Purpose To explore the relationship between nursing care needs and acuity based on the Korean Patient Classification System for Critical Care Nurses (KPCSC) and APACHE II, and to identify their prognostic value in predicting mortality. Methods A total of 617 patients admitted to a surgical intensive care unit in a tertiary hospital from January 1 to June 30, 2021 were included. The correlation between KPCSC and APACHE II scores, and their predictive power regarding mortality were examined. Results KPCSC and APACHE II scores showed a significant, positive correlation (r=.32, p<.001). The KPCSC score was significantly correlated with 10 out of 11 KPCSC categories and 2 out of 3 APACHE II domains, whereas the APACHE II score had a significant correlation with all APACHE II domains and only 4 out of 11 KPCSC categories. Both KPCSC and APACHE II demonstrated moderate discriminatory performance in predicting ICU and in-hospital death, and their AUC values were not significantly different. Conclusion KPCSC, reflecting the severity of illness, predicted mortality as well as APACHE II. However, KPCSC was found to consider factors other than severity, such as patient dependency, which substantiates its value as an assessment tool for nursing care needs.
Citations
Citations to this article as recorded by
Comparisons of nursing hours and nurse-to-patient ratios required for patients with mechanical ventilation, CRRT, and ECMO in intensive care units: A cross-sectional study Sung-Hyun Cho, Shin-Ae Kim, Eunhye Kim Intensive and Critical Care Nursing.2025; 89: 103982. CrossRef
Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020 U Ri Go, Sung-Hyun Cho Journal of Korean Critical Care Nursing.2024; 17(2): 25. CrossRef
Purpose To examine the characteristics, core variables, and their correlations in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) from 2012-2021 and suggest future directions for nursing management research. Methods A total of 506 articles were analyzed according to study design, participants and setting, statistical methods, keywords, and core concepts and variables. Results Quantitative research accounted for 73.5%, and most participants were staff nurses (66.8%) and nursing students (9.1%). Furthermore, 318 studies (62.8%) conducted surveys, and settings were mainly acute hospitals(81.5%) and nursing schools (9.7%). Statistical methods for data analysis included independent t-test (81.2%), one-way ANOVA (77.2%), Pearson correlation coefficients (77.2%), post-hoc testing (74.3%), and linear regression(65.9%). Among 2,058 keywords, the most frequent were “nurses” (49.2%), “job satisfaction” (10.7%), and “personnel turnover” (9.1%). The most frequently core concepts were job satisfaction (10.5%), turnover intention(9.5%), organizational commitment (8.5%), and job stress (7.5%). The most frequently variables with significant correlations were turnover intention, work environment, job satisfaction, job stress, burnout, and emotional labor. Conclusion Most JKANA studies examined nursing-related outcomes and performance. Future research should examine the effects of nursing practice and policy on patient outcomes.
Purpose To develop a web-based solution for patient need-driven staffing (PNDS) that automatically determines nurses’ staffing requirements.
Methods: Activities provided by nurses in four integrated nursing care wards (INCWs) and non-INCWs each in a tertiary hospital were observed over three days. Nursing hours per patient hour (NHPPH) were calculated by dividing nursing hours by patient stay hours per day. Patient needs were evaluated using 19 items.
Results: The nurse-patient ratios in INCWs and non-INCWs were 1:4.5 and 1:8.1 (including overtime), respectively. Admitted and transferred-in patients had higher NHPPHs than those with continuing stays. The patients were classified into five groups: Group A for admissions and transfers-in, and Groups 1~4 for the remainder. In INCWs, the nurse-patient ratios ranged from 1:5.3 (Group 1) to 1:2.4 (Group 4), and Group A required 1:3.0, the secondhighest level. In non-INCWs, ratios ranged from 1:9.4 (Group 1) to 1:5.2 (Group 4 and Group A). The PNDS solution was developed to determine staffing requirements by classifying patients into five groups using the entered data on patient needs, assigning the group’s NHPPH to each patient, and calculating the staffing ratio required in the unit.
Conclusion: The PNDS is expected to support staffing decisions to meet patient needs.
