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이병숙 ( Lee Byoung-Sook ) - 계명대학교 간호대학
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Abstract
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최근 의료서비스에 있어 비용과 질의 조화는 의료관리자와 전문 의료인, 나아가 의료 소비자에 이르기 까지 가장 중요한 이슈이다. 이러한 상황에서 노동집약적 서비스로서 간호의 비용과 질을 조화시키기 위해서 간호관리자들이 가장 큰 관심을 두어온 영역이 간호인력배치 시스템이다. 간호인력 공급에 있어 한국의 인구 당 간호사 수는 아직 선진국수준에 크게 못 미치고 있으나(Annual report of Health & Welfare Statics, 2002), 간호사 1인당 인구수는 꾸준히 감소되어 왔다(Annual report of Health & Welfare Statics, 2003). 그러나 한국 병원의 만성적인 간호인력 부족이 간호사들의 업무량 과중과 책임 증가를 가져와 간호사 이직의
가장 큰 원인이라는 것은 주지의 사실이다(Hwangbo, 1986; Jang, 1990; Kim, 1995; Kim, 1998; Kim & Gu, 1985; Lee, 1996; Yang, 1993). 이에 정부는 병원 간호인력의 절대적 부족으로 인해 환자간호의 질이 저하되는 것을 막기 위해 1999년 11월부터 간호인력 확보수준에 따라 간호관리료를 차등 지급 받도록 하고 있다.
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Purpose:The purpose of this study was to explore the characteristics of nursing staffing system which were affecting nursing outcomes in abdominal surgery patients and the GS nursing units.
methods:The subjects were 126 abdominal surgery patients from 3 GS nursing units of 3 general hospitals where the abdominal surgery patients were admitted. The instruments to measure the characteristics of nursing staffing systems, NOC nursing outcomes of the patients, patients’ acuity and characteristics were used for the data collection. Data were collected using review of patients’ records, observation of patients, interviews with patients for patients’ data and nursing staffing data and interviews with head nurses for data of nursing staffing systems by one rater. Data were collected from Sep. 6th, 2004 to Dec. 24th, 2004.
Results:Although the nursing staffing level was low, the scores of the nursing outcomes in the GS nursing unit of secondary hospital whose patients acuity scores were markedly lower than those of the tertiary hospitals were higher than the GS nursing units of the tertiary hospitals. The scores of the nursing outcomes in the GS nursing unit, whose level of nursing staffing, RN-nurse aids ratio were higher and had GS nurse specialists were higher than another units in the tertiary hospitals.
Conclusion:The nursing outcomes can be higher when the characteristics of nursing staffing system are fit to the characteristics of the patients and nursing units.
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KeyWords
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간호인력배치 시스템, 간호결과
Nursing staffing system, Nursing outcome
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원문 및 링크아웃 정보
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등재저널 정보
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