Journal List > Korean J Adult Nurs > v.25(6) > 1076232

Kim, Chung, Kim, Lee, Hwang, Cho, and Kim: Current Situation and the Forecast of the Supply and Demand of the Nursing Workforce in Korea

Abstract

Purpose

The plan proposed by the Ministry of Health and Welfare in 2012 did not reflect the position of nurses and focused only on how to increase the number of nurses. There is a need for coming up with a specific and viable alternative plan considering the qualitative aspect of nursing, delegation of nursing tasks, the in-death analysis of the reasons for leaving the nursing profession, and the legal standards based on varying nursing tasks.

Methods

Drawing on a review of existing literature, this report was written to examine policy directions and the factors that influence the institutional environment that regulates the supply and demand of the nursing workforce in Korea.

Results

Implementing the government's plan for introducing a new type of nurse, the registered practical nurse, which generally requires a two-year associate's degree, must be reconsidered. Also, a concrete plan to make use of unemployed nurses and to close the salary gap between nurses working at hospitals in cities and those working at hospitals in rural areas must be prepared. Furthermore, there is a need for introducing a new rating system aimed at boosting the quality of nursing care in small-and medium-sized hospitals, thereby increasing the number of nursing professionals who provide high quality care.

Conclusion

In preparation for expected poor quality of care and looming unemployment crisis due to the increase in the number of nursing professionals, a practical and concrete plan for the supply and demand of the nursing workforce should be made. The Korean Nurses Association should mount a profession-wide campaign to make the government formulate a new and viable policy on the supply and demand of the nursing workforce.

REFERENCES

Buchan J.., Black S.2011. The impact of pay increases on nurses' labour market: A review of evidence from four OECD countries. OECD Health Working Paper. Paris: OECD.
Cho Y. K.2013. A structural equation model on new graduate nurses' turnover intentions and turnover. (Doctoral Dissertation), Ewha Womans University, Seoul. Retrieved from. http://www.riss.kr/link?id=T13252735.
Fochsen G.., Sjögren K.., Josephson M.., Lagerström M.2005. Factors contributing to the decision to leave nursing care: a study among Swedish nursing personnel. Journal of Nursing Management. 13(4):338–344.
crossref
Han J. R.2011, December 20. ). A Refutation on. "no more nurse shortage due to four year course unification of nursing education". , Korean Nurses Association, Daily Medipharm. Retrieved from. http://dailymedipharm.com/news_view.jsp?pg=0&ncd=1895.
Han S. S.., Sohn I. S.., Kim N. E.2009. New nurse turnover intention and influencing factors. Journal of Korean Academy of Nursing. 39(6):878–887. http://dx.doi.org/10.4040/jkan.2009.39.6.878.
crossref
Health Insurance Review and Assessment Service. 2011. Current situation of hospital rooms of medical care facilities by types of care services (before the first quarter of 2011). , Korean Statistical Information Service. Retrieved September 2, from. http://kosis.kr/nsikor/view/stat10.do.
Health Insurance Review and Assessment Service. 2013. Current situation of hospital rooms of medical care facilities by types of care services (after the second quarter of 2011). Korean Statistical Information Service. Retrieved October, 2, from. http://kosis.kr/nsikor/view/stat10.do.
Jones R. S.2010. Healthcare reform in Korea. OECD economics department working papers, No. 797. OECD Publishing.
crossref
Kim G. L.., Lee H. J.., Cho Y. S.., Kim M. H.2013. The experience of turnover decision making in new graduate nurses. Journal of Qualitative Research. 14(1):23–33.
Kim H. R.., Yeo J. Y.., Kang S. W.., Jung Y. H.., Lee S. H.2012. Review of the Korean health care system performance during 2000-2010 and policy implications based on OECD health data. Seoul: Korea Institute for Health and Social Affairs.
Kim J. H.2013. Current situation and policy direction of the nursing workforce supply. Paper presented at the Pannel Discussion for the Direction for Reorganization of Nursing Staff System in Korea. Seoul National University, Seoul.
Kim M. J.., Han S. S.2007. Comparison of job satisfaction, commitment to organization, nursing organization culture and job experience between national/public hospital nurses and private hospital nurses. Journal of East-West Nursing Research. 13(1):22–30.
Kim S. M.2010. A study on job expansion in health care sector and suggestions on the improvement of work quality. Seoul: Economic and Social Development Commission of Korea.
Kim S. M.., Roh Y. J.., Kim J. I.., Park J. S.2010. A study on creating healthcare jobs and improving the quality of work. p. 70. Seoul: Family Harmony Strategic Institute.
Kim Y. S.2010. ). Analyze Korean hospitals. 2010! A Paper presented at the International Seminar on the Hospital Workforce. Seoul.
Kim Y. S.., Kwon M. K.2010. Nurses' parenting stress. Korean Parent-Child Health Journal. 13(2):86–94.
Korean Hospital Nurses Association. 2012. Survey on the current nurse deployment, A report of hospital nurses association. 2012 (pp.p. 99–109. Seoul: Hospital Nurses Association.
Lavoie-Tremblay M.., O'brien-Pallas L.., Gelinas C.., Desforges N.., Marchionni C.2008. Addressing the turnover issue among new nurses from a generational viewpoint. Journal of Nursing Management. 16(6):724–733.
crossref
Lee Y. J.2010. Supply and demand of clinical nurses and policy alternative. Paper presented at the International Seminar for the Secure of Hospital Resources and the Improvement of Shift Working, Seoul.http://blog.daum.net/bogun1004/262.
Ministry of Health and Welfare, and Korea Institute for Health and Social Affairs. 2012. OECD Health Data 2012. Seoul: Ministry of Health and Welfare;Retrieved from. http://www.bokjiro.go.kr/data/statusView.do?board_sid=297&data_sid=5836842.
Ministry of Health and Welfare, Division of Healthcare Policy. 2013. Direction for Reorganization of Nursing Staff System in Korea. Seoul: Ministry of Health and Welfare;, Retrieved from. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=281554&page=1.
Ministry of Health and Welfare. 2012. 2012 Health and Welfare Statistics. (11-1352000-000137-10). Seoul: Ministry of Health and Welfare;Retrieved from. http://stat.mw.go.kr/front/statData/mohwAnnalsWpView.jsp?menuId=14&bbsSeq=1&nttSeq=20398&nttClsCd=01&searchKey=&searchWord=&nPage=1.
National Health Personnel Licensing Examination Board. 2013. Licensing examination statistics of nurses. Retrieved September 21, 2013, from. http://www.kuksiwon.or.kr/Information/ExamStatistic.aspx.
Oh Y. H.2008. Prospect of supply and demand of nursing resources. Paper presented at the Korean Society of Health Policy and Administration Scientific Conference in 2008, Interburgo Hotel, Daegu.
Oh Y. H.2012. Supply of the healthcare institutions and the hospital beds. Issue & Focus. 129:1–8.
Organization for Economic Cooperation Development. 2011. Health at a glance 2011: OECD Indicators. OECD.
Park B. H.2012. Evaluation of policy related to expansion of hospital nurses. Doctoral Dissertation, Seoul National University, School of Public Health, Seoul. Retrieved from. http://www.riss.kr/link?id=T12810448.
Park K. O.2010. Korean Nursing Association's Suggestions for Solving Nurse Shortage. A source book of policy debate (pp.p. 25–33. Seoul: Korean Hospital Association.
Shin J. S.2011, December 20. ). No manpower shortage caused by the unification of nursing education. Daily Medipharm. Retrieved from. http://www.monews.co.kr/Item/45724/.
Shin K. R.2008, June 13. To activate inactive registered nurse license. Chosun Ilbo.
Wangensteen S.., Johansson I. S.., Nordström G.2008. The first year as a graduate nurse-An experience of growth and development. Journal of Clinical Nursing. 17(14):1877–1885.
Yoon S. H.2002. A study on new graduate nurses' clinical experience of adaptation. Journal of Korean Nursing Administration Academic Society. 8(1):55–72.

