Analysis of Psychiatric Nursing Activity and Time for Development of Nursing Cost

Abstract

Purpose: Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. Methods: In this research 'a list of psychiatric nursing activities' was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. Results: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in 'Nursing care and information management' (528.0 minutes/day, 33.6%), followed by 'communication and coordination' (209.2 minutes, 13.3%), 'safety care' (185.3 minutes, 11.8%), and 'medication' (120.9 minutes, 13.3%). Conclusion: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.

The Nursing Students' Experience of Psychiatric Practice in South Korea

“…The number of psychiatric nurses and mental health nurses is increasing in South Korea (Lee et al, 2011). Psychiatric mental health nurses do not have the right to prescribe medication; however they are responsible for planning and operating programs in mental health settings in South Korea (Im, Chang, Ko, Park, & Kim, 2012;Lee et al, 2009). The role and work of nurses and instructors in psychiatric units has an effect on whether students choose to pursue psychiatric nursing as a career (Wojtowicz et al, 2014).…”

“…In the present study, it could be known that a nurse's role that independently proceeded with an activity program had a great influence on students making a psychiatric nursing choice. However, the psychiatric nursing cost is insufficient for the task of the programs, even the nursing cost of the program task must be by the doctors' order in Korea (Im et al, 2012). In the future, if psychiatric nurses perform independent rehabilitation programs and decrease the revolving door phenomena, they can improve their social status as professional nurses and also receive nursing cost.…”

Nursing Activity, Job Stress, and Job Satisfaction of Nurses in Community Mental Health Facilities

“…In sub-areas, the score for medication and emergency care was highest at 2.0 out of 3. The job activities of mental health nurses' with the highest frequency was case management [17] and information management [18].…”

Development of Psychiatric Inpatient Classification System based on Nursing Care Needs

“…Park 등[15]이 제시한 한국표준간호행위 목록[15], KPCS-1[7], 정신간호활동에 관한 국내외 선행연구[8,[10][11][12]] 의 결과를 통합하여 12개 간호영역과 61개 활동으로 정신간호 행위목록을 개발하였다. 예비 PICS 개발 개발된 정신간호행위목록에 포함된 61개 활동은 1일 최소 수행시간 또는 빈도를 1~3개 기준으로 세분하여 61개 활동, 같이 정신간호영역에서 비교적 드물게 이 루어지는 활동의 문항 CVI는 .73으로 낮게 나타났으나 최근 복 합적 질환을 갖는 정신과 환자의 증가추세를 고려하여 정신간 호행위 목록에 포함하였다(Table 1).…”