New Clinical Nursing Management from Patient Classification System Research Trends

Abstract

The purpose of this paper is to review the research trend in foreign countries related to <patient classification system< which has become a main theme internationally in the medical system, and to examine new patient classification system necessary for the patient value improvement and clinical nursing management as a basis of this operation. As a method, the search for previous studies was conducted mainly by searching for keywords related to patient classification in PubMed and Cinahl-databases, and two journals, Journal of Advanced Nursing and Journal of Nursing Management, were complemented by searching for papers directly related to the keywords. The patient classification system is not the first-generation system aimed only at proper assignment of nurses at the beginning, but the development of the fourth-generation system which includes many elements of hospital management such as cost management of services and medical supplies has been started. As a result of the research, it was shown that the introduction experience of over 10 years of the national level of nursing care intensity evaluation which is rare internationally brings about advantage in the mechanism which collects the evaluation data on the patient disease state which is necessary for the system construction, training on this information collection, retention of the motivation of the provider. Therefore, the development of a disease classification system for fourth-generation patients utilizing this advantage and the realization of clinical nursing management that raises the value of patients based on this system are urgent issues in the future.