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박미옥 ( Prk Mi-Ok ) - SMG-SNU Boramae Medical Center
양은진 ( Yang Eun-Jin ) - Seoul National University College of Nursing
이미미 ( Lee Mi-Mi ) - Seoul National University Hospital
조성현 ( Cho Sung-Hyun ) - Seoul National University College of Nursing
심미영 ( Shim Mi-Young ) - Seoul National University Hospital
이순행 ( Lee Soon-Haeng ) - Asan Medical Center Performance Improvement Unit
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Abstract
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Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients’ nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN).
Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients’ WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients’ nursing care needs were calculated.
Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48.
Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients’ nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.
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KeyWords
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간호사, 인력 배치, 간호요구도, 중환자실
Nurse, Staffing, Needs, Intensive care units
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원문 및 링크아웃 정보
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등재저널 정보
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