KMID : 1004620050110020103
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Clinical Nursing Research 2005 Volume.11 No. 2 p.103 ~ p.119
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Nursing Manpower Forecasting by Using the System Dynamics Approach - Medical nursing unit & Surgical nursing unit -
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Kim Moon-Sil
Sung Young-Hee Kwon Kyoung-Ja Shin Duck-Shin Kim Jung-A Yoo In-Ja Lee Hyun-Sook Kim Do-Hyoung Yoo Jeak-Guk
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Abstract
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Purpose: The purpose of the study was to forecast manpower by building the nursing manpower-staffing model(surgical-medical nursing unite).
Method: The system dynamics approach was adapted to build a simulation model for calculating medical-surgical nursing manpower-staffing. The model was built up on Vensim 5.0b DSS.
Result: The results in the basic circumstance are in following. The level of nursing service quality, patient satisfaction, and nurse job satisfaction maintains higher at medical-surgical nursing unit of the tertiary hospitals with the ratio of bed to nurse 2.5:1-3.0:1 than at any other situations. The level of nursing service quality, patient satisfaction, and nurse job satisfaction maintains higher at medical nursing unit of the secondary hospitals with the ratio of bed to nurse 3.0:1 and at surgical nursing unit of the secondary hospitals with the ratio of bed to nurse 3.0:1-3.5:1 than at any other situations in the fundamental form. The results in the simulation circumstance are in following, As author raises the operating rate of bed into 95-100%, and cut skilled nursing staff down, the level of nursing-service quality, patient satisfaction, and nurse job satisfaction drops slightly.
Conclusion: In terms of economic efficiency on tertiary hospitals, the ratio of bed to nurse for the best reasonable medical-surgical nursing manpower-staffing is 3.0:1. In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable medical nursing manpower-staffing is 3.0:1 and surgical nursing manpower-staffing is 3.5:1
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KEYWORD
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Medical Nursing Manpower, Surgical Nursing Manpower, System Dynamics
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