간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석
Analysis of Nursing Intensity Related to Nursing Activities in Operating Room using the Relative Value Scale For Nursing Cost
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초록
본 연구의 목적은 수술실 간호행위를 분석하고, 상대가치에 근거하여 각 간호행위의 간호강도를 측정하는 것이다. 방법 : 본 연구의 상대가치 측정 방법은 Hsiao et al에 기초했다. 첫 번째 단계로 간호행위를 확인하였으며, 두 번째 단계로 간호행위에 대한 간호강도를 기술적 노력, 정신적 노력, 스트레스로 측정하였다. 결과 : 99개 간호행위에 대한 상대가치 점수는 1337.78부터 300.00의 범위를 나타냈다. 흉부외과 수술보조행위, 정형외과 수술보조행위, 자격증 취득하기가 가장 간호강도가 높은 것으로 나타났다. 외과적 손씻기, 외과적 가운입기, 외과적 장갑끼기, 수술 모자와 마스크 착용하기는 가장 간호강도가 낮게 나타났다. 결론 : 수술실 간호사의 간호행위는 별도로 보상하지 않으며, 일반적으로 의사의 수가에 포함되어 있다. 앞으로, 간호수가를 추정하여 수술실 전체 운영수식에 대한 기여도를 보여주어야 한다.
Abstract
Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.
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