환자 분류에 기초하여 입원병동의 적정 간호인력을 산정하는 모델
Mathematical Model for In-Ward Nursing Staffing Optimization Based on Patient Classification System
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Nursing staffing is of major interest in hospital management, however, no practical method has been developed. The present study proposed a mathematical model based on the patient classification system for nursing staffing optimization. A few characteristic parameters possibly determined experimentally and/or empirically were introduced followed by systematic calculation of the required number of nurses. An essential concept of the model is the unit work load defined as the amount of nursing work performed on single patient per unit time, where the work load is defined as the number of nursing staffs multiplied by the working hours. The unit work load was considered to vary with the patient classification level as well as the working time during a day, both of which were represented by corresponding parameter values. The number of patients for each class and the number of working hours were multiplied to the unit work load, and added up to obtain the total required work load. As the next step, the averaged number of hours that a nurse could provide per day was formulated considering the degree of nursing practice experience into 3 levels. Finally, the appropriate number of nursing staffs was calculated as the total work load divided by the average working hours per nurse. The present technique has a great advantage that the number of nursing staffs to fulfill the required work load is systematically calculated once the characteristic parameters are appropriately determined, leading to instant and fast evaluation. A practical PC program was also developed to apply the present model to nursing practice.
Abstract
Nursing staffing is of major interest in hospital management, however, no practical method has been developed. The present study proposed a mathematical model based on the patient classification system for nursing staffing optimization. A few characteristic parameters possibly determined experimentally and/or empirically were introduced followed by systematic calculation of the required number of nurses. An essential concept of the model is the unit work load defined as the amount of nursing work performed on single patient per unit time, where the work load is defined as the number of nursing staffs multiplied by the working hours. The unit work load was considered to vary with the patient classification level as well as the working time during a day, both of which were represented by corresponding parameter values. The number of patients for each class and the number of working hours were multiplied to the unit work load, and added up to obtain the total required work load. As the next step, the averaged number of hours that a nurse could provide per day was formulated considering the degree of nursing practice experience into 3 levels. Finally, the appropriate number of nursing staffs was calculated as the total work load divided by the average working hours per nurse. The present technique has a great advantage that the number of nursing staffs to fulfill the required work load is systematically calculated once the characteristic parameters are appropriately determined, leading to instant and fast evaluation. A practical PC program was also developed to apply the present model to nursing practice.
참고문헌 (26)
- 송경자, "한국형 환자분류도구-1(KPCS-1)의 신뢰도와 타당도 검증 및 간호시간 환산지수 산출", 임상간호연구, 16(2), pp.127~140 (2010), 병원간호사회
- J. A. Effken, "Nurse managers’ decisions: fast and favoring remediation", J Nurs Adm, 40(4), pp.188~195 (2010)
- W.D. Park, "The comparative analysis of the nurse staffing problems between hospital of Korea and America", Korean Management Review, 19(1), pp.85~101 (1987)
- D. A. Gillies, "Determining staffing needs", Nursing management system approach, pp.178~190 (1982)
- 김문실, "시스템 다이내믹스를 이용한 적정 법정 간호인력 산정에 관한 연구", 임상간호연구, 10(1), pp.82~96 (2004), 병원간호사회
- 김문실, "시스템 다이내믹스를 이용한 간호단위별 간호인력 산정에 관한 연구", 임상간호연구, 11(2), pp.103~119 (2006), 병원간호사회
- W. D. Park, "A study on nurse-staffing model", Korean Management Review, 15(1), pp.157~188 (1985)
- 이정숙, "일개 3차 의료기관 중환자실의 간호업무량 측정 및 적정 간호인력 수요산정", 임상간호연구, 8(2), pp.61~75 (2003), 병원간호사회
- D. Meyer, "Grasp: A patient information and workload management system" (1978), M.C.S.
- P. Giovannetti, "Understanding patient classification systems", J Nurs Adm, 9(2), pp.4~9 (1979)
- P. Reinert, "A classification system to meet today’s needs", J Nurs Adm, 11(1), pp.21~26 (1981)
- W. K. Min, "Asan medical center laboratory information system(R)information communication system for routine hematology using a down-sized computer(III)", Journal of Biomedical Engineering Research, 15(3), pp.333~340 (1994)
- H. C. Cheong, "Implementation of a medical information transmission protocol based on mobile wireless communication", Journal of Biomedical Engineering Research, 19(1), pp.19~24 (1998)
- K. T. Kim, "Standardization of the dental chart for computerization of the medical information", Proceedings of the KOSOMBE Conference(1998), pp.253~254 (1998)
- 홍규석, "RFID와 HL7을 이용한 응급 의료 정보 시스템설계 및 구현에 관한 연구", 의공학회지, 28(5), pp.703~712 (2007), 대한의용생체공학회
- 김경옥, "전산화된 임상 데이터에 기반한 환자 분류 체계 및 간호 인력 관리 방안 : 일개 종합병원 분석 사례", 한국콘텐츠학회 논문지, 13(3), pp.287~298 (2013), 한국콘텐츠학회[DOI]
- K.O, Kim, "An optimal nursing workforce estimation model for efficient hospital management: Introducing patient classification system based on computerized clinical data" (2013), Hanyang Univ. Press
- C. S. Yoo, "Reliability, validity, and conversion index of the workload management system for critical care nurses(WMSCN)", Journal of Korean Critical Care Nursing, 2(1), pp.48~57 (2009)
- H. A. DeGroot, "Patient classification systems and staffing", JONA, 24(9), pp.43~51 (1994)
- Y. K. Kim, "A study of staffing estimation for nursing manpower demand in hospital", Journal of Korean Academy of Nursing, 16(3), pp.108~122 (1986)
- S. K. Hyun, "Evidencebased staffing potential roles for informatics", Nursing Economics, 26(3), pp.151~173 (2008)
- M. Baernholdt, "Using clinical data to capture nurse workload", Computer, Informatics, Nursing, 28(4), pp.229~234 (2010)
- M. G. Dunn, "Expert panel method for nurse staffing and resource management", JONA, 25(10), pp.61~67 (1995)
- Y. S. Lee, "Measurement of the nursing staff needed for two specialized nursing units in a university hospital", Journal of Korean Academy of Nursing, 22(4), pp.589~603 (1992)
- D. S. Shin, "Determination of the appropriate nursing personnel required for each nursing units in tertiary hospitals", Chungnam Journal of Nursing Academy, 7(1), pp.94~108 (2004)
- K. O. Kim, "A program to optimize nursing staffing based on work load evaluation", C-2013-013458, ~ (2013)