J Korean Acad Nurs Adm.  2014 Jan;20(1):95-105.

Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades

• Kim D
• Lee H

Abstract

PURPOSE
The purpose of this study was to examine trends in number of nursing staff and skill mix.
METHODS
Nursing staff and skill mix were measured using the number of nursing staff including nurse aids and registered nurses per bed. Descriptive and panel data regression analyses were conducted using data on long-term care hospitals which included yearly series data from 2006 to 2010 for 119 hospitals.
RESULTS
The number of nursing staff per bed increased significantly but percentage of registered nurses decreased significantly from 2007 to 2010. The regression model explained this variation as much as 35% and 44%.
CONCLUSION
The results showed that in long-term care hospitals there were more nurse aids employed instead of registered nurses after the implemention of differentiated inpatient nursing fees. Thus clarifying the job descriptions for nurses and nurse aids is needed and appropriate hospital incentive policies should be implemented.

Keyword

Inpatient nursing fees; Long-term care hospital; Staff mix level

MeSH Terms

Fees and Charges*
Humans
Inpatients*
Job Description
Long-Term Care*
Motivation
Nursing Staff
Nursing*

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