KMID : 1004620070130010157
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Clinical Nursing Research 2007 Volume.13 No. 1 p.157 ~ p.172
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Study of the Utillization Strategy of Nursing Personnel by Types of Medical Institutions
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You Sun-Ju
Chang Hyun-Sook Sung Young-Hee Kim Myo-Gyeong Choi Yun-Kyoung Kim Eul-Soon Kwag Wol-Hee
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Abstract
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Purpose: To suggest the classifications of nursing tasks for hospitalized patients and assignment of nursing personnel by types of medical institutions.
Method: We conducted mail questionnaires on nurses(including chief nurses), medical doctors who work at tertiary hospitals, general hospitals, hospitals, clinics, and nursing homes. Ninety-one medical institutions answered to the questionnaires(29.2%). Medical doctors submitted 180 copies of questionnaires(15.5% answered) to us and nurses 483 copies(41.6%), respectively.
Results: We conducted a survey to examine the current total number of nursing personnel assigned to a usual unit with 50 beds and optimal total number of nursing personnel in it. It is showed that in tertiary hospitals the optimal number was 22.7 compared with the current number of nursing personnel, 19.0. The difference in number was 3.7, which is the smallest among other hospitals. However, the difference in number was large as in hospitals the optimal number was 8.3, in general hospitals 7.2, and in nursing homes 5.8, respectively. In addition, we conducted a survey on the assignment of work responsibilities by types of nursing personnel to suggest a work responsibility schedule by types of nursing personnel.
Conclusion:The plans for conforming to the criterions of assignment of nursing personnel and supplement plans should be suggested and the criterions of assignment of nursing personnel to intensive care units or operation rooms need to be itemized by the characteristics of nursing tasks to improve quality of nursing service.
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KEYWORD
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Nursing staffing, Nursing practice
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