Purpose The aim was to develop guidelines for delegating nursing tasks among nurses in integrated nursing care wards. Methods This was a methodological approach. Literature reviews were conducted on delegation policies and practices for nurses in Korea and other countries to explore the area of nursing delegation. Focus group interviews were performed with nurses to identify the strength and weakness of the delegation of nursing tasks in clinical practice, and qualitative content analysis was conducted based on the interview. Ten areas and 115 items were derived through these steps, and their validity was confirmed using the Delphi technique. Results The delegation guidelines of nursing tasks consisted of nine domains, 21 sub-categories, and 101 items, including Nurses and nursing assistants' duties, the necessity of delegation, definition of terms, scope of delegation, considerations for delegation, procedure, characteristics, and principles of delegation, and educational content for delegation. Conclusion These guidelines can help nurses to make decisions about delegating nursing tasks according to the delegation procedure.
Education on the delegation of nursing tasks is necessary for both nurses and nursing assistants. The guidelines developed in this study can serve as a standard for delegating nursing tasks to ensure patient safety.
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Purpose This study aims to propose revised inpatient nursing fee schedules that address three discrepancies between actual nurse staffing levels in general wards and the corresponding patient payment structures. Methods A total of 45 tertiary hospitals, 329 general hospitals, and 1,379 hospitals from publicly released data for 2021~2022 were analyzed. This analysis focused on three primary discrepancies between (1) the staffing grades under which patients were hospitalized and the corresponding grades for which they were charged; (2) the staffing grades determined by bed-to-nurse and patient-to-nurse criteria; and (3) the current differentiation rates of nursing fees and the expected differentiation rates based on the number of nurses required for each grade. Results The first discrepancy occurred in 8.9% of tertiary hospitals, 21.0% of general hospitals, and 26.0% of hospitals. The bed-to-nurse and patient-to-nurse grades differed by 2.23 and 2.29 grades on average in general hospitals and hospitals, respectively. The current differentiation rates were higher than the expected differentiation rates. New nursing fee schedules were suggested to resolve those discrepancies. Conclusion Nursing fees should be charged to reflect the staffing levels under which patients were cared for and proportionate to the number of nurses required to provide the corresponding staffing levels.
Purpose This study is conducted in order to identify a positive psychological capital and rewards as variables in relation to the retention intention of hospital nurses.
Methods: The participants were consisted of 350 nurses with 6 months or more of total work experience in 1 senior general hospital and 2 general hospitals in Incheon and individual data were collected from July 22 to August 10. 2019. Collected data was analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Regression Analysis using IBM SPSS statistics 24.0.
Results: It was confirmed that the factors affecting the retention intention were never had any resignation impulse' in the past year (β=.11,p=.023), positive psychological capital (β=.43, p<.001), privileged rewards (β=.25, p<.001), monetary rewards (β= -.20, p=.001), and job rewards (β=-.15, p=.039) and the explanatory power of the model was 27.8%.
Conclusion: Based on the result of this study, it is suggested to develop educational and training programs whose aim is to enhance the positive psychological capital. Moreover, it will be to promote retention intention of nurses and to extend the tenure through the proper reward system that meets the duty and ability, by which nurses realize that they are rewarded.
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