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ÀÌÈ¿Áø ( Lee Hyo-Jin ) -
Á¶¼ºÇö ( Cho Sung-Hyun ) - ½É¹Ì¿µ ( Shim Mi-Young ) - ±èÁ¤¿¬ ( Kim Jung-Yeon ) - ¼ÛÀ¯±æ ( Song Yu-Gil ) - ±èÁø ( Kim Jin ) - ±è¿µ»ï ( Kim Young-Sam ) -
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Abstract
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¸ñÀû: º» ¿¬±¸ÀÇ ¸ñÀûÀº »ó±ÞÁ¾ÇÕº´¿ø°ú Á¾ÇÕº´¿ø ÁßȯÀÚ½ÇÀÇ ÁßȯÀÚ½Ç °£È£°ü¸®·á Â÷µîÁ¦ µî±Þ°ú °£È£°ü¸®·á ÇöȲÀ» È®ÀÎÇÏ°í, Àü¹®°¡ÀÇ ÆÇ´Ü¿¡ ±Ù°ÅÇÑ ÁßȯÀÚ½Ç ÀûÁ¤ °£È£»ç ¹èÄ¡¼öÁØ°ú °£È£°ü¸®·á Â÷µîÁ¦ °³Á¤¾ÈÀ» Á¦¾ÈÇϱâ À§ÇÑ °ÍÀÌ´Ù.
¹æ¹ý: 2017³â¡2022³â¿¡ °ÉÃÄ ÁßȯÀÚ½Ç °£È£°ü¸®·á Â÷µîÁ¦ µî±Þ°ú ÁßȯÀÚ½Ç °£È£°ü¸®·á ÇöȲÀ» ºÐ¼®ÇÏ¿´´Ù. ÁßȯÀÚ½ÇÀÇ ½ÇÁ¦ °£È£»ç ¹èÄ¡¼öÁØ°ú ÀûÁ¤ °£È£»ç ¹èÄ¡¼öÁØÀ» È®ÀÎÇϱâ À§ÇÏ¿© 77¸íÀÇ °£È£°ü¸®ÀÚ¿Í 708¸íÀÇ ÀϹݰ£È£»ç¸¦ ´ë»óÀ¸·Î ¼³¹®À» ½ÃÇàÇÏ¿´´Ù.
°á°ú: ÁßȯÀÚ½Ç °£È£°ü¸®·á Â÷µîÁ¦ 1µî±ÞÀº »ó±ÞÁ¾ÇÕº´¿øÀº 2017³â 25.6%¿¡¼ 2022³â 92.1%·Î Áõ°¡ÇÏ¿´°í, Á¾ÇÕº´¿øÀÇ 1µî±ÞÀº 2017³â 0.8%¿¡¼ 2022³â 28.4%·Î Áõ°¡ÇÏ¿´´Ù. ÁßȯÀÚ½Ç ½ÇÁ¦ °£È£»ç ¹èÄ¡¼öÁØÀº »ó±ÞÁ¾ÇÕº´¿øÀº 1:2.21, Á¾ÇÕº´¿øÀº 1:2.77·Î ³ªÅ¸³µ´Ù. »ó±ÞÁ¾ÇÕº´¿ø ÁßȯÀÚ½ÇÀÇ ÀûÁ¤ °£È£»ç ¹èÄ¡¼öÁØÀº ÀΰøÈ£Èí±â Àû¿ëÀÌ»ó ÁßÁõµµÀÇ È¯ÀÚ´Â 1:1.00, ÀΰøÈ£Èí±â Àû¿ë ¹Ì¸¸ ÁßÁõµµÀÇ È¯ÀÚ´Â 1:2.00À̾ú°í, Á¾ÇÕº´¿øÀº °¢ 1:1.25¿Í 1:2.00À̾ú´Ù.
°á·Ð: ÁßȯÀÚ½Ç ÀûÁ¤ °£È£»ç ¹èÄ¡¼öÁØÀº 1:1.00¿¡¼ 1:2.00À¸·Î Á¦¾ÈÇÏ°í, ÁßȯÀÚ½Ç °£È£°ü¸®·á Â÷µîÁ¦ °³¼±¾ÈÀº 1µî±Þ(1:1.00)¿¡¼ 5µî±Þ(1:3.00)À¸·Î Á¦¾ÈÇÏ¿´´Ù. µî±Þ ±âÁØ°ú ¿¬°£±Ù¹«Àϼö¸¦ ÃæÁ·ÇÒ ¼ö ÀÖ´Â ÃÖ¼Ò °£È£»ç¼ö°¡ ¸¸Á·µÉ ¶§ ÁßȯÀÚ½Ç °£È£°ü¸®·á¸¦ Áö±ÞÇÒ °ÍÀ» Á¦¾ÈÇÏ¿´´Ù. ÁßȯÀÚ½Ç °£È£°ü¸®·á Â÷µîÁ¦ °³¼±¾ÈÀº ÁßȯÀÚ½Ç °£È£»ç ¹èÄ¡¼öÁØ Çâ»ó°ú °£È£±Ù¹«È¯°æ °³¼±¿¡ ±â¿©ÇÒ °ÍÀÌ´Ù.
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Purpose: This study attempted to analyze the staffing level and critical care nursing fees of intensive care unitsat tertiary and general hospitals and to provide a professional judgment-based recommendation on staffing leveland critical care nursing fee schedules.
Methods: Staffing grades and critical care nursing fee schedules for thefirst quarter of 2017~2020 and the fourth quarter of 2020~2022 were analyzed. A survey was conducted onnursing managers and nurses about the current and appropriate staffing levels. A total of 77 nurse managers and708 nurses working in Intensive Care Unit(ICU)s at tertiary and general hospitals participated in the study.
Results:Grade 1 staffing increased from 25.6% in 2017 to 92.1% in 2022 at tertiary hospitals and from 0.8% in 2017 to28.4% in 2022 at general hospitals. The current staffing ratios of tertiary and general hospitals were 1:2.21 and1:2.77, respectively. The appropriate staffing ratio according to nurse managers and nurses was 1:1.00 in patientswith more than a ventilator application and 1:2.00 in patients without any ventilator application in tertiaryhospitals, and it was 1:1.25 in patients with more than a ventilator application and 1:2.00 in patients withoutany ventilator application in general hospitals, respectively.
Conclusion: The appropriate staffing level wassuggested from 1:1.0 to 1:2.0. The new nursing fee schedules were suggested from 1:1.0 (Grade 1) to 1:3.0(Grade 5) and recommended to be paid based on the staffing grade, minimum number of nurses, and standardannual working days. It is expected to increase staffing levels and provide a better nursing work environment.
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KeyWords
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°£È£»ç, ¹èÄ¡¼öÁØ, ÁßȯÀÚ½Ç, ¼ö°¡Ã¼°è
Nurses, Staffing, Intensive Care Unit, Fee Schedules
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¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
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µîÀçÀú³Î Á¤º¸
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