Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Analysis of Nursing Intensity Related to Nursing Activities in Operating Room using the Relative Value Scale For Nursing Cost

간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석

  • Ha, Ru Mee (Operation Room, Guri Hospital, Hanyang University Medical Center) ;
  • Kwon, Kyoung Ja (Department of Nursing, Hansei University) ;
  • Woo, Jin Ha (Operation Room, Konkuk University Medical Center) ;
  • Kim, Jung A (College of Nursing, Hanyang University)
  • 하루미 (한양대학교 구리병원 수술실 간호과) ;
  • 권경자 (한세대학교 간호학과) ;
  • 우진하 (건국대학교병원 수술간호팀) ;
  • 김정아 (한양대학교 간호학부)
  • Received : 2014.05.14
  • Accepted : 2014.06.24
  • Published : 2014.08.29
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Abstract

Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

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