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KMID : 1170320220280020049
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Korean Journal of Health Economics and Policy
2022 Volume.28 No. 2 p.49 ~ p.73
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Nurse Staffing Level and Alternative Policy in the Integrated Nursing Care Services
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Kim Jin-Hyun
Kwon Hyun-Jeong
Lee Eun-Hee
Jung Yoo-Mi
Kim Myung-Ja
Yi Sun-Mi
Choi Ha-Young
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Abstract
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This study is aimed to evaluate the adequacy of staffing level in the integrated nursing care service(INCS) in South Korea and to develop a new INCS staffing level. The National Health Insurance Service(NHIS) data on INCS staffing statistics and yearly claimed data were used to identify actual nursing personnel staffing. The ratio of actual staffing level to designated staffing level was calculated using the gathered data. As a result, a total of 196 hospitals were collected for analyzing the ratio of actual staffing to designated staffing. Approximately 40% of the hospitals’ employed nurses and nursing assistants were close to the threshold of the designated staffing level. This implies that it is difficult to cope with the fluctuations of the number of patient and unexpected leave and resignation of the nursing personnel. To make up for those weak-points, a new staffing standard that unify the nurse and nurse assistant staffing level into the nursing personnel staffing level and subdivide the staffing level and medical fee according to the registered nurse retention ratio was developed. The new staffing standard can flexibly cope with fluctuation in severity of ward patients and ward conditions and also improve management efficiency of NHIS. However to prevent its side effect that replacing nurses with nurse assistants, it is required to execute a stringent monitoring and penalty system.
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KEYWORD
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Integrated Nursing Care Service, Nurse management, Nurse staffing
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