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김문실 ( Kim Moon-Sil ) - 이화여자대학교 간호과학대학
성영희 ( Sung Young-Hee ) - 삼성서울병원 간호부
권경자 ( Kwon Kyoung-Ja ) - 이화여자대학교 대학원 간호과학과
신덕신 ( Shin Duck-Shin ) - 한양대학교 의과대학 간호학과
김정아 ( Kim Jung-A ) - 한양대학교 의과대학 간호학과
유인자 ( Yoo In-Ja ) - 가톨릭대학교 강남성모병원
이현숙 ( Lee Hyun-Sook ) - 분당서울대학교병원 간호부
김도형 ( Kim Do-Hyoung ) - (주)시스테믹스
유재국 ( Yoo Jeak-Guk ) - 아주대학교
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Abstract
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Purpose: The purpose of the study was to forecast manpower by building the nursing manpower-staffing model(surgical-medical nursing unite).
Method: The system dynamics approach was adapted to build a simulation model for calculating medical-surgical nursing manpower-staffing. The model was built up on Vensim 5.0b DSS.
Result: The results in the basic circumstance are in following. The level of nursing service quality, patient satisfaction, and nurse job satisfaction maintains higher at medical-surgical nursing unit of the tertiary hospitals with the ratio of bed to nurse 2.5:1-3.0:1 than at any other situations. The level of nursing service quality, patient satisfaction, and nurse job satisfaction maintains higher at medical nursing unit of the secondary hospitals with the ratio of bed to nurse 3.0:1 and at surgical nursing unit of the secondary hospitals with the ratio of bed to nurse 3.0:1-3.5:1 than at any other situations in the fundamental form. The results in the simulation circumstance are in following, As author raises the operating rate of bed into 95-100%, and cut skilled nursing staff down, the level of nursing-service quality, patient satisfaction, and nurse job satisfaction drops slightly.
Conclusion: In terms of economic efficiency on tertiary hospitals, the ratio of bed to nurse for the best reasonable medical-surgical nursing manpower-staffing is 3.0:1. In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable medical nursing manpower-staffing is 3.0:1 and surgical nursing manpower-staffing is 3.5:1
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KeyWords
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내과 간호인력, 외과 간호인력, 시스템 다이내믹스
Medical Nursing Manpower, Surgical Nursing Manpower, System Dynamics
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원문 및 링크아웃 정보
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등재저널 정보
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