Figure 1.
Ratio of nurses to nursing assistants by different types of medical facilities.
kjan-25-701f1.tif
Figure 2.
The salary of new nurses by different types of medical facilities, by regions and by nursing rating.
kjan-25-701f2.tif
Table 1.
Proposed Changes to the Nursing Workforce Structure
Different types of nurses The scope of practice Conditions of eligibility Opportunities for advancement
Registered nurses Independently provide the full range of nursing care
Work under the direction of doctors
They are required to have four years of college education and hands-on training  
Practical nurses with advanced levels of nursing practice Work as a nursing assistant under the direction of registered nurses
Work as a therapy assistant under the direction of doctors or registered nurses commissioned by doctors
Those working in private doctors' offices can independently perform nursing care under the direction of doctors
They are required to have two years of college education and hands-on training Those with some nursing experience who complete some education are eligible to take the exam for registered nurses
Practical nurses with entry-level nursing practice Work as a nursing assistant under the direction of registered nurses or work as a therapy assistant under the direction of doctors or registered nurses commissioned by doctors
Those working in private doctors' offices work as a nursing assistant under the direction of registered nurses and practical nurses with an advanced levels of nursing practice or work as a therapy assistant under the direction of doctors or registered nurses and practical nurses with advanced levels of nursing practice commissioned by doctors
They are required to have a high school diploma and to fulfill educational requirements at institutions designated by the Minister of health and welfare Those with some experience who complete some education are eligible to take the exam for the practical nurses with advanced levels of nursing practice

Source: Ministry of Health and Welfare (2013). Direction for Reorganization of Nursing Staff System in Korea.

