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KMID : 1004620230290030312
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Clinical Nursing Research
2023 Volume.29 No. 3 p.312 ~ p.326
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A Study on Appropriate Nurse Staffing Levels in Intensive Care Units and Improvement of the Critical Care Nursing Fee Schedules
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Lee Hyo-Jin
Cho Sung-Hyun
Shim Mi-Young
Kim Jung-Yeon
Song Yu-Gil
Kim Jin
Kim Young-Sam
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Abstract
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Purpose: This study attempted to analyze the staffing level and critical care nursing fees of intensive care unitsat tertiary and general hospitals and to provide a professional judgment-based recommendation on staffing leveland critical care nursing fee schedules.
Methods: Staffing grades and critical care nursing fee schedules for thefirst quarter of 2017~2020 and the fourth quarter of 2020~2022 were analyzed. A survey was conducted onnursing managers and nurses about the current and appropriate staffing levels. A total of 77 nurse managers and708 nurses working in Intensive Care Unit(ICU)s at tertiary and general hospitals participated in the study.
Results:Grade 1 staffing increased from 25.6% in 2017 to 92.1% in 2022 at tertiary hospitals and from 0.8% in 2017 to28.4% in 2022 at general hospitals. The current staffing ratios of tertiary and general hospitals were 1:2.21 and1:2.77, respectively. The appropriate staffing ratio according to nurse managers and nurses was 1:1.00 in patientswith more than a ventilator application and 1:2.00 in patients without any ventilator application in tertiaryhospitals, and it was 1:1.25 in patients with more than a ventilator application and 1:2.00 in patients withoutany ventilator application in general hospitals, respectively.
Conclusion: The appropriate staffing level wassuggested from 1:1.0 to 1:2.0. The new nursing fee schedules were suggested from 1:1.0 (Grade 1) to 1:3.0(Grade 5) and recommended to be paid based on the staffing grade, minimum number of nurses, and standardannual working days. It is expected to increase staffing levels and provide a better nursing work environment.
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KEYWORD
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Nurses, Staffing, Intensive Care Unit, Fee Schedules
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