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Á¶Çý°æ ( Jo,Hye-Kyung ) - Chonbuk National University Hospital
¹è¼ºÈñ ( Bae Sung-Heui ) - Ewha Womans University College of Nursing
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Abstract
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Purpose: This study aimed to examine the relationship between nursing care needs and nurse staffing in pulmonology units.
Methods: This was a descriptive study that used a retrospective design. In total, 2,622 patient medical records from a tertiary hospital were analyzed. Variables were collected from Clinical Data Warehouse and Electronic Medical Records.
Results: The study found a difference in nursing care needs and nurse staffing by shift among units. In unit A (general unit), nurses were assigned according to nursing care needs and the proportion of severe patients. However, in unit B (general unit), higher nursing needs could lead to an increase in the number of patients per nurse on night duty (r=.23, p<.001). In unit C (comprehensive nursing care service unit), the number of patients per nurse during the day increased as nursing needs increased. The higher the proportion of ¡°greater than two points in nursing activities¡±, the higher the number of patients per nurse during the day (r=.13, p=.010) and evening (r=.12, p=.018). However, the higher the proportion of ¡°greater than three points in activities of daily living¡±, the lower the number of patients per nurse during the night shift (r=-.28, p<.001).
Conclusion: Patients¡¯ nursing care needs should be considered in the management of nurse staffing. We should develop a nurse staffing program that considers variation in daily nursing care needs to establish efficient staffing guidelines.
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KeyWords
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Personnel staffing, Health services needs and demand, Classification, Patient care
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