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KMID : 0614820210270030191
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Journal of Korean Academy of Nursing Administration
2021 Volume.27 No. 3 p.191 ~ p.203
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Estimation of Revenue Growth Generated by Changing Nurse Staffing Grades and Fees and Introducing Night Shift Nursing Fees
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Cho Sung-Hyun
Hong Kyung-Jin
Lee Ji-Yun
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Abstract
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Purpose: To analyze the changes in nurse staffing grades and to estimate the revenue growth generated by applyinggovernment guidelines for improving nurses’ working conditions.
Methods: Staffing grades, ranging from grade 1(highest) to 7 (lowest), for 2018 and 2020 were analyzed for 326 general hospitals (GHs) and 1,419 non-generalhospitals (NGHs). The annual revenue growth per nurse generated by changing inpatient nursing care fee schedulesand newly introducing night shift nursing fees were estimated.
Results: Grade 1 GHs increased from 6.9% in 2018to 39.6% in 2020, whereas grades 6-7 decreased from 31.8% to 17.6%. NGHs with grades 6-7 decreased from 81.8%to 61.6%. GHs and NGHs with no reported staffing grades decreased from 10.6% to 0% and from 63.2% to 14.8%,respectively. The estimated annual revenue growth per nurse from inpatient nursing care fees resulting from 1-gradeimprovements in staffing was 1.44~7.26 million Korean won (KRW) and 1.25~9.75 million KRW for GHs and NGHs,respectively, while the results from night shift nursing fees were 2.37~5.54 million KRW and 2.20~5.14 million KRWfor GHs and NGHs, respectively.
Conclusion: The increased revenues should be utilized to augment nurses’ wagesand staffing levels as the guidelines recommend.
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KEYWORD
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Hospitals, Nurses, Inpatient care fee, Nursing care fee, Night shift nursing fee
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