일개 3차 의료기관 중환자실의 간호업무량 측정 및 적정 간호인력 수요산정 = Measurement of the Nursing Activities Hours and Estimation of the Approriate Nursing Personnel Demands in a Tertiary Hospital

다국어 초록 (Multilingual Abstract)

The purposes of this study were
1) to help appropriately dispose and utilize nursing personnel on the measurement of the total nursing care hours demands
2) to estimate the proper number of nursing personnel needed for each unit by measuring the amount of nursing activities and
3) to provide the primary data necessary to estimate the cost of nursing.
The results were as follows :
1. Distribution of patient classification :
class Ⅲ class Ⅳ class Ⅴ class Ⅵ
Medical ICU 16.7% 49.8% 33.5% -
Surgical ICU 10.2% 48.1% 40.9% 0.5%
2. Direct nursing care hours according to the patient class :
class Ⅲ class Ⅳ class Ⅴ class Ⅵ
Medical ICU 397.00 562.67 715.25 -
Surgical ICU 312.50 423.00 572.67 805.00
: Direct nursing care hours in the Medical ICU was significantly higher than that in Surgical ICU.
3. Analysis of direct nursing care activities : In the Medical ICU, it consists of the respiratory care(22.92%), safety care (20.82%), hydration and nutrition(18.47%), exercise and position(13.03%) and medication(12.31%). As compared with this in Surgical ICU, it consists of the respiratory care(23.48%), safety care (22.43%), exercise and position(17.29%) and medication(12.35%). Spritual care was not conducted in either Medical or Surgical ICU during survey.
4. Average indirect nursing care hours of nursing personnel :
In the Medical ICU, 306.75 mins for RN, 295.67 mins for nurse aid, and in the Surgical ICU, 269.01 mins for RN, 207.01 mins for nurse aid. Headnurse and clerk were excluded.
5. Average indirect nursing care hours per patient :
357.23 mins in the Medical ICU, and 320.26 mins in the Surgical ICU.
6. Indirect nursing care hours for each shift :
day evening night
Medical ICU 101.94mins 123.07mins 132.22mins
Surgical ICU 121.40mins 98.92mins 99.94mins
7. Analysis of indirect nursing care activities : Nursing management and information processing(MICU:53.98%, SICU: 49.77%), communication(MICU:11.92%, SICU:12.23%), reorganization and management of facilities, delivery(MICU:12.77%, SICU:16.46%).
8. Average nursing care hours according to the patient class :
class Ⅲ class Ⅳ class Ⅴ class Ⅵ
Medical ICU 754.23mins 919.90mins 1072.48mins
Surgical ICU 632.80mins 743.30mins 892.90mins 1125.30mins
9. Total nursing care hours :
total day evening night
Medical ICU 294.2hrs 104.4hrs 91.6hrs 98.1hrs
Surgical ICU 226.0hrs 91.9hrs 67.4hrs 67.4hrs
10. The number of nursing personnel demand for each shift :
The number of nursing personnel in the Medical and Surgical ICUs, based on 20 beds system, was seen as follows.
total day evening night
Medical ICU 48.1 13.9 12.3 10.9 11.0
Surgical ICU 37.2 12.2 9.0 7.5 8.6
The total number of personnel including those off duty was 48.1 in MICU, and 37.2 in SICU.