2009 Volume 13 Issue 1 Pages 60-66
The purpose of this study was to clarify nurse burnout, nurse turnover, incidents/medical accidents, and the relationship between nurse turnover and incidents/medical accidents following the introduction of the Diagnosis Procedure Combination (DPC) in 2003. A questionnaire survey was conducted of nurses and nursing managers working in 243 hospitals that had and had not introduced DPC. No statistically significant difference was found, indicating that burnout does not increase with the introduction of DPC. In the hospitals that had introduced the DPC, the nurse turnover rate was compared before and after DPC was started, but no significant difference was found. The introduction of DPC does not appear to increase nurse turnover. Similarly, statistical tests were conducted for incidents/medical accidents using the number of reported incidents/medical accidents summarized for each hospital. The relationship between nurse turnover and incidents/medical accidents before and after the introduction of DPC was tested using Pearson's product-moment correlation coefficient, but almost no correlation was found, either before or after the introduction of DPC, indicating that they are not related.