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김윤미 ( Kim Yun-Mi ) - 을지대학교 간호학과
이지윤 ( Lee Ji-Yun ) - 강원대학교 간호학과
강현철 ( Kang Hyun-Cheol ) - 호서대학교 정보통계학과
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Abstract
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Purpose: This study was conducted to explore the impact of registered nurse/nurses` aid (RN/NA) staffing and turnover rate on inpatienthealth outcomes in long term care hospitals.
Methods: A secondary analysis was done of national data from the Health Insurance Reviewand Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristicsin July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5patient health outcome indicators.
Results: Finding showed that, when variables of organization and community level were controlled,patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the highrisk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the lowrisk group. Turnover rate was not significant for any variable.
Conclusion: To maintain and improve patient health outcomes of ADL andpressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation ofNA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
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KeyWords
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간호사 확보수준, 간호사, 환자결과, 이직율, 장기요양
Nurse staffing, Registered nurse, Patient outcome, Turnover, Long term care
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원문 및 링크아웃 정보
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등재저널 정보
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