Analysis of Psychiatric Nursing Activity and Time for Development of Nursing Cost.

Im,  Sook Bin; Chang,  Whasoon; Ko,  Moon Hee; Park,  Youngsuk; Kim,  Eun Kyung

doi:2012.21.1.41

J Korean Acad Psychiatr Ment Health Nurs > Volume 21(1); 2012 > Article

Original Article

Journal of Korean Academy of psychiatric and Mental Health Nursing 2012;21(1):41-54.
DOI: https://doi.org/10.12934/jkpmhn.2012.21.1.41 Published online March 31, 2012.

Analysis of Psychiatric Nursing Activity and Time for Development of Nursing Cost.

Sook Bin Im, Whasoon Chang, Moon Hee Ko, Youngsuk Park, Eun Kyung Kim

¹College of Nursing, Eulji University, Daejeon, Korea.
²Nursing Department, Yongin Mental Hospital, Yongin, Korea.
³Department of Nursing, Chodang University, Muan, Korea.
⁴Department of Nursing, Korea National Open University, Seoul, Korea.
⁵Department of Nursing, Mokpo National University, Muan, Korea. eunkyung@mokpo.ac.kr

Abstract

PURPOSE
Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. METHODS: In this research 'a list of psychiatric nursing activities' was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. RESULTS: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in 'Nursing care and information management' (528.0 minutes/day, 33.6%), followed by 'communication and coordination' (209.2 minutes, 13.3%), 'safety care' (185.3 minutes, 11.8%), and 'medication' (120.9 minutes, 13.3%). CONCLUSION: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.

Key Words: Psychiatric nursing; Time