Citations
Citations to this article as recorded by
Comparisons of nursing hours and nurse-to-patient ratios required for patients with mechanical ventilation, CRRT, and ECMO in intensive care units: A cross-sectional study Sung-Hyun Cho, Shin-Ae Kim, Eunhye Kim Intensive and Critical Care Nursing.2025; 89: 103982. CrossRef
Comparison of Nurse Work Hours and Nursing Activities Between High‐ and Low‐Staffed General Wards: A Cross‐Sectional Study Jiyeong Seong, Sung‐Hyun Cho, Hyo‐Jeong Yoon, Won‐Hee Sim, Moon‐Sook Kim Nursing Open.2024;[Epub] CrossRef
Trajectories of nursing hours over the course of hospitalization and estimated additional nurse staffing requirements to reduce the length of stay Shin‐Ae Kim, Sung‐Hyun Cho Journal of Nursing Scholarship.2024; 56(5): 694. CrossRef
Recommending Revised Inpatient Nursing Fee Schedules Based on Actual Nurse Staffing Levels in General Wards Sung-Hyun Cho, Jinhyun Kim, Jiyeong Seong, Ji-Yun Lee Journal of Korean Academy of Nursing Administration.2023; 29(5): 540. CrossRef
PURPOSE The purpose of this study was to explore and analyze the latest trends in domestic research related to integrated nursing care service and to present a practical direction for future research. METHODS This study was focused on domestic nursing research related to integrated nursing care service as published in journals until March 20, 2019. After reviewing the quality of the papers, 34 papers were finally selected for analysis. In order to analyze the overall trends, the analysis was reviewed by year, source, research design, and subjects, and content analysis was used to identify trends by topic. RESULTS From the content analysis, the top categories were divided into nurses' view and patients' view, with both nurses' view and patients' view for the subcategories of ‘input’, ‘process’ and ‘output’ respectively. From both the nurse and patient view, the sub-category ‘input’ included ‘service environment’, ‘process’ and ‘service throughput’ and for the ‘output’ subcategory, three subjects, ‘performance’, ‘service-related perception change’ and ‘social psychological change’ were derived from the nurses' view, and two subjects ‘performance’ and ‘service-related perception change’ were derived from the patients' view. CONCLUSION In order for future studies to provide practical basic data for stable settlement and improvement of integrated nursing care service, it is necessary to develop and study various aspects without bias, and in a balanced and integrated manner.
Citations
Citations to this article as recorded by
Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses Anyeong Kim, Duckhee Chae JONA: The Journal of Nursing Administration.2025; 55(5): 267. CrossRef
Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System Hye Jin Kim, Eunjoo Lee Journal of Korean Academy of Nursing Administration.2025; 31(2): 143. CrossRef
Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes Sung-Heui Bae Journal of Nursing Care Quality.2025;[Epub] CrossRef
Relationship between nurses’ critical thinking disposition and patient safety incident reporting: The mediating role of patient safety culture in a comprehensive nursing service ward Nam-Yi Kim, Sung-Jung Kwak, Ayman Mohamed El-Ashry PLOS ONE.2024; 19(12): e0315679. CrossRef
Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang Journal of Korean Academy of Nursing Administration.2021; 27(5): 323. CrossRef
Evaluating the Correlation Between Nursing Practice and Electronic Nursing Records Using Importance-Performance Analysis Hyunbong Park, Soyoung Yu, Seon Heui Lee CIN: Computers, Informatics, Nursing.2021; 39(9): 492. CrossRef
Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach Purum Kang, Jiwon Kang Journal of Korean Academy of Nursing Administration.2021; 27(3): 149. CrossRef
PURPOSE This study was designed to examine existing research on service marketing in nursing and identify the results by analyzing research trends in medical and nursing service marketing over the last 15 years. METHODS Electronic databases were searched, including RISS, Korea Citation Index. The papers were classified by criteria, focusing on research topics, research design and statistical analysis method. RESULTS From 2002 to 2016, 221 research articles on medical or nursing service marketing were published in local academic journals. Most of the articles were about service quality and satisfaction. Generally questionnaire surveys were used. There were 34 papers related to nursing service marketing. Most of them were about satisfaction and had used a questionnaire survey. CONCLUSION Further research needs to be done with nursing service marketing topics including a variety of themes such as personal services and customer behaviors.
