Abstract

• Purpose
  The purpose of this study is to examine the difference of direct nursing activity and patient outcomes as mortality rate, complication rate, readmission rate and length of stay related to graded fee of nursing management for inpatient.
• Method
  The subjects of this study were 44 general hospitals with more than 500 beds. Data totaled to 86,044 claims provided to inpatients in Jan. 2001 requested by an electronic data interchange from a Health Insurance Review Agency. The data was analyzed by SPSS win(ver.10.0) and statistical methods used were frequency, one-way ANOVA, χ²-Test and regression.
• Result
  Synthetic judgment through performance index and 95% confidence interval, direct nursing activity showed to provided adequate quality of nursing care on 2nd, 3rd, 4th and 6th nursing degree. Also, patient outcomes showed difference by graded fee of nursing management for inpatient. Mortality rate of 2nd was the lowest with P.I. 67.9, 3rd, 5th, 6th, 4th in order. In case of complication rate, 2nd, 3rd and 4th were lower than other nursing degree. Readmission rate of 4th and 5th was the lowest. Length of stay of 2nd was the shortest with P.I. 88.3, 3rd, 4th, 5th, 4th, 6th in order.
• Conclusion
  The findings from this study showed that, the higher nurse-to-patient ratio, the greater amount of direct nursing care activity for the patient. Also, the more direct nursing activities influenced a lower mortality rate, complication rate and readmission rate, shorter length of stay.
• Keywords: nurse-to-patient ratio; patient outcome; risk adjustment

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Differences in Medical Use and Patient Outcomes between Patients Admitted to the Integrated Nursing Care Ward and the General Ward
  Jeong Eun Mun, Bohyun Park
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 439.     CrossRef
• Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis
  EunYoung Jeong
  Frontiers in Health Services.2023;[Epub]     CrossRef
• Relationship between nurse staffing level and adult nursing-sensitive outcomes in tertiary hospitals of Korea: Retrospective observational study
  Chul-Gyu Kim, Kyun-Seop Bae
  International Journal of Nursing Studies.2018; 80: 155.     CrossRef
• Differences of Upgrading Nurse Staffing in Nursing Care Activity, Work Performance Outcomes, and Job Satisfaction
  Ju Yeun Kim, Young Whee Lee, Mi Kyoung Chung
  Korean Journal of Adult Nursing.2016; 28(3): 256.     CrossRef
• Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals
  Eun Hee Kim, Eunjoo Lee
  Journal of the Korean Data and Information Science Society.2015; 26(3): 715.     CrossRef
• Study on Factors Associated with the Rise in Grade of Nursing Management Fee among Korean Hospitals
  Hyun-Min Choi, Nam-Kyung Han, Sang-Kyu Lee, Han-Sung Kim, Sungkyoung Choi, Woojin Chung
  Health Policy and Management.2015; 25(1): 40.     CrossRef
• Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
  Su-Jin Cho, Jinhyun Kim
  Journal of Korean Academy of Nursing Administration.2014; 20(1): 10.     CrossRef
• Analysis on Satisfaction of Nursing Services for Elderly hospitalized in Attended Ward and General Ward
  Mee-Suk Wang, In Deok Lee, M.S. Kang, Eun-Kwang Cha, Dae-Ho Choi, Hyeon-Cheol Jeong
  Journal of the Korea Academia-Industrial cooperation Society.2014; 15(5): 3014.     CrossRef
• Activity-Based Costing Analysis of Nursing Activities in General Hospital Wards
  Ho-Soon Yoon, Jinhyun Kim
  Journal of Korean Academy of Nursing Administration.2013; 19(4): 449.     CrossRef
• A Proposal to Improve Nursing Fee Differentiation Policy for General Hospitals Using Profitability-Analysis in the National Health Insurance
  Sungjae Kim, Jinhyun Kim
  Journal of Korean Academy of Nursing.2012; 42(3): 351.     CrossRef
• Effects of Hospital Nurse Staffing on in-hospital Mortality, Pneumonia, Sepsis, and Urinary Tract Infection in Surgical Patients
  Yunmi Kim, Sung-Hyun Cho, Kyung Ja June, Soon Ae Shin, Jiyun Kim
  Journal of Korean Academy of Nursing.2012; 42(5): 719.     CrossRef
• Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data
  Yunmi Kim, Eun-Young Kim
  Journal of Korean Academy of Nursing.2011; 41(5): 593.     CrossRef
• Inpatient Outcomes by Nurse Staffing Grade in Korea
  Su-Jin Cho, Han-Ju Lee, Ju-Yeon Oh, Jin-Hyun Kim
  Korean Journal of Health Policy and Administration.2011; 21(2): 195.     CrossRef
• The Effects of Medical Staffing Level on Length of Stay
  Hanju Lee, Yu Kyung Ko, Mi-Won Kim
  Journal of Korean Academy of Nursing Administration.2011; 17(3): 327.     CrossRef
• Comparison of Nursing Records of Open Heart Surgery Patients before and after Implementation of Electronic Nursing Record
  Insil Lee, Hyeoun-Ae Park
  Journal of Korean Society of Medical Informatics.2009; 15(1): 83.     CrossRef