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논문 기본 정보

자료유형
학술저널
저자정보
김진현 (서울대학교) 김성재 (서울대학교) 박진희 (서울대학교) 박은태 (서울대학교) 정수용 (서울대학교) 이은희 (한림대학교)
저널정보
한국간호행정학회 간호행정학회지 간호행정학회지 제24권 제4호
발행연도
2018.9
수록면
288 - 297 (10page)

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Purpose: This study was done to evaluate the adequacy of nurse staffing in integrated nursing care. Methods: Statistical data on integrated nursing care from the National Health Insurance Corporation was used in this study. We extracted hospital data and patient data related to patient needs for nursing care. We analyzed the differences in patient needs by staffing level of each type of medical institution. Results: Approximately 70% of medical institutions provided nursing care by the mid level of nurse staffing, which was 1:6, 1:10 and 1:12 in the tertiary hospital, general hospital and semi-hospital, respectively. The patients’ characteristics were significantly different by hospital type. Especially, the distribution of the main diagnosis was completely different between the tertiary hospital and semi-hospital. In the tertiary hospital, the patient needs measured by severity and activities of daily living dependency were higher at higher staffing level than at lower staffing level. However, the nurse staffing was less relevant to the patient needs in the general hospital and semi-hospital. Conclusion: To provide high-quality nursing care, accurate workload forecasting is required at the start, and then the standard nurse staffing level can established based on workload forecasting.

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