Kyung Sook Kim | 2 Articles |
PURPOSE
The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. METHODS First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. RESULTS Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. CONCLUSION The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.
PURPOSE
The purpose of this study was to identify the influencing factors associated to students nurses' cultural awareness toward immigrants for marriage and foreign workers. METHODS The participants were 107 nursing students in C city in Chungnam province. The data were collected with structured questionnaire. Collected data were analyzed using t-test, ANOVA, correlation analysis, and stepwise multiple regression. RESULTS The mean score of cultural awareness was 3.67. The degree of cultural awareness was different according to educational experience related multiculture and age. The variables predicting cultural awareness were social distance of foreign workers, emotions of immigrants for marriage and age. These factors accounted for 26% of the variance of cultural awareness in nursing students. CONCLUSION The results indicate education related multiculture should be provided to nursing students to reduce the social distance between students and foreign workers and enhance positive emotions for immigrants.
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