한국보건사회연구원 전자도서관

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신규면허간호사 공급량 증가가 의료기관 간호사 확보수준에 미친 영향과정책적 함의

개인저자
김윤미
수록페이지
828-841 p.
발행일자
2017.12.28
출판사
한국간호과학회
초록
Purpose: This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffinggrades for the period of 2009~2014. Method: Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in1,042 hospitals using GEE logistic regression. Results: An increase of one newly licensed nurse per 100 beds in general units had significantly lowerodds of improving staffing grades (grades 6~0 vs. 7) (odds ratio=0.95, p=.005). The supply of newly licensed nurses increased by 32% from2009 to 2014, and proportion of hospitals whose staffing grade had improved, not changed, and worsened was 19.1%, 70.1%, and 10.8% respectively. Compared to 2009, the supply variation of newly licensed nurses in 2014 was not significantly related to the increased odds of improvingstaffing grades in the region (OR=1.02, p=.870). Conclusion: To achieve a balance in the regional supply and demand for hospital nurses, compliancewith nurse staffing legislation and revisions in the nursing fee differentiation policy are needed. Rather than relying on increasing nursesupply, retention policies for new graduate nurses are required to build and sustain competent nurse workforce in the future.