Citations
Citations to this article as recorded by
Analysis of the Relationship between the Psychological Well-Being, Emotional Intelligence, Willpower, and Job-Efficacy of Clinical Nurses: A Structural Model Application Jin-Hwa Lee, In-Ok Sim International Journal of Environmental Research and Public Health.2021; 18(11): 5582. CrossRef
Work Performance, Anger Management Ability, Resiliece, and Self Compassion of Clinical Nurses Young Ae Kim, Kuem Sun Han Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(2): 110. CrossRef
Relevance between Marketing Route of Social Media and Consumer Age Group for Choosing Dental Clinics Shin-Young Lee, Mi-Gyeong Kwak, Mi-Jeong Kim, Jung-Hwa Song, Young-Ju Lee, Hye-Ju Hong, Sang-Hwan Oh Journal of Dental Hygiene Science.2021; 21(4): 260. CrossRef
Effects of ego-resilience, nursing professionalism and empathy on clinical competency of general hospital nurses Suhyun Kim, Heeok Park The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 101. CrossRef
The Analysis of Trends in Domestic Nursing Research on Integrated Nursing Care Service Hyun Ju Choi Journal of Korean Academy of Nursing Administration.2019; 25(5): 510. CrossRef
PURPOSE This study was done to evaluate the adequacy of nurse staffing in integrated nursing care. METHODS Statistical data on integrated nursing care from the National Health Insurance Corporation was used in this study. We extracted hospital data and patient data related to patient needs for nursing care. We analyzed the differences in patient needs by staffing level of each type of medical institution. RESULTS Approximately 70% of medical institutions provided nursing care by the mid level of nurse staffing, which was 1:6, 1:10 and 1:12 in the tertiary hospital, general hospital and semi-hospital, respectively. The patients' characteristics were significantly different by hospital type. Especially, the distribution of the main diagnosis was completely different between the tertiary hospital and semi-hospital. In the tertiary hospital, the patient needs measured by severity and activities of daily living dependency were higher at higher staffing level than at lower staffing level. However, the nurse staffing was less relevant to the patient needs in the general hospital and semi-hospital. CONCLUSION To provide high-quality nursing care, accurate workload forecasting is required at the start, and then the standard nurse staffing level can established based on workload forecasting.
Citations
Citations to this article as recorded by
Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System Hye Jin Kim, Eunjoo Lee Journal of Korean Academy of Nursing Administration.2025; 31(2): 143. CrossRef
A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services Hyunjeong Kwon, Jinhyun Kim Nursing & Health Sciences.2024;[Epub] CrossRef
Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020 U Ri Go, Sung-Hyun Cho Journal of Korean Critical Care Nursing.2024; 17(2): 25. CrossRef
Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database Young Shin Cho, Jiwon Hong Journal of Korean Critical Care Nursing.2024; 17(3): 76. CrossRef
Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study Hee-Sun Choi, Young Shin Cho Korean Journal of Adult Nursing.2023; 35(3): 234. CrossRef
Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study Yukyung Ko, Bohyun Park Nursing Open.2023; 10(6): 3982. CrossRef
Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song Journal of Korean Academy of Nursing Administration.2022; 28(2): 131. CrossRef
Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study Jinseon Yi, Jinhyun Kim Journal of Nursing Management.2022; 30(7): 3457. CrossRef
Influences of Emotional Labor and Work-Life Balance on Organizational Commitment among Nurses in Comprehensive Nursing Care Service Wards Young-Yi Yoon, Hye-Young Jang Journal of Korean Academy of Nursing Administration.2022; 28(2): 100. CrossRef
An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park Journal of Korean Academy of Nursing.2022; 52(4): 391. CrossRef
Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals Ju-Young Park, Jee-In Hwang Journal of Korean Academy of Nursing.2021; 51(1): 27. CrossRef
The Relationship between Nursing Care Needs and Nurse Staffing in Pulmonology Nursing Units Hye-Kyung Jo, Sung-Heui Bae Korean Journal of Adult Nursing.2021; 33(3): 236. CrossRef
Outcomes sensitive to critical care nurse staffing levels: A systematic review Pamela J.L. Rae, Susie Pearce, P. Jane Greaves, Chiara Dall'Ora, Peter Griffiths, Ruth Endacott Intensive and Critical Care Nursing.2021; 67: 103110. CrossRef
Factors Associated with the Utilization of Comprehensive Nursing Services in Hospitals among Elderly Inpatients after Surgery Dasom Son, Heejung Kim Journal of Korean Gerontological Nursing.2020; 22(4): 358. CrossRef
Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals Mi Ryeong Song, Su Hyang Ryu Journal of Korean Academy of Nursing Administration.2020; 26(4): 419. CrossRef
Korean nurses' participation in health care policy reform: A phenomenological study NamKyung Han Journal of Nursing Management.2020;[Epub] CrossRef
Effects of structural empowerment and professional governance on autonomy and job satisfaction of the Korean nurses Sujin Choi, Miyoung Kim Journal of Nursing Management.2019; 27(8): 1664. CrossRef
PURPOSE The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. METHODS Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. RESULTS The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and ClassIV. CONCLUSION The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.
Citations
Citations to this article as recorded by
Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study Yukyung Ko, Bohyun Park Nursing Open.2023; 10(6): 3982. CrossRef
First
Prev
