Journal of Korean Academy of Nursing

Young Joo Lee

2 Articles

Nurse Staffing and Health Outcomes of Psychiatric Inpatients: A Secondary Analysis of National Health Insurance Claims Data: Suin Park, Sohee Park, Young Joo Lee, Choon-Seon Park, Young-Chul Jung, Sunah Kim; J Korean Acad Nurs 2020;50(3):333-348. Published online June 30, 2020; DOI: https://doi.org/10.4040/jkan.19203

Purpose
The present study investigated the association between nurse staffing and health outcomes among psychiatric inpatients in Koreaby assessing National Health Insurance claims data.
Methods
The dataset included 70,136 patients aged 19 years who were inpatientsin psychiatric wards for at least two days in 2016 and treated for mental and behavioral disorders due to use of alcohol; schizophrenia,schizotypal and delusional disorders; and mood disorders across 453 hospitals. Nurse staffing levels were measured in three ways: registerednurse-to-inpatient ratio, registered nurse-to-adjusted inpatient ratio, and nursing staff-to-adjusted inpatient ratio. Patient outcomesincluded length of stay, readmission within 30 days, psychiatric emergency treatment, use of injected psycholeptics for chemical restraint,and hypnotics use. Relationships between nurse staffing levels and patient outcomes were analyzed considering both patient and systemcharacteristics using multilevel modeling.
Results
Multilevel analyses revealed that more inpatients per registered nurse, adjusted inpatientsper registered nurse, and adjusted inpatients per nursing staff were associated with longer lengths of stay as well as a higher risk of readmission.More adjusted inpatients per registered nurse and adjusted inpatients per nursing staff were also associated with increased hypnoticsuse but a lower risk of psychiatric emergency treatment. Nurse staffing levels were not significantly associated with the use of injectedpsycholeptics for chemical restraint.
Conclusion
Lower nurse staffing levels are associated with negative health outcomes of psychiatricinpatients. Policies for improving nurse staffing toward an optimal level should be enacted to facilitate better outcomes for psychiatricinpatients in Korea.

Citations

Citations to this article as recorded by

The Association Between Nurse Staffing and Conflict and Containment in Acute Mental Health Care: A Systematic Review
Samuel Woodnutt, Simon Hall, Paula Libberton, Jane Ball, Chiara Dall'Ora, Peter Griffiths
International Journal of Mental Health Nursing.2025;[Epub] CrossRef
Comprehensive Symptom Prediction in Inpatients With Acute Psychiatric Disorders Using Wearable-Based Deep Learning Models: Development and Validation Study
Minseok Hong, Ri-Ra Kang, Jeong Hun Yang, Sang Jin Rhee, Hyunju Lee, Yong-gyom Kim, KangYoon Lee, HongGi Kim, Yu Sang Lee, Tak Youn, Se Hyun Kim, Yong Min Ahn
Journal of Medical Internet Research.2024; 26: e65994. CrossRef
Changing the focus of adverse incident reporting in mental health nursing
Samuel Woodnutt
Mental Health Practice.2024; 27(2): 20. CrossRef
Factors associated with readmissions in psychiatric inpatient care: a prospective cohort study based on hospital registers
Marianna Virtanen, Laura Peutere, Mikko Härmä, Annina Ropponen
BMC Psychiatry.2024;[Epub] CrossRef
Workload and psychosocial risks among nurses in mental health and psychiatry in Chile
Daniela Fuentes‐Olavarría, Matías E. Rodríguez‐Rivas, Javiera Romo‐Neira
International Journal of Mental Health Nursing.2024; 33(4): 869. CrossRef
NEAT: Nurse Effort Assessment Tool—Human Factors Considerations in Designing for Appropriate Staffing
Scott Good, Michael W. Boyce, Leigh V. Evans, Mark Sevilla
Proceedings of the Human Factors and Ergonomics Society Annual Meeting.2024; 68(1): 1680. CrossRef
Developing nurse‐sensitive outcomes in acute inpatient mental health settings—A systematic review
Irene Ngune, Helen Myers, Amanda Cole, Peter Palamara, Robina Redknap, Michael Roche, Diane Twigg
Journal of Clinical Nursing.2023; 32(17-18): 6254. CrossRef
An Exploratory Study on Current Nursing Issues in the COVID-19 era through Newspaper Articles: The Application of Text Network Analysis
Young Joo Lee
Journal of Korean Academy of Nursing Administration.2022; 28(3): 307. CrossRef
Time to readmission in psychiatric inpatients with a therapeutic leave
Tiziana Ziltener, Julian Möller, Lukas Imfeld, Roselind Lieb, Undine E. Lang, Christian G. Huber
Journal of Psychiatric Research.2021; 144: 102. CrossRef
Physical Comorbidity According to Diagnoses and Sex among Psychiatric Inpatients in South Korea
Suin Park, Go-Un Kim, Hyunlye Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 4187. CrossRef

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Properties of the Measures to Assess Oxaliplatin-induced Peripheral Neuropathy: A Literature Review: Sang Hui Chu, Yoon Ju Lee, Young Joo Lee, Charles S. Cleeland; J Korean Acad Nurs 2015;45(6):783-801. Published online December 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.783

Abstract PDF

Purpose

The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool.

Methods

A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability.

Results

Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI.

Conclusion

To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.

Citations

Citations to this article as recorded by

Psychometric Properties of the Korean Version of the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool
Mi Sook Jung, Mijung Kim, Kyeongin Cha, Xirong Cui, Ji Wan Lee
Research and Theory for Nursing Practice.2022; 36(4): 422. CrossRef
A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
Il-Sun Ko, Jin Sook Kim, Soyoung Choi
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 133. CrossRef
The Efficacy of Acupuncture in Chemotherapy-Induced Peripheral Neuropathy: Systematic Review and Meta-Analysis
Tsai-Ju Chien, Chia-Yu Liu, Ching-Ju Fang, Chun-Yu Kuo
Integrative Cancer Therapies.2019;[Epub] CrossRef
The psychometric properties of the Turkish version of the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool (CIPNAT)
Sevinç Kutlutürkan, Elif Sözeri Öztürk, Fatma Arıkan, Burcu Bayrak Kahraman, Keziban Özcan, Mürvet Artuk Uçar
European Journal of Oncology Nursing.2017; 31: 84. CrossRef

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