Improvement Plan of Nurse Staffing Standards in Korea

Shin, Sujin; Park, Jong Duck

doi:10.1016/j.anr.2020.03.004

Cited by 18 publications

(14 citation statements)

References 23 publications

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“…In addition, the wage gap according to hospital type is also severe that the average monthly income of general hospitals and hospitals was only 85% and 75% of tertiary hospitals (Kim et al, 2019 ). Taking the initiatives by the government in determining the remuneration of nurses would be suitable for controlling the monopoly labour market such as for medical professionals (Shin et al, 2020 ). In this light, policy efforts to coalesce the wage structure of nurses across the nation and to improve working conditions are required.…”

Section: Discussionmentioning

confidence: 99%

“…The Korean Medical Service Act clearly stated the minimum number of patients per RN in acute care hospitals (2.5:1 daily patient census per RN). Due to lack of substantial penalties and reimbursing fees to hospitals that could not meet the legal standards, the compliance rate was very low, and only 63% of general hospitals and 19% of hospitals had complied as of 2013 (Cho et al, 2016 ; Kim et al, 2007 ; Shin et al, 2020 ). Therefore, the National Health Insurance Service (NHIS) introduced the nursing fee differentiation policy (hereafter, NFDP) in 1999.…”

Section: Introductionmentioning

confidence: 99%

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

Kim

2022

J Nursing Management

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Kim

2022

J Nursing Management

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“…South Korea’s medical laws regulate nurses (Choi et al, 2019; Oh, 2018). Nurses who fail in their duties may face relevant legal penalties (S. Shin et al, 2020). Healthcare providers who violate their duty under the medical law may face license suspension or revocation based on the severity of their violation.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, medical law is connected with criminal law in several important aspects, including medical accidents, medical care insurance law, and the civil and criminal procedural codes (M. Lee, Yoon, & Lee, 2018). Thus, nurses who violate medical law may receive a criminal penalty with a fine, whereas those who fail in their duties may face disqualification or revocation of their license (S. Shin et al, 2020). Nurses who violate their obligations under medical law may receive a criminal penalty as well as administrative disposition.…”

Section: Introductionmentioning

confidence: 99%

The Current Status of the Administrative Dispositions of Nurses: A Nationwide Survey in South Korea

Kim¹,

Kim²

2021

Journal of Nursing Research

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Background In South Korea, the professional role of nurse has been redefined from “assistant to” to “partner of” doctors as part of an overall national health promotion strategy. Purpose This descriptive survey was designed to describe the current status of administrative dispositions related to nurses in South Korea. Methods Data were collected between January 2014 and December 2018. The raw data were obtained from 3,553 public health centers nationwide after a request for the disclosure of information related to the administrative disposition of nurses in each city and province. The data included details on administrative dispositions, laws related to administrative dispositions, violations, and standards for administrative dispositions. Results Most of the nurses affected by administrative dispositions worked for primary and secondary healthcare providers. The most common type of administrative disposition was license suspension (n = 66, 80.5%), and most violations for administrative disposition involved unlicensed medical practice (n = 38, 46.3%). Nurses who had more-specific standards provided as evidence of the disposition faced longer periods of license suspension (p = .035). Conclusions/Implications for Practice Nurses should avoid providing nursing care to patients that is not in compliance with medical laws because the administrative action may vary depending on the violation and the severity of their legal infractions. This study was the first to examine administrative actions specifically affecting nurses in South Korea. The administrative actions of medical personnel were found to depend on the number and degree of violations. Nurses must understand the details of nurse-related administrative dispositions to avoid violating medical laws.

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“…This may be in the form of criminal liability (leading to criminal punishment), civil liability (leading to compensation for damages), and/or administrative liability (leading to suspension of a license or work suspension)[ 3 ]. Despite the opinion that the scope of nurses’ duties was specified in the 2015 amendment of the Medical Service Act [ 4 ], the scope of nurses’ duties remains unclear, and the legal liability in cases of medical accidents is ambiguous and confusing when appraising unlicensed medical practices [ 5 ]. In addition, there are still problems with the unspecified scope and responsibility of various specialty nurses (e.g., perfusionists) for tasks that require independent and high-level professionalism [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of court rulings on involuntary manslaughter or at-fault injury due to professional negligence by pediatric nurses: a systematic content analysis study

Song¹,

Kim²

2022

Child Health Nurs Res

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Purpose: This study systematically analyzed cases in South Korea wherein nurses were prosecuted for involuntary manslaughter or injury due to professional negligence in pediatric care.Methods: We analyzed the precedents using the methodology of Hall and Wright (2008) and Austin (2010). Of the 618 cases retrieved from the Supreme Court Decisions Retrieval System in South Korea, we selected the 12 cases in which children were the victims and nurses were the defendants, using a case screening methodology.Results: The most frequent penalty was a fine, and newborns were the most frequent victims. The distribution of cases according to Austin's violation categories was: improper administration of medications (n=5), failure to monitor for and report deterioration (n=4), ineffective communication (n=4), failure to delegate responsibly (n=4), failure to know and follow facility policies and procedures (n=1), and improper use of equipment (n=1).Conclusion: To ensure the safety of children, nurses are required to teach and practice a high standard of care. Nursing education programs must improve nurses’ awareness of their legal obligations. Nursing organizations and leaders should also work towards enacting effective nursing laws and ensuring that nurses are aware of their legal rights and responsibilities.

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Improvement Plan of Nurse Staffing Standards in Korea

Cited by 18 publications

References 23 publications

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

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

The Current Status of the Administrative Dispositions of Nurses: A Nationwide Survey in South Korea

Analysis of court rulings on involuntary manslaughter or at-fault injury due to professional negligence by pediatric nurses: a systematic content analysis study

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