간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석

Abstract

Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimatenursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodologyfor this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities andthe 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 operationassistant, 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 inphysician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to totaloperation revenue.