의료기관 및 중환자실 특성에 따른 간호사 배치수준
Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003....
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| Veröffentlicht in: | Taehan Kanho Hakhoe chi 2006, Vol.36 (5), p.691-700 |
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| container_title | Taehan Kanho Hakhoe chi |
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| creator | 조성현 황정해 김윤미 김재선 Cho Sung-Hyun Hwang Jeong-Hae Kim Yun-Mi Kim Jae-Sun |
| description | Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs. |
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Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.</description><identifier>ISSN: 1598-2874</identifier><language>kor</language><ispartof>Taehan Kanho Hakhoe chi, 2006, Vol.36 (5), p.691-700</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024</link.rule.ids></links><search><creatorcontrib>조성현</creatorcontrib><creatorcontrib>황정해</creatorcontrib><creatorcontrib>김윤미</creatorcontrib><creatorcontrib>김재선</creatorcontrib><creatorcontrib>Cho Sung-Hyun</creatorcontrib><creatorcontrib>Hwang Jeong-Hae</creatorcontrib><creatorcontrib>Kim Yun-Mi</creatorcontrib><creatorcontrib>Kim Jae-Sun</creatorcontrib><title>의료기관 및 중환자실 특성에 따른 간호사 배치수준</title><title>Taehan Kanho Hakhoe chi</title><addtitle>Journal of Korean academy of nursing</addtitle><description>Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). 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| identifier | ISSN: 1598-2874 |
| ispartof | Taehan Kanho Hakhoe chi, 2006, Vol.36 (5), p.691-700 |
| issn | 1598-2874 |
| language | kor |
| recordid | cdi_kisti_ndsl_JAKO200634718407247 |
| source | Alma/SFX Local Collection |
| title | 의료기관 및 중환자실 특성에 따른 간호사 배치수준 |
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