Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals / 간호학회지
Journal of Korean Academy of Nursing
;
: 1493-1499, 2005.
Artículo
en Inglés
| WPRIM
| ID: wpr-82516
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Admisión y Programación de Personal
/
Ocupación de Camas
/
Evaluación de Programas y Proyectos de Salud
/
Modelos Logísticos
/
Estudios Transversales
/
Análisis de Varianza
/
Carga de Trabajo
/
Precios de Hospital
/
Política de Salud
/
Corea (Geográfico)
Tipo de estudio:
Estudios de evaluación
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Journal of Korean Academy of Nursing
Año:
2005
Tipo del documento:
Artículo
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