College of Nursing, Keimyung University, Daegu, South Korea.
Research Institute of Nursing Science, Keimyung University, Daegu, South Korea.
Nurs Health Sci. 2024 Sep;26(3):e13156. doi: 10.1111/nhs.13156.
This study aimed to compare the number of assigned and appropriate patients per nurse in integrated nursing care service wards and analyze factors associated with the gap. For this cross-sectional secondary analysis, data were collected from surveys of 2312 nurses and institutional data from their affiliated 106 hospitals in Korea. We used the Wilcoxon signed-rank test and t-test to compare the number of patients assigned to nurses with the number they considered appropriate. We used ratio analysis for measuring the gap between these numbers, and robust regression to evaluate the factors affecting this gap. The results found an average gap of 1.45, indicating that the reported number of assigned patients per nurse was 1.45 times higher than the appropriate number. Gender, employment type, wage satisfaction, workload, overtime work, and hospital level of care were identified as factors associated with the gap. Findings suggest that the current nurse staffing standard should be revised to consider nurses' professional judgments of appropriate staffing levels and adopt policies that reduce nurses' workload.
本研究旨在比较整合护理服务病房中每位护士分配和适当的患者人数，并分析与差距相关的因素。为此，我们对韩国的 2312 名护士进行了横断面二次分析，同时收集了他们附属的 106 家医院的机构数据。我们使用 Wilcoxon 符号秩检验和 t 检验来比较护士分配的患者人数与他们认为适当的患者人数。我们使用比率分析来衡量这些数字之间的差距，并使用稳健回归来评估影响差距的因素。结果发现平均差距为 1.45，这表明报告的每位护士分配的患者人数是适当人数的 1.45 倍。性别、就业类型、薪酬满意度、工作量、加班工作和医院护理水平被确定为与差距相关的因素。研究结果表明，应修订当前的护士人员配备标准，以考虑护士对适当人员配备水平的专业判断，并采取减少护士工作量的政策。
