Earticle

초록

영어

This study examines the effect of a national legislation linking hospital payment to nurse staffing levels, which was established for Korean hospitals in late 1990s. There are many researches showing that financial incentives have been widely adopted to improve hospital performance. However, little is known about whether the approach is effective in increasing nurse staffing in a hospital. A decade of experience in Korean nursing payment system provides a testable case to examine the effectiveness of the approach. We used time series data on hospital-level nurse staffing and a nationwide survey of hospital nurses to compare before and after the legislation. Results show an increasing trend of RN employment after implementing the reform. The growth of nurse staffing appeared to differ depending on hospital type. Nurse employment is less likely improved in mid and small size general hospitals compared to large size tertiary hospitals. Nurse outcomes including job dissatisfaction, burnout, and intention to leave were not significantly improved among our study sample hospitals.

목차

Abstract
 1. Introduction
 2. Methods
  2.1. Data Sources
  2.2. Measures
  2.3. Statistical Analysis
 3. Results
  3.1. Effect on RN employment
  3.2. Effect on RN Satisfaction
 4. Discussion
  4.1. Extending the Effect of Nursing Payment Reform
  4.2. Considering Hospitals’ Financial Status
  4.3. Investing Resources to Improve Work Conditions
  4.4. Limitations
 5. Conclusions
 6. Policy Recommendations
 References

키워드

저자

• Sukyong Seo [ Assistant Professor, College of Nursing, Eulji University, Korea ]
• Sook-Ja Choi [ Assistant Professor, Red Cross College of Nursing, Choong-Ang University, Korea ]
• Bohyun Park [ Assistant Professor, Department of Nursing, Changwon National University, Korea ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  International Journal of Bio-Science and Bio-Technology

• 간기

  격월간

• pISSN

  2233-7849

• 수록기간

  2009~2016

• 등재여부

  SCOPUS

• 십진분류

  KDC 505 DDC 605