보존을 위해 여러가지 형태로 건강사업을 추진하고 있으며 건강관리를 수행하는데 있어서 중추적 역할을 담당하는 간호의 교육은 매우 중요하게 다루어지고 있다. 1903년, 외국 선교사에 의해 간호교육기관이 설립된 이후 사회 정치적 배경에 따라 교육제도상 많은 변화를 가져왔다. 대학과정은 1950년에 개설했으나 6.25동란으로 첫번 학사 간호원은 1959년에 배출되었으며 현재 14개 대학이 있어 대학원과정도 운영하고 있다. 3년제 간호교육은 간호교육이념에 따라 1962년부터 초급대학 수준으로 승격되었고 1970년에는 교육법령이 개정되면서 전문학교로 개칭하게 되었으며 1979년 부터는 전문대학으로 개편하여 입학수준을 대학입학예비고사 합격자로 수준을 높였다. 계속 교육제도에 있어서는 석사 및 박사과정 이외에 여러가지 전문분야의 연구과정 및 실무 수련과정이 마련되어 있다. 간호교육 이념정립과 제도 개선을 위해 학계에서는 꾸준한 연구를 지속하여 정책수립에 반영했다. 지금까지의 진료중심의 간호에서 지역사회 건강중심의 간호역할로의 전환기에 있음을 인식하여 바람직한 변화가 올 수 있도록 교육목표를 설정하는 일은 매우 중요하다고 본다. 전문기관에서는 양적, 질적 간호인력 수급계획을 마련해야 할 것이며 간호원의 사회 경제적 지위향상은 물론 간호원의 역할을 법적으로 규정하여 효율적인 인력활용을 위해 계속 연구하는 일은 매우 중요한 과제라고 생각한다. 앞으로의 간호교육은 첫째, 현직 간호원의 사회 경제적 지위를 향상하고 둘째, 적성에 맞는 학생을 선발하고 셋째, 유능한 교수를 확보하는 일이라고 본다.

• The Korean Nurse
• /
• v.25 no.4 s.137
• /
• pp.62-74
• /
• 1986

한국경제 수준의 향상과 보험제도의 도입으로 병원을 찾는 대상자의 수가 증가하게 되었다. 아울러 저렴한 보험숫자가 병원슷가가 병원의 경영난을 초래하게 되므로 병원주는 이를 극복하기 위한 과학적이고 체계적인 병원관리에 관심을 갖게 되었다. 특히 간호부(과)에서도 목적 지향적인 계획과 업무수행에 관심을 갖게 되어 그 관리체계나 간호의 질이 향상하기 시작하였다. 간호의 질을 향상시키기 위한 간호관리란 그 내용이 방대하므로 본 논문에서는 수간호원의 역할에 중점을 두었다. 즉 간호의 질 향상을 위한 평가 중 소급평가로써 퇴원환자 기록지 감사, 퇴원예정환자면접 및 병실 집담회에 관한 내용과 동시 평가로써 환자 기록지 감사 및 환자 면접 내용에 관해서 논하였다. 또한 인력관리를 위해서는 간호원-환자간의 관계, 간호원-의사간의 관계, 직무평가, 업무평가 및 간호인력 활용에 관해서 미국과 한국의 차이점을 제시하였다. 결론적으로 한국의 간호관리는 병원표준화 심사실시 및 간호원의 계속적인 노력으로 많은 향상을 보았으나 아직까지는 간호업무 수행절차에 관한 평가에 불가하므로 목적 지향적인 업무체계화와 한국병원상황에 적합한 평가도구의 틀개발과 질적간호를 위한 적정간호인력의 확보에 관한 노력이 계속되져야 한다고 본다.

