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이정모 ( Lee Jeong-Mo ) - National Health Insurance Service Ilsan Hospital Department of Internal Medicine Division of Pulmonology
이광옥 ( Lee Kwang-Ok ) - Sangmyung University Department of Nursing
홍정화 ( Hong Jung-Hwa ) - National Health Insurance Service Ilsan Hospital Research and Analysis Team
박현희 ( Park Hyun-Hee ) - National Health Insurance Service Ilsan Hospital Operation Nursing
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Abstract
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Purpose: The purpose of this study was to assess the influence of nurses staffing level on patient health outcomes inintensive care units (ICUs) in Korea.
Methods: The study was retrospective in nature. Information on patients and theiroutcomes, as well as nurse cohort data, were obtained from Korea's National Health Insurance Service Database. Theobservation period was from January 1, 2008 to December 31, 2018, and data for 2,964,991 patients were analyzed.
Independent variables included patient' age and sex and hospital type, intensivist, and nurses staffing level.
Results: Themortality rate in ICUs was significantly higher at tertiary hospitals with a level 3~4 (HR, 1.21; 95% confidence interval,1.19~1.22) or level 5~9 nurse staffing (HR, 1.31; 95% confidence interval, 1.27~1.34) compare to that of tertiary hospitalswith a 1~2 level. 28-day mortality rate was also higher at general hospitals with a level 3~4 (HR, 1.13; 95% confidenceinterval, 1.12~1.14), level 5~6 (HR. 1.34; 95% confidence interval, 1.32~1.36), level 7~9 nurse staffing (HR, 1.38; 95%confidence interval, 1.38~1.42), using level 1~2 as reference.
Conclusion: Nurses staffing level is a key determinant ofhealthcare-associated mortality in critically ICUs patients. Policies to achieve adequate nurse staffing levels are thereforerequired to enhance patient outcomes.
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KeyWords
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Nurses, Staffing, Intensive care unit, Mortality, Hospitals
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원문 및 링크아웃 정보
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등재저널 정보
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