Abstract
BACKGROUND
Without data on the average time for performing nursing interventions, it is not possible to identify the cost-effective nursing practices, nurse staffing levels, and skill mix that are associated with improved patient outcomes, nor can reimbursement rates be accurately determined.
PURPOSE
The purpose of this study was to estimate the time needed to perform direct nursing interventions in Korea using the Nursing Interventions Classification (NIC) system, and then compare the findings with time estimates made by U.S. nurses.
METHODS
Data were collected from 721 registered nurses working in eight hospitals in South Korea. Each nurse was asked to choose the 30 most frequently used direct nursing interventions from a list of 433 from the Korean version of the NIC and to estimate the time needed to perform their selections. The U.S. data from the second edition of NIC were used for comparative purposes.
RESULTS
Among the 92 nursing interventions studied, the majority were in the physiological domain, with 46 (50%) in Physiological: Basic and 25 (27%) in Physiological: Complex. In Korea, the intervention reported as taking the shortest time was Tube Care: Umbilical Line, while the intervention reported as taking the longest time was Bowel Irrigation. Comparisons of the time to perform interventions in the two countries indicated that only 38 (41.3%) interventions are performed in 15 min or less in both countries. Of the remainder, six interventions showed considerable variation in time to perform between the two countries.
CONCLUSION AND IMPLICATION
Findings from the study will provide fundamental data for calculating the cost of nursing interventions, which is critical for the establishment of reimbursement rates for interventions provided.
본 연구의 목적은 한국 간호사들의 직접간호 중재 활동에 필요한 시간을 측정하여 미국 간호사들의 필요한 시간과 비교 하기 위함이다. 본 연구는 한국에 위치한 8개 병원에서 근무하는 721명 간호사들이 433 간호 중재중에 가장 많이 쓰는 간호 중재를 선택해서 그 중재를 시행하는데 필요한 시간을 추정해서 15분미만의 간호중재를 미국간호사들의 수행시간과비교한 결과 한국간호사들은 가장 짧은 시간이 필요한 간호중재는 Tube care: Umbilical Line 이였으며 가장 시간이 많이 소요되는 간호 중재는 Bowel Irrigation 이였다. 미국 간호사들의 소요시간과 비교해서는 38 간호 중재들만이 두나라에서15분미만의 시간을 요했으며 6개의 간호중재는 한국 간호사들이 15분 미만에 행하는데 반해 미국 간호사들은 45분이상의 상당한 시간을 소요 했다.
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