ArticleBMC nursing2024
Improvement in nurse staffing ratios according to policy changes: a prospective cohort study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Patient Safety Culture and Nurses' Turnover Intention: The Serial Mediating Roles of Burnout and Job Satisfaction.Journal of clinical nursing · 2026Article
- Associations of Insomnia, Fatigue, and Overtime Work With Self-Reported Medication Errors Among Perianesthesia Nurses: A Cross-Sectional Study.International nursing review · 2026Observational
- The illusion of improved nurse staffing levels in South Korea during COVID-19: a statistical artifact of policy changes and declining patient volume.BMC nursing · 2026Article
- Effect of Nurses' Working Conditions Improvement Policy on Patient Outcomes in General Hospitals: A Quasiexperimental Study Using National Health Insurance Claims Data From Korea.Journal of nursing management · 2026Article
- The Association Between Nursing Work Environment and Evidence-Based Practice.Worldviews on evidence-based nursing · 2025Article
- Nursing staff levels, years of service and nationality diversity as predictors of patient satisfaction with nursing care: a retrospective analysis.Journal of research in nursing : JRN · 2025Article
- The Scottish Safe Staffing Act at Baseline: Quantitative Findings.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Enhancing Nursing Excellence: Exploring the Relationship between Nurse Deployment and Performance.International journal of environmental research and public health · 2024Article
- Relevant factors affecting nurse staffing: a qualitative study from the perspective of nursing managers.Frontiers in public health · 2024Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 1999, reimbursements for nursing services for inpatients have been paid differentially according to the nurse staffing ratios in Korea. However, differentiated nursing fees are insufficient for nurse staffing; thus, steps have been taken to improve the policy. This study aimed to identify the impact of a policy that changed the method of calculating nurse staffing ratios from the nurse-to-bed ratio to the nurse-to-patient ratio on improving the nurse staffing ratio in medical institutions.
methodsData were collected from 1,339 medical institutions that continuously provided medical services from 2017 to of 2021, and a prospective cohort was used for analysis. A generalized estimating equation for longitudinal ordered logistic regression was used to identify the impact of this policy change on the nurse staffing ratios in medical institutions.
resultsDuring the cohort study, 59.8% of the first-applied group of medical institutions and 65.6% of the second-applied group of medical institutions improved their nurse staffing ratios. However, only 22.6% of the medical institutions to which the revised calculation method was not applied improved their nurse staffing ratios. A statistically significant difference was found in the improved nurse staffing ratio depending on whether and when the revised calculation method was applied (χ
conclusionsFinancial incentives inherent in the new policy can be regarded as the driving force behind improvements in nurse staffing ratios. The revised calculation method should be extended to all medical institutions nationwide, and the law should be revised to secure the minimum number of nurses.
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