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Original Article

Determinants of Registered Nurse Skill Mix & Staffing Level in Korea

Su-Jin Cho1, Jinhyun Kim2
Journal of Korean Academy of Nursing Administration 2014;20(1):10-21.
Published online: January 29, 2014

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Corresponding author: Kim, Jinhyun. College of Nursing, Seoul National University, 103 Daehak-ro, Jongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8818, Fax: +82-2-766-1852, jinhyun@snu.ac.kr
• Received: October 4, 2013   • Revised: December 3, 2013   • Accepted: December 31, 2013

Copyright © 2014 Korean Academy of Nursing Administration

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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  • Purpose
    This study was done to identify determinants of registered nurse (RN) skill mix and staffing level focused on hospital characteristics.
  • Methods
    Data were obtained from health insurance claims data and hospital reporting system in the Health Insurance Review and Assessment Service (HIRA) for the year 2010. Data from 2,998 hospitals were analysed using t-test, ANOVA, Pearson correlation, and regression analysis.
  • Results
    The RN skill mix and staffing level were positively related to hospital size and the percentage of inpatients to total patients. RN skill mix and staffing level were statistically different across regions. Including nursing aides (NA), however, there was no difference in staffing levels across regions. Medically vulnerable regions, bed operation rate, and the number of patients per doctor were also related to RN skill mix and staffing level.
  • Conclusion
    The statically significant determinants of RN skill mix and staffing level included hospital size, region, bed operation rate, percentage of inpatients, doctor-patient ratio. Further study needs to be done to investigate factors including RN supply and wages.
  • Key Words: Nursing staff; Skill-mix; Staffing level; Hospital

This study was conducted with the assistance of the Health Insurance Review & Assessment Service for their help with database.

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Table 1
General Characteristics of Hospitals (N=2,298)
jkana-20-10-i001.jpg

RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

Table 2
Distribution of Hospitals and Nurse Skill Mix and Staffing Level according to Hospital Characteristics
jkana-20-10-i002.jpg

RN=Registered nurse; NA=Nurse assistant.

Table 3
Relationship between Nurse Skill Mix and Staffing Level and Hospital Characteristics
jkana-20-10-i003.jpg

RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

Table 4
Hospital Factors affecting to Nurse Skill Mix
jkana-20-10-i004.jpg

RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

Table 5
Hospital Factors affecting Nurse Staffing Level
jkana-20-10-i005.jpg

RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic.

Figure & Data

References

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    Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
    J Korean Acad Nurs Adm. 2014;20(1):10-21.   Published online January 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.1.10
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    Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
    J Korean Acad Nurs Adm. 2014;20(1):10-21.   Published online January 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.1.10
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    Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
    Determinants of Registered Nurse Skill Mix & Staffing Level in Korea

    General Characteristics of Hospitals (N=2,298)

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Distribution of Hospitals and Nurse Skill Mix and Staffing Level according to Hospital Characteristics

    RN=Registered nurse; NA=Nurse assistant.

    Relationship between Nurse Skill Mix and Staffing Level and Hospital Characteristics

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Hospital Factors affecting to Nurse Skill Mix

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Hospital Factors affecting Nurse Staffing Level

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic.
    Table 1 General Characteristics of Hospitals (N=2,298)

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Table 2 Distribution of Hospitals and Nurse Skill Mix and Staffing Level according to Hospital Characteristics

    RN=Registered nurse; NA=Nurse assistant.

    Table 3 Relationship between Nurse Skill Mix and Staffing Level and Hospital Characteristics

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Table 4 Hospital Factors affecting to Nurse Skill Mix

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic resonance imaging.

    Table 5 Hospital Factors affecting Nurse Staffing Level

    RN=Registered nurse; NA=Nurse assistant; CT=Computerized tomography; MRI=Magnetic.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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