• The Journal of the Convergence on Culture Technology
• /
• v.7 no.2
• /
• pp.247-259
• /
• 2021

Purpose: The purpose of this study was to figure out the effect of nurse staffing in nursing home on the quality of care and quality of life of the residents, using Castle & Engberg's conceptual framework. Methods: A total of 31 studies published between 1996 and 2021 were selected from 6 databases, searched for keyword such as "Nurse staffing", "Nursing staff", "Outcome", "Quality of care", "Quality of life", "residents outcomes", "nursing home", "long-term care". By using Castle & Engberg's conceptual framework, systematic review was conducted. Results: More time provided by nursing staff, high level of licensed nurse staffing, good relationship between nursing staff and residents, and generous supervision system have a positive effect on resident outcomes. Conclusion: Establishing regulatory strategies of having mandatory Registered Nurse is needed because nurse staffing in nursing homes was related to resident outcomes. In addition, it is necessary to conduct further research about quality of life beyond quality of care for residents.

• Journal of Korean Academy of Nursing Administration
• /
• v.20 no.1
• /
• pp.95-105
• /
• 2014

Purpose: The purpose of this study was to examine trends in number of nursing staff and skill mix. Methods: Nursing staff and skill mix were measured using the number of nursing staff including nurse aids and registered nurses per bed. Descriptive and panel data regression analyses were conducted using data on long-term care hospitals which included yearly series data from 2006 to 2010 for 119 hospitals. Results: The number of nursing staff per bed increased significantly but percentage of registered nurses decreased significantly from 2007 to 2010. The regression model explained this variation as much as 34.9% and 43.8%. Conclusion: The results showed that in long-term care hospitals there were more nurse aids employed instead of registered nurses after the implemention of differentiated inpatient nursing fees. Thus clarifying the job descriptions for nurses and nurse aids is needed and appropriate hospital incentive policies should be implemented.

• Journal of Korean Academy of Nursing Administration
• /
• v.21 no.2
• /
• pp.174-183
• /
• 2015

Purpose: This study was conducted to explore the impact of nurse staffing level and oral care on pneumonia in elderly inpatients in long-term care hospitals (LTCHs). Methods: Data were obtained from the Health Insurance Review and Assessment Services (HIRA) including the profiles of LTCHs, monthly patient assessment reports and medical report survey data of pneumonia patients by HIRA in the fourth quarter of 2010. The sample consisted of 37 LTCHs and 6,593 patients. Results: Patient per nurse staff (OR=1.43, CI=1.22~1.68) and no oral care (OR=1.29, CI=1.01~1.64) were significantly related with hospital acquired pneumonia. The difference in percent of oral care by hospital was not significant between high and low group in nurse staffing level. Conclusion: In order to reduce the occurrence of pneumonia in eldery patients, effective nursing interventions are not only required but also nurse staffing levels that enable nurses to provide the intervention.

• The Journal of the Korea Contents Association
• /
• v.13 no.6
• /
• pp.370-379
• /
• 2013

In an effort to resolve the burden of patients hiring patient sitters, this study sought to review the Ministry-of-Health-and-Welfare-initiated pilot program of running hospitals without patient-sitter to identify its background, operation method, performance results, and limitations. Based on the review, the study derived the necessity of introducing a hospital system without patient-sitter as well as its operation and systemization methods. The ministry-initiated pilot programs were conducted twice: in 2007, and in 2010. A review of the 2007 pilot program revealed that the patients and families' satisfaction score with nursing services was 9.1 points (on a 10-point scale), their intention to reuse the service was 97.8%, and their intention to recommend the service was 98.0%, all high scores. Appropriate nursing manpower, derived from the 2007 pilot project, indicated 2.3 patients per nurse and 4.0 patients per nurse aid. The 2010 pilot project results indicated that the patients and families' satisfaction was high at 8.0-9.1 points (on a 10-point scale), and that the intention to reuse and recommend the service was also high. Compared with the 2007 pilot project, however, the types of medical institutions and the nurse to patient ratios were diverse, offering limitations. In conclusion, to systemize hospitals without patient-sitter, it is necessary to develop policies designed to establish criteria for the appropriate nurse to patient ratio and skill-mix, to standardize the work, to prepare finances for securing nursing staff, to evaluate the nursing demands, and to monitor the quality management.