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김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학
유선주 ( You Sun-Ju ) - 목포대학교 간호학과
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학
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Abstract
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Purpose: This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffinggrades for the period of 2009~2014.
Method: Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in1,042 hospitals using GEE logistic regression.
Results: An increase of one newly licensed nurse per 100 beds in general units had significantly lowerodds of improving staffing grades (grades 6~0 vs. 7) (odds ratio=0.95, p=.005). The supply of newly licensed nurses increased by 32% from2009 to 2014, and proportion of hospitals whose staffing grade had improved, not changed, and worsened was 19.1%, 70.1%, and 10.8% respectively.
Compared to 2009, the supply variation of newly licensed nurses in 2014 was not significantly related to the increased odds of improvingstaffing grades in the region (OR=1.02, p=.870). Conclusion: To achieve a balance in the regional supply and demand for hospital nurses, compliancewith nurse staffing legislation and revisions in the nursing fee differentiation policy are needed. Rather than relying on increasing nursesupply, retention policies for new graduate nurses are required to build and sustain competent nurse workforce in the future.
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KeyWords
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간호사, 간호대학생, 확보수준, 의료기관
Nurses, Nursing student, Staffing, Hospital
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원문 및 링크아웃 정보
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등재저널 정보
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