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Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study

AIM: This study aims to evaluate the new nursing policy's effect on improving overall nurse staffing levels in Korean acute care hospitals. BACKGROUND: The Korean government introduced the Integrated Nursing and Care Service policy, which adopted advanced staffing standards. Under the new schem...

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Detalles Bibliográficos
Autores principales: Yi, Jinseon, Kim, Jinhyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092325/
https://www.ncbi.nlm.nih.gov/pubmed/36181261
http://dx.doi.org/10.1111/jonm.13815
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author Yi, Jinseon
Kim, Jinhyun
author_facet Yi, Jinseon
Kim, Jinhyun
author_sort Yi, Jinseon
collection PubMed
description AIM: This study aims to evaluate the new nursing policy's effect on improving overall nurse staffing levels in Korean acute care hospitals. BACKGROUND: The Korean government introduced the Integrated Nursing and Care Service policy, which adopted advanced staffing standards. Under the new scheme, reimbursement of nursing fees was differentiated by the patient‐to‐nurse ratios, and financial incentives were provided to policy participating hospitals to promote additional employment in overall hospitals. METHODS: We analysed 1362 acute care hospitals. The probability and degree of improving nurse staffing levels for each hospital were examined using a two‐part model. Whether policy participation had affected to improve nurse staffing levels was evaluated by the difference‐in‐difference approach. RESULTS: Policy participating hospitals were 3.89 times more likely to enhance nurse staffing levels compared to non‐participating hospitals. The policy participation effect was found to improve average nurse staffing levels by 1.12 grades. CONCLUSION: Korean nurse staffing policy reform was successful to encourage hospitals to improve their overall nurse staffing levels. IMPLICATION FOR NURSING MANAGEMENT: Nursing leaders and policymakers should understand that providing incentives could affect hospitals' employment behaviour change under the market‐oriented healthcare system. For developing future nursing policies, these strategies should be considered appropriately.
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spelling pubmed-100923252023-04-13 Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study Yi, Jinseon Kim, Jinhyun J Nurs Manag Regular Issue AIM: This study aims to evaluate the new nursing policy's effect on improving overall nurse staffing levels in Korean acute care hospitals. BACKGROUND: The Korean government introduced the Integrated Nursing and Care Service policy, which adopted advanced staffing standards. Under the new scheme, reimbursement of nursing fees was differentiated by the patient‐to‐nurse ratios, and financial incentives were provided to policy participating hospitals to promote additional employment in overall hospitals. METHODS: We analysed 1362 acute care hospitals. The probability and degree of improving nurse staffing levels for each hospital were examined using a two‐part model. Whether policy participation had affected to improve nurse staffing levels was evaluated by the difference‐in‐difference approach. RESULTS: Policy participating hospitals were 3.89 times more likely to enhance nurse staffing levels compared to non‐participating hospitals. The policy participation effect was found to improve average nurse staffing levels by 1.12 grades. CONCLUSION: Korean nurse staffing policy reform was successful to encourage hospitals to improve their overall nurse staffing levels. IMPLICATION FOR NURSING MANAGEMENT: Nursing leaders and policymakers should understand that providing incentives could affect hospitals' employment behaviour change under the market‐oriented healthcare system. For developing future nursing policies, these strategies should be considered appropriately. John Wiley and Sons Inc. 2022-10-12 2022-10 /pmc/articles/PMC10092325/ /pubmed/36181261 http://dx.doi.org/10.1111/jonm.13815 Text en © 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Regular Issue
Yi, Jinseon
Kim, Jinhyun
Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title_full Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title_fullStr Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title_full_unstemmed Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title_short Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
title_sort impact evaluation of nurse staffing policy reform in korea: a quasi‐experimental study
topic Regular Issue
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092325/
https://www.ncbi.nlm.nih.gov/pubmed/36181261
http://dx.doi.org/10.1111/jonm.13815
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