종합병원에 있어서 간호의존에 따른 간호인력수요추정에 관한 조사연구

Abstract

Expansion of nursing service in hospital. the forecats of man-power and appropriate allocation are one of the most important problems for the nursing adminstrators in maintaining quality patient care and reasonable hospital cost. The purpose of this study is to provide available data to allocate nursing staff appropriately accor• ding to the degree of nursing dependency of each patient. This study was conducted on 12321 patients who entered Seoul National University Hospital from june 1 to 30. 1975. Admitted patients were classified into three groups; such as acutely ill. moderately ill, and miIdly ill. and nusing amount were measured according to the duration of direct care for each patient by means of self-recording technique and compiled by trained observers. The data were analyzed statistically by mean score, percentage and Chi square test. The results are as follows. 1. Number of inpatient and bed occupancy were different from each nursing unit. The average bed occupancy was 83.5 per cent. The highest was 93. 1 per cent in gynecological nursing unit and the lowest 67.5 percent in central sugical nursing unit. 2. The distribution of patients in each group showed disparity in average number of in-patient of each nursing unit. The average number of acutely. moderately and mildly ill patients in medical nursing units were 31.6, 75.8 and 46.7 respectively (P <0. 01) . In surgical nursing units, 30.8. 103.0 and 76.5 respectively (P <0. 01) 3. The average duration of diret nursing care was 244 minuts for each acutely ill patient. 175 minutes for moderately ill patient, and 116 minu tes for mildly ill patient. These were in the ratio of 2 : 1. 5 : 1. 4. The average duration of direct nursing care by three shift, day, evening and night was in the ratio of 2: 1. 4: 1 (45% : 32% : 23%) 5. According to the data 54 nursing staff per day for 7 medical nursing units and 74 for 9 surgical nursing units werg required in direct patient care.