Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

Sung-Hyun Cho; Kyung Ja Song; Ihn Sook Park; Yeon Hee Kim; Mi Soon Kim; Da Hyun Gong; Sun Ju You; Young-Su Ju

doi:10.11111/jkana.2017.23.2.211

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Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

Sung-Hyun Cho¹, Kyung Ja Song², Ihn Sook Park³, Yeon Hee Kim⁴, Mi Soon Kim⁵, Da Hyun Gong⁶, Sun Ju You⁷, Young-Su Ju⁸

Journal of Korean Academy of Nursing Administration 2017;23(2):211-222.
Published online: March 31, 2017

DOI: https://doi.org/10.11111/jkana.2017.23.2.211

¹College of Nursing, Research Institute of Nursing Science, Seoul National University, Korea.

²Public Health Medical Service, Seoul National University Hospital, Korea.

³Department of Nursing, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Korea.

⁴Department of Nursing, Asan Medical Center, Korea.

⁵Department of Nursing, Samsung Medical Center, Korea.

⁶Department of Nursing, Dongguk University Ilsan Medical Center, Korea.

⁷Department of Nursing, Mokpo National University, Korea.

⁸College of Medicine, Hallym University, Korea.

Corresponding author: Cho, Sung-Hyun. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8821, Fax: +82-2-765-4103, sunghcho@snu.ac.kr

• Received: February 15, 2017 • Revised: March 20, 2017 • Accepted: March 20, 2017

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
Article Information
REFERENCES

Abstract

Purpose
To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers.
Methods
A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care.
Results
Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units.
Conclusion
Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.
Key Words: Integrated inpatient nursing care; Nurse; Staffing; Nursing care delivery system

Article Information

This work was supported by Hospital Nurses Association Research Fund.

REFERENCES

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Table 1

Characteristics of Nursing Units, Number of Patients per Nursing Personnel by Shift, Work Hours, and Nursing Hours per Patient Day (N=80)

Nursing personnel include registered nurses and nursing assistants.

Table 2

Results from Time & Motion Study: Nursing Care Activities and Hours Provided by Team Nurses, Family Members, and Private Caregivers

IV=Intravenous.

Table 3

Patient Classification System (PCS) Scores and Groups by Hospital Type

Table 4

Direct Nursing Care Hours Provided by Nursing Personnel, Family, and Private Caregivers, and the Relationship between Direct Nursing Care Hours and Patient Classification System (N=109)

Table 5

Nurse-to-Patient Ratios for Tertiary and General Hospitals based on Patient Classification System Scores and Opinions of Nurse Unit Mangers on Provision of Integrated Inpatient Nursing Care

^*When based on patient classification system scores, registered nurse to patient ratio and nursing assistant to patient ratio are not fixed but variable under the same nursing personnel to patient ratio.

Figure & Data

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Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

J Korean Acad Nurs Adm. 2017;23(2):211-222. Published online March 31, 2017

DOI: https://doi.org/10.11111/jkana.2017.23.2.211

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Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

J Korean Acad Nurs Adm. 2017;23(2):211-222. Published online March 31, 2017

DOI: https://doi.org/10.11111/jkana.2017.23.2.211

Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service

Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

Table 1

Characteristics of Nursing Units, Number of Patients per Nursing Personnel by Shift, Work Hours, and Nursing Hours per Patient Day (N=80)

Nursing personnel include registered nurses and nursing assistants.

Table 2

Results from Time & Motion Study: Nursing Care Activities and Hours Provided by Team Nurses, Family Members, and Private Caregivers

IV=Intravenous.

Table 3

Patient Classification System (PCS) Scores and Groups by Hospital Type

Table 4

Direct Nursing Care Hours Provided by Nursing Personnel, Family, and Private Caregivers, and the Relationship between Direct Nursing Care Hours and Patient Classification System (N=109)

Table 5

Nurse-to-Patient Ratios for Tertiary and General Hospitals based on Patient Classification System Scores and Opinions of Nurse Unit Mangers on Provision of Integrated Inpatient Nursing Care

Table 1 Characteristics of Nursing Units, Number of Patients per Nursing Personnel by Shift, Work Hours, and Nursing Hours per Patient Day (N=80)

Nursing personnel include registered nurses and nursing assistants.

Table 2 Results from Time & Motion Study: Nursing Care Activities and Hours Provided by Team Nurses, Family Members, and Private Caregivers

IV=Intravenous.

Table 3 Patient Classification System (PCS) Scores and Groups by Hospital Type

Table 4 Direct Nursing Care Hours Provided by Nursing Personnel, Family, and Private Caregivers, and the Relationship between Direct Nursing Care Hours and Patient Classification System (N=109)

Table 5 Nurse-to-Patient Ratios for Tertiary and General Hospitals based on Patient Classification System Scores and Opinions of Nurse Unit Mangers on Provision of Integrated Inpatient Nursing Care

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Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care

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Abstract

Article Information

REFERENCES

Characteristics of Nursing Units, Number of Patients per Nursing Personnel by Shift, Work Hours, and Nursing Hours per Patient Day (N=80)

Results from Time & Motion Study: Nursing Care Activities and Hours Provided by Team Nurses, Family Members, and Private Caregivers

Patient Classification System (PCS) Scores and Groups by Hospital Type

Direct Nursing Care Hours Provided by Nursing Personnel, Family, and Private Caregivers, and the Relationship between Direct Nursing Care Hours and Patient Classification System (N=109)

Nurse-to-Patient Ratios for Tertiary and General Hospitals based on Patient Classification System Scores and Opinions of Nurse Unit Mangers on Provision of Integrated Inpatient Nursing Care

Figure & Data

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Characteristics of Nursing Units, Number of Patients per Nursing Personnel by Shift, Work Hours, and Nursing Hours per Patient Day (N=80)

Results from Time & Motion Study: Nursing Care Activities and Hours Provided by Team Nurses, Family Members, and Private Caregivers

Patient Classification System (PCS) Scores and Groups by Hospital Type

Direct Nursing Care Hours Provided by Nursing Personnel, Family, and Private Caregivers, and the Relationship between Direct Nursing Care Hours and Patient Classification System (N=109)

Nurse-to-Patient Ratios for Tertiary and General Hospitals based on Patient Classification System Scores and Opinions of Nurse Unit Mangers on Provision of Integrated Inpatient Nursing Care

Table 1

Table 2

Table 3

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