Variations in nurse staffing in adult and neonatal intensive care units
- Authors
- Cho, Sung-Hyun; Hwang, Jeong Hae; Kim, Yun Mi; Kim, Jae Sun
- Issue Date
- Aug-2006
- Keywords
- Intensive care unit; Nurse staffing; Policy; Intensive care unit; Nurse staffing; Policy; 간호사; 배치; 인력; 중환자실
- Citation
- Taehan Kanho Hakhoe chi, v.36, no.5, pp.691 - 700
- Indexed
- SCOPUS
KCI
- Journal Title
- Taehan Kanho Hakhoe chi
- Volume
- 36
- Number
- 5
- Start Page
- 691
- End Page
- 700
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/181133
- DOI
- 10.4040/jkan.2006.36.5.691
- ISSN
- 1598-2874
- Abstract
- PURPOSE: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUs). METHOD: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N)ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. RESULT: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in staffing ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU. CONCLUSION: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.
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