Inpatient Outcomes by Nurse Staffing Grade in Korea

조수진,; 이한주,; 오주연,; 김진현,

doi:10.4332/kjhpa.2011.21.2.195

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Studies in South Korea have consistently shown that higher RN staffing levels improve the health outcomes of patients in intensive care units (ICUs) or general wards (10)(11)(12)(13)(14)(15)(16). However, to the best of my knowledge, there have been no studies in South Korea examining, not only the number of HD unit RNs, but also HD nursing experience; and only a few such studies outside South Korea.…”

Section: Introductionmentioning

confidence: 99%

Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis

Jeong

2023

Front. Health Serv.

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BackgroundThe aim of the study is to improve the policy of health authorities regarding registered nurses (RNs) staffing by understanding how the health outcomes of hemodialysis (HD) patients vary depending on the level of HD nursing experience of at least 2 years.MethodsThe study included 21,839 patients who started maintenance HD for 3 months in early 2013 in the same medical institutions. Demographic variables such as sex, age, and causes of HD; institutional variables such as type of institution and number of RNs; and health outcomes such as HD adequacy, systolic and diastolic blood pressure (SBP, DBP), hemoglobin (Hb), and serum albumin were collected through web-based questionnaires. To determine the relationship between variables, t-test, chi-square test, and ANOVA were employed. Binary logistic regression was used to examine the odds ratio.ResultsInstitutions with 100% of experienced RNs with at least 2 years of experience in HD units were found to have higher NKF K-DOQI criteria satisfaction rate than Institutions with <50% of experienced RNs with at least 2 years of experience in HD units for all health outcomes, except DBP (42.9% vs. 38.8%, p < .001) and Hb (27.8% vs. 24.4%, p < .001). Four of the six health-related variables—HD adequacy (Kt/v, urea reduction rate, URR), SBP, and serum albumin—were higher in institutions with 100% of experienced RNs than those with less than 50%.ConclusionsIn order to improve HD patients' health outcomes, HD institutions should prioritize recruiting RNs who are proficient in HD care. A higher proportion of skilled RNs results in a higher ability to prepare for emergencies and early detection of patient complications. RNs with extensive experience in HD nursing, therefore, promote quality management of HD patients.

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Section: Introductionmentioning

confidence: 99%

Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis

Jeong

2023

Front. Health Serv.

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“…, 사망률과 합 병증, 재입원율, 재원일수, 항생제 투여일수 (Cho et al, 2011;Cho & Yun, 2009;You et al, 2006)가 낮다는 연구가 있었 다. 최근 Kim, Cho, June, Shin과 Kim (2012) (Cho et al, 2011;Cho & Yun, 2009;You et al, 2006).…”

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“…최근 Kim, Cho, June, Shin과 Kim (2012) (Cho et al, 2011;Cho & Yun, 2009;You et al, 2006). 적정 간호인력 등급별 입원료와 예상 재정을 추계한다.…”

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Financial Projection of the Nursing Fee Differentiation Policy Improvement Proposal in the National Health Insurance: Using a Break-even Analysis Model for the Optimal Nursing Fee

Kim

2013

J Korean Acad Nurs Adm

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Purpose: This study was done to propose an improvement in the Nursing Fee Differentiation Policy to alleviate polarization of nursing staffing level among hospitals and to rectify the confusion of legally mandated standards between the Korean Medical Law and National Health Insurance Act. Methods: The policy regulation was reconstructed related to nurse staffing standards and nurse-to-patients ratios. Data on nurse staffing grades were obtained from database of the Health Insurance Review & Assessment Service (HIRA) for the third quarter of 2010 for 44 tertiary hospitals, 274 general hospitals, and 1,262 hospitals. A break-even analysis was used to estimate financial burden of the revised policy improvement proposal. An industrial engineering method was used to calculate Nurse-to-Patients ratios per shift. Results: Twelve tertiary hospitals were downgraded. 74 general hospitals and 102 hospitals were upgraded after application of the regulation. Finances for total hospitalization expenditures changed from -3.55% to +3.14%. Conclusion: The results indicate that the proposed policy would decrease polarization between tertiary hospitals and small hospitals, and would not put a major strain on the finances of the Korean National Health Insurance. Therefore, it is suggested that government stake-holders and many interest groups consider this policy proposal and build a consensus.

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Determinants of Registered Nurse Skill Mix & Staffing Level in Korea

Su-jin

Kim

2014

J Korean Acad Nurs Adm

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Purpose: This study was done to identify determinants of registered nurse (RN) skill mix and staffing level focused on hospital characteristics. Methods: Data were obtained from health insurance claims data and hospital reporting system in the Health Insurance Review and Assessment Service (HIRA) for the year 2010. Data from 2,998 hospitals were analysed using t-test, ANOVA, Pearson correlation, and regression analysis. Results: The RN skill mix and staffing level were positively related to hospital size and the percentage of inpatients to total patients. RN skill mix and staffing level were statistically different across regions. Including nursing aides (NA), however, there was no difference in staffing levels across regions. Medically vulnerable regions, bed operation rate, and the number of patients per doctor were also related to RN skill mix and staffing level. Conclusion: The statically significant determinants of RN skill mix and staffing level included hospital size, region, bed operation rate, percentage of inpatients, doctor-patient ratio. Further study needs to be done to investigate factors including RN supply and wages.

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Inpatient Outcomes by Nurse Staffing Grade in Korea

Cited by 6 publications

References 16 publications

Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis

Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis

Financial Projection of the Nursing Fee Differentiation Policy Improvement Proposal in the National Health Insurance: Using a Break-even Analysis Model for the Optimal Nursing Fee

Determinants of Registered Nurse Skill Mix & Staffing Level in Korea

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