Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals / 간호학회지
Journal of Korean Academy of Nursing
; : 1493-1499, 2005.
Article
在 En
| WPRIM
| ID: wpr-82516
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services.PURPOSE:
To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics.METHODS:
A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals.RESULTS:
None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing.CONCLUSIONS:
The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.Key words
全文:
1
索引:
WPRIM
主要主题:
Personnel Staffing and Scheduling
/
Bed Occupancy
/
Program Evaluation
/
Logistic Models
/
Cross-Sectional Studies
/
Analysis of Variance
/
Workload
/
Hospital Charges
/
Health Policy
/
Korea
研究类型:
Evaluation_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
限制:
Humans
国家/地区名称主题:
Asia
语言:
En
期刊:
Journal of Korean Academy of Nursing
年:
2005
类型:
Article