Table 2.
Changes in the Composition of the Nursing Workforce by Different Types of Medical Facilities from 2003 to 2011
Variables Categories 2003 2004 2005 2006 2007 2008 2009 2010 2011
Advanced general hospital RN 19,730 19,967 20,368 21,012 21,293 22,830 23,310 24,761 24,993
NA 3435 3,435 3,437 3,513 3,512 3,514 3,535 3,650 3,565
RN% 85% 85% 86% 86% 86% 87% 87% 87% 88%
General hospital RN 28,543 29,162 30,532 31,418 32,613 33,846 35,073 36,965 38,112
NA 5,843 5,651 5,642 5,632 5,672 5,759 5,691 5,810 5,962
RN% 83% 84% 84% 85% 85% 85% 86% 86% 86%
Hospital RN 16,180 17,132 17,422 18,625 19,655 21,402 22,430 23,172 23,834
NA 7,528 7,694 7,898 8,138 8,839 10,144 10,719 11,477 12,138
RN% 68% 69% 69% 70% 69% 68% 68% 67% 66%
Care hospital RN 770 1,250 1,961 3,257 5,331 6,538 7,699 8,711 9,405
NA 273 425 744 1,436 3,025 4,493 5,983 7,636 8,921
RN% 74% 75% 72% 69% 64% 59% 56% 53% 51%
Clinic RN 13,626 13,566 14,560 15,083 15,938 15,602 15,717 15,616 15,522
NA 67,173 73,697 71,922 73,867 75,661 77,466 78,872 79,935 81,618
RN% 17% 16% 17% 17% 17% 17% 16% 16% 15%
Total RN 78,849 81,077 84,843 89,395 94,830 100,218 104,229 109,225 111,866
NA 84,252 90,902 89,643 92,586 96,709 101,376 104,800 108,508 112,204
Nurse staff 163,101 171,979 174,486 181,981 191,539 201,594 209,029 217,733 224,070
RN% 48.3% 47.1% 48.6% 49.1% 49.5% 49.7% 49.8% 50.2% 49.9%

Source: Ministry of Health and Welfare (2013). Direction for Reorganization of Nursing Staff System in Korea p. 5 RN=Registered Nurse; NA=Nurse Aid

Table 3.
Rate of Increase in Hospital Beds by Different Types of Medical Facilities from 2000 to 2010
Variables 2000' 2010' Increase rate (%)
Total 294,326 512,499 74.1
Advanced general hospital 37,265 37,768 1.30
General hospital 76,308 86,648 13.60
Hospital 93,014 175,934 89.10
Care hospital 5,869 102,257 1642.30
Local clinic 75,946 97,322 28.10
Dental hospital 103 263 155.30
Dental clinic 40 41 2.50
Maternity hospital 150 115 -23.30
Health center 699 455 -34.90
Oriental hospital 8,037 9,560 18.90
Oriental clinic 2,764 2,136 -22.70

Source: Health Insurance Review and Assessment Service (2011). Health insurance care facilities have been increased 20,000 for the last 10 years. p. 3

Table 4.
Change of Number of Registered Nurses and Employment Rate
Year Number of registered nurses Number of active nurses Percentage of employment
2001 170,845 83,092 48.6
2002 181,800 86,145 47.4
2003 192,480 89,590 46.5
2004 202,012 94,012 46.5
2005 213,644 99,088 46.4
2006 223,781 103,902 46.4
2007 235,687 108,796 46.2
2008 246,840 114,005 46.2
2009 258,568 120,793 46.7
2010 270,274 116,071 42.9
2011 282,656 118,771 42.0

Source: Kim, J. H., (2013). Current situation and policy direction of the nursing workforce supply. Paper presented at the Pannel Discussion for the Direction for Reorganization of Nursing Staff System in Korea. Seoul National University, Seoul.

Table 5.
Nurses' Turnover Rate by the Type and Number of Hospital Beds
Variables Categories Turnover rate (%) Average (%)
Type of hospital Advanced general hospital 9.9 16.8
General hospital 18.6
Hospital 18.1
Care hospital 23.9
Others 10.3
Number of beds available 100~199 beds 23.1 16.8
200~399 beds 20.7
400~599 beds 16.6
600~799 beds 14.1
800~999 beds 9.9
Over 1,000 beds 8.7

Source: Korean Hospital Nurses Association (2012). Survey on the current nurse deployment, A report of Hospital Nurses Association. p. 93

Table 6.
Point of Turnover of New Nurses
Variables Number of employment in 2011 Before field education During field education During temporary position After permanent position Total
n n (%) n (%) n (%) n (%) n (%)
Advanced general hospital 5,695 769 (13.5) 183 (3.2) 318 (5.6) 530 (9.3) 1,800 (31.6)
General hospital 5,926 805 (13.6) 210 (3.5) 287 (4.8) 838 (14.1) 2,140 (36.1)
Hospital 338 2 (0.6) 12 (3.6) 26 (7.7) 41 (12.1) 81 (24.0)
Care hospital 28 - 1 (3.6) - 15 (53.6) 16 (57.1)
Others 20 - - - - -
Total 12,007 1,576 (13.1) 406 (3.4) 631 (5.3) 1,424 (11.9) 4,037 (33.6)

Source: Korean Hospital Nurses Association (2012). Survey on the current nurse deployment, A report of Hospital Nurses Association 2012 p. 94.

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