J Korean Acad Nurs Adm.  2021 Jun;27(3):191-203. 10.11111/jkana.2021.27.3.191.

Estimation of Revenue Growth Generated by Changing Nurse Staffing Grades and Fees and Introducing Night Shift Nursing Fees

• Cho SH
• Hong KJ
• Lee JY

• KMID: 2525926
• DOI: http://doi.org/10.11111/jkana.2021.27.3.191

Abstract

Purpose
To analyze the changes in nurse staffing grades and to estimate the revenue growth generated by applying government guidelines for improving nurses’ working conditions.
Methods
Staffing grades, ranging from grade 1 (highest) to 7 (lowest), for 2018 and 2020 were analyzed for 326 general hospitals (GHs) and 1,419 non-general hospitals (NGHs). The annual revenue growth per nurse generated by changing inpatient nursing care fee schedules and newly introducing night shift nursing fees were estimated.
Results
Grade 1 GHs increased from 6.9% in 2018 to 39.6% in 2020, whereas grades 6-7 decreased from 31.8% to 17.6%. NGHs with grades 6-7 decreased from 81.8% to 61.6%. GHs and NGHs with no reported staffing grades decreased from 10.6% to 0% and from 63.2% to 14.8%, respectively. The estimated annual revenue growth per nurse from inpatient nursing care fees resulting from 1-grade improvements in staffing was 1.44~7.26 million Korean won (KRW) and 1.25~9.75 million KRW for GHs and NGHs, respectively, while the results from night shift nursing fees were 2.37~5.54 million KRW and 2.20~5.14 million KRW for GHs and NGHs, respectively.
Conclusion
The increased revenues should be utilized to augment nurses’ wages and staffing levels as the guidelines recommend.

Keyword

Hospitals; Nurses; Inpatient care fee; Nursing care fee; Night shift nursing fee