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종합병원의 일반병동, 중환자실, 응급실, 수술장간호사 확보수준 관련 요인

 Nurse Staffing Level Relating Factors of the General Nursing Units, ICU, ER and OR in Acute General Hospitals

간호행정학회지 2008년 14권 4호 p.404 ~ 412
KMID : 0614820080140040404
김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학 간호학과

Abstract

Purpose: To analyse hospital nurse staffing level of the general nursing unit, ICU, ER and OR in general hospitals.

Method: The study sample was 105 acute general hospitals which had reported the bed size and number of nurses by the nursing units. Number of bed per nurse was analysed by the hospital characteristics and the staffing levels of the doctors and the nursing assistant personnels using t-test or ANOVA and Pearson’s correlation.

Results: Number of bed per nurse was 3.86 in general nursing units and 0.95 in ICU. Tertiary hospitals employed more nurses in general nursing units and ICU than general hospitals. Hospitals located in Seoul and public hospitals employed more ICU nurses. OR nurse staffing level was higher in academic hospitals. Hospital size was positively correlated with nurse staffing level of the general nursing unit, ICU, ER and OR respectively. Total nurse staffing level of the hospital was positively correlated with doctor and nursing assistant personnels staffing levels.

Conclusion : Differentiated nursing fee schedule was needed to implement in ER or OR. Regulation policy should be needed for the hospitals which violated hospital nurse staffing level of the law.
KeyWords
병원간호사확보, 병원간호단위, 정책수립
Hospital nursing staff, Hospital nursing units, Policy making
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학술진흥재단(KCI) KoreaMed