• Journal of the Korean Operations Research and Management Science Society
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• v.1 no.1
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• pp.77-80
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• 1976

병원정책에 있어 병원사업활동에 동원되는 인력을 추산하고 이를 적절히 배치운영함으로서 동원된 인력의 생산성있는 능력을 유지 및 개발하기 위한 행정적 노력은 병원운영의 성공여부를 판가름하는 중요한 일이 되고 있다. 그러나 간호인력 수요에 관한 문제는 광범위하고도 복합적인 수요를 내포하고 있다. 본문에서는 간호인력수요추계에 영향을 미치는 요소분석의 필요성과 간호인력수요추정에 이용되는 지표에 대하여 논술하고저 한다.

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

• Journal of the Korean hospital association
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• v.37 no.2 s.312
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• pp.65-73
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• 2008

대한중소병원협의회는 중소병원계의 최대 현안인 간호인력난 문제를 해결하기 위해 2007년 7월에「간호인력 수급 및 간호관리료 차등제 실태 조사」를 실시했다. 이는 근거(evidence)를 바탕으로 한 정책적 건의를 하기 위한 것이었다. 중소병협은 이 조사 보고서를 복지부에 건의한 결과 (1) 일부 군 지역(소득세법시행규칙상 의료취약지역)에 한해 7등급제 적용 유보 (2) 광역시를 제외한 지역에 소재한 병원 7등급 감산율을 5%에서 2%로 하향조정 (3) 요양병원 간호관리료 산정시 AN인력 포함 등의 성과를 거두었다. 중소병협은 중소병원계의 간호인력난 문제를 보다 더 근본적으로 해결하기 위해 현재 행정소송을 준비 중에 있다. 중소병협의 이러한 노력의 하나로 이루어진 간호인력난 실태 조사 보고서(요약본)를 게재한다.

• The Journal of the Korea Contents Association
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• v.15 no.12
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• pp.285-293
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• 2015

This study was performed in order to provide better quality health care services and satisfaction, the basis for the differential rating system to be operational by identifying how to recognize and respect in hospital operating efficiently and according to the rating differential with convalescent hospital doctors and nursing staff target was. The results of this study are as follows. Rating and doctors as a result of the independent sample t-test to analyze the differences of the nursing grade, second grade doctors were able to see that higher efficiency and improve the patient's rights organization in nursing improving patient safety in two grades, improve care and patient rights this product was confirmed to be enhanced higher. Doctor and as a result of the ANOVA analysis to analyze the differences in accordance with the nursing staff level, improve patient safety, hospital finances, the hospital doctor in the first grade, Nursing grade 2, the right to improve patient education and self-development, and two doctors, nursing grade 1 in was found that high. Overall, doctors, nursing staff of higher grade, first grade and second grade is the difference between me and a different result each category future convalescent hospital doctors and nursing staff of the differential rating system 1, it is necessary to consider restructuring among a calculation based on 2 ratings there will be.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.377-384
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• 2019

This study was intended to understand the status of dysphagia related knowledge, attitude and nursing performance of nursing staff's in geriatric hospitals, to confirm the correlation among these, and to provide basic resources for dysphagia nursing intervention programs. The 220 subjects were nursing staff's who worked in geriatric hospitals located in G city and N city. For data analysis, The descriptive statistic was used to analyze the subjects' general characteristics, and dysphagia related characteristics, knowledge, attitude and nursing performance degree. For the differences of dysphagia related knowledge, attitude and nursing performance according to the subjects' general characteristics, t-test and ANOVA were used. The correlation of the subjects' knowledge, attitude and nursing performance degree was analyzed with Pearson's correlation coefficient. The score of the subjects' dysphagia related knowledge was average 14.07±2.94, the subjects' dysphagia related attitude was average 3.59±0.39, the subjects' dysphagia nursing performance was 3.10±0.43. dysphagia nursing performance had a significantly positive correlation with dysphagia related knowledge(r=0.295, p=.000) and dysphagia related attitude(r=0.392, p=.000). The above result of the study indicated positive attitude based on accurate knowledge is needed for nursing staff's in geriatric hospitals to improve nursing performance for dysphagia. When education programs for dysphagia are planned in geriatric hospitals, it is necessary to consider knowledge level and attitude simultaneously.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.104-115
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• 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
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• v.19 no.10
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• pp.501-508
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• 2021

The purpose of this study is to investigate the health belief, knowledge and performance of the infection control among nursing staffs in long term care hospital. Data from 146 nursing staff working at eight nursing hospitals in C city were collected for the period during September, 2020. Examining the infection control performance of the subjects, the general information showed that the ease of use of infection control personal protective equipment (β=-.198, p<.05), health belief (β=.124, p<.05), perceived susceptibility(β=.104, p<.05) which is a subgroup of health belief, perceived benefits(β=.111, p<.05) had an effect on infection control performance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.8
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• pp.162-170
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• 2017

This study analyzed the current situation of medium and small-sized hospital nursing staff and related policies, and identified the factors that affect staffing level to provide evidence for planning and adopting policy. By analyzing the statistical data published by public institutions such as the Ministry of Health and Welfare and Health Insurance Review and Assessment Service, the result was viewed based on the understanding of various internal and external health care environments. The number of active nurses was less than 50% of the number of licensed nurses and has decreased every year. This means that the cost-effectiveness of increases in nursing college enrollment should be reconsidered. Inpatient nursing fees by staffing grades has caused nurses to move from medium and small-sized hospitals, where there is a severe lack of staff, to more advanced general hospitals. As a result, the lack of nursing staff in medium and small-sized hospitals has worsened. In conclusion, reexamination is needed to improve effectiveness of inpatient nursing fees by staffing grades as a policy to secure the workforce of medium and small-sized hospitals. Furthermore, the tracking management system of licensed nurses must be able to solve the imbalance between demand and supply of nursing staff.

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