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박정호 ( Park Jung-Ho ) - 서울대학교 간호대학
성영희 ( Sung Young-Hee ) - 성균관대학교 의과대학 삼성서울병원 임상간호학교실
박광옥 ( Park Kwang-Ok ) - 서울아산병원
김윤미 ( Kim Yun-Mi ) - 서울보건대학
남혜경 ( Nam Hye-Kyung ) - 경원대학교 간호대학
김경숙 ( Kim Kyung-Sook ) - 서울대학교 간호대학 간호학과
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Abstract
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Purpose: This study was done to suggest the standard nursing practice time carried out according to standard nursing procedure in order to determine warrantably economic value of the nursing activity on the resource-based relative value scales.
Method: Through the workshop with the clinical practice expert panel and our research team classified all of the nursing activities for the general inpatient nursing units and hemodialysis unit and selected reference nursing activities. After that standard nursing procedures were identified. Standard nursing practice times were checked through 1:1 observation with timer in 2 tertiary hospitals in Seoul.
Result: 149 nursing activities were identified and categorized into 52 similar activities(family). 48 standard nursing activities were selected according to frequency, utilization of resource, continuity of the activity, variability by performer. Also, their standard nursing procedures were identified, and finally 43 standard nursing practice times were measured and analyzed. The result of the measurement, 29 nursing activities were spent below 10 minutes, 10 activities done within 10~30 minutes and 4 activities were spent above 30 minutes.
Conclusion: Through this study, 43 standard nursing practice times which carried out according to standard nursing procedures were checked through 1:1 observation. The results can be used as fundamental data for the proper nursing activity fee schedules on the basis of resource-based relative value scales.
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KeyWords
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간호행위, 자원기준상대가치, 수가체계
Nursing practice, Resource based relative value scale, Fee schedules
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원문 및 링크아웃 정보
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등재저널 정보
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