Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals / 간호학회지
Journal of Korean Academy of Nursing
;
: 1493-1499, 2005.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Affectation du personnel et organisation du temps de travail
/
Taux d'occupation des lits
/
Évaluation de programme
/
Modèles logistiques
/
Études transversales
/
Analyse de variance
/
Charge de travail
/
Frais hospitaliers
/
Politique de santé
/
Corée
Type d'étude:
Études d'évaluation
/
Étude observationnelle
/
Étude de prévalence
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Journal of Korean Academy of Nursing
Année:
2005
Type:
Article
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