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김윤희 ( Kim Yoon-Hee ) - 경희대학교 간호과학대학
이향련 ( Lee Hyang-Yeon ) - 경희대학교 간호과학대학
한상숙 ( Han Sang-Sook ) - 경희대학교 간호과학대학
신혜숙 ( Shin Hye-Sook ) - 경희대학교 간호과학대학
이명희 ( Lee Myung-Hee ) - 경희대학교 간호과학대학
김숙녕 ( Kim Sook-Neoung ) - 경희대학교 동서신의학병원
이혜진 ( Lee Hye-Jin ) - 경희대학교 동서신의학병원
김혜숙 ( Kim Hye-Sook ) - 경희의료원 보험심사과
최해선 ( Choi Hyes-Sun ) - 연세의료원 보험심사과
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Abstract
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Purpose: This study was carried out to deveop nursing costs and to substantiate the application of appropriate activity-based nursing costs for the current clinical nurse specialists.
Method: The study sample was a group of 8 home health care team of the tirtiary Hospital in Korea. The data was collected from September 2003 through December 2004. The statistical analysis was done by SPSS PC 11.0 program and calculated mean and the standard deviation. In Lee(2003)’s nursing activity analysis, nursing activities were classified into two major classification, 19 domains and 70 activities. Each activities was calculated using its work validity, physical effort, psychological effort, stress as a intensity, and the necessary time. The simple work costs was calculated the work wage per minute and the necessary time. The work load intensity was calculated using the work wage per minute and the necessary time work load intensity/100.
Results: In this study, the work wage was 283 won per minute. The work validity ranged from 2.71-4.00. The highest simple work cost/work load intensity cost was 12,735won/47,374won for research activity, 10,700won/27,499won for bedsore care, and 9,727won/35,114won for deathbed care. The lowest simple work cost/work load intensity cost was 2,123won/2,038won for intramuscular injection, 2,210won/2,166won for hypodermic injection, and 2,210won/1,547won for a application of medicine(or ointment or cream).
Conclusion: It revealed that the nursing cost should be considered validity, physical effort, psychological effort, stress as a intensity, and necessary time. Therefore, It is necessary to calculate nursing cost systematically based on activities.
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KeyWords
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전문간호사, 간호행위, 수가체계, 단순활동원가, 업무량강도원가
Clinical nurse specialist, Nursing practice, Fee schedule, Simple work costing, Work load intensity costing
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원문 및 링크아웃 정보
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등재저널 정보
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