J Korean Acad Psychiatr Ment Health Nurs.  2012 Mar;21(1):41-54.

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

  • 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


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.
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.
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%).
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.


Psychiatric nursing; Time

MeSH Terms

Fees and Charges
Nursing Care
Nursing Staff
Psychiatric Nursing


1. Bulecheck GM, McCloskey JC. Nursing intervention: Essentional nursing treatments. 1992. 2nd ed. Philadelpia: W. B. Saunders.
2. Choi HM. Korean Nurse Association, policy suggestions on nursing law-nursing cost. The Korean Doctors' Weekly. 2007. Retrieved November 12, 2007. from http://old.docdocdoc.co.kr/news/view.php?bid=news_4&news_id=32816.
3. Forchuk C. Workload measurement and psychiatric mental nursing: Mathematical and philosophical difficulties. Can J Nurs Adm. 1996. 9(3):67–81.
4. Ha YS. Psychiatric nursing. 1995. Seoul: Hyunmoonsa.
5. Health Insurance Review & Assessment. Payment for medical care service. 2012. Seoul: Aramedit.
6. Kang YS, Shin MJ, Kwon YM, Kim DO, Kim EK, Soemoon KA, et al. Nursing management and leadership. 2010. Seoul: Hyunmoonsa.
7. Kim EK, Kwon YD, Kim Y. Estimation of psychiatric nursing costs by using the resource-based relative value scale (RBRVS). J Korean Acad Nurs. 2000. 30:1580–1591.
8. Kim J, Kim MA, Kim MW, Kim KS, Yoo CS, Lee EH. Analysis on performance and new classification on advanced practices by critical care nurse practitioners. J Korean Acad Nurs Adm. 2009. 15:527–538.
9. Kim MA. Nursing management sliding scale: Expected effectiveness and major revised contents. Korean Nurse. 2007. 26(1):42–45.
10. Kim SS, Lee KJ, Kim GH. A study on the development on nursing record for effective nursing practice in psychiatric ward. J Korean Acad Psychiatr Ment Health Nurs. 1995. 14:5–26.
11. Korean Hospital Nurses Association. Standard nursing practice time of the reference nursing activity. 2002. Seoul: Author.
12. Kwon IK, Kim YH, Hwang KJ, Kim HS, Lee BS, Lee HS, et al. A study on the role and present state of advanced practice nurses in Korea. Clin Nurs Res. 2003. 9:55–75.
13. Lee BI. The first-priority and meaning of hospital policy without guardian. Korean Nurse. 2006. 45(5):45–48.
14. Lee CH, Sung YH, Yi YH, Cho YA, Kwon IG. The role analysis of intensive care unit nurse and critical care advanced practice nurse. Clin Nurs Res. 2007. 13(3):93–108.
15. Lee YM, Kim DH, Park MJ, Ju JH. Survey on nurse's workload of Psychiatric unit. 1999. Seoul: Samsung Medical Center.
16. Ministry of Health and Welfare. Mental Health Act. 2011. 12. 07. Retrieved December 7, 2011. from http://www.mw.go.kr/front/jb/sjb0401ls.jsp?PAR_MENU_ID=03&MENU_ID=030401.
17. Ministry of Health & Welfare. Guideline of application standards and methods on Medical care expenses. 2009. Seoul: Author.
18. Ministry of Health & Welfare. Enforcement regulation of Mental Health Act. 2011. 12. 07. Retrieved february 27, 2012. from http://www.law.go.kr/DRF/lawService.do?OC=lrzh&target=law&MST=119263&type=HTML.
19. Pardue SF, Dick CT. Patient classification. J Psychosoc Nurs. 1986. 24(12):23–30.
20. Park JH, Hwangbo SJ, Lee ES. Identification of nursing activities for determination of nursing cost. J Nurs Acad Soc. 1992. 22:185–206.
21. Park JH, Song MS, Cho JS, Sim WH. The classification of standard nursing activities in Korea. J Korean Acad Nurs. 2000. 30:1411–1426.
22. Shin YR. Studies on improvement of the psychiatric nursing. J Nurs Acad Soc. 1975. 5:59–69.
Full Text Links
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr