Cost Analysis of Nursing Activities for Newborns with Hypothermia in the Postpartum Unit at a Tertiary Level Hospital
Keywords:
Cost analysis, nursing activities, newborns with hypothermia, postpartum unitAbstract
This descriptive research aimed to analyze the cost of nursing activities for newborns with hypothermia in the postpartum unit of a tertiary level hospital. The sample was 30 newborns with hypothermia. Data included reports of labor costs, capital costs, and material costs of neonatal nursing personnel caring for newborns with hypothermia. Data were collected between December 2020 and May 2021. The research instruments consisted of the Hypothermic Neonatal Nursing Activity Dictionary, a Record Form for nursing activities costs for newborns with hypothermia, and a Record Form for cost per unit of service. Descriptive statistics were used to analyze the data.
The results showed that the total cost of nursing activities was 42,208.52 baht. These were broken out into first phase (5.92%), hypothermia phase (11.72%), nursing activities with the
multidisciplinary team (75.44%), and administration and support (6.93%). The maximum cost per activity (265.34 baht) and the highest cost per newborn (1,061.36 baht) was for nursing activities with multidisciplinary teams. The results showed empirical evidence of the cost of nursing activities for newborns with hypothermia, and are important for hospital administrators who can use this
information to maximize manpower and time management.
References
sugar producers in Samutsongkhram.
Bangkok: Suan Sunandha Rajabhat
University. [in Thai].
Gupta, K. K., Attri, J. P., Singh, A., Kaur, H., & Kaur,
G. (2016). Basic concepts for sample size
calculation: Critical step for any clinical
trials! Saudi Journal of Anesthesia, 10(3),
328-331. doi: 10.4103/1658-354X.174918
Itthichinda, S. (2013). Design and development
of a baby warmer during radiographic
imaging luoroscope. Bangkok: King
Mongkut’s University of Technology North
Bangkok. [In Thai]
Kaplan, R. S., & Cooper, R. (1998). Cost and effect:
Using integrated cost system to drive
profitability and performance. Boston:
Harvard Business school press.
National Health Security Office [NHSO]. (2007).
National health act. Bangkok: National
Health Security Office. [In Thai]
Polit, D. F., & Hungler, B. P. (1999). Nursing research:
Principles method (6th ed.). Philadelphia:
J.B. Lippincott.
Punyavachira, P., & Rotjananirunkit, N. (2009).
A comparison of using polyethylene bag
and radiant warmer on body temperature
of full-term newborns. Ramathibodi
Nursing Journal, 15(3), 373-384.
Samutchang, E. (2016). Guidelines for newborn
care to prevent hypothermia. Songkhla:
Songkhla Boromarajonani College of
Nursing. [In Thai]
Singchugchai, P. (2016). Health economics for
health services (5th ed.). Songkhla:
Chanmuang. [In Thai]
Wannachad J. (2011). Neonatal body temperature
control. Journal of Phrapokklao Nursing
College, 23(1), 81-93. [in Thai]
Wirotwanit, N., Thongkhamrod, R., & Hingkanont,
P. (2014). Cost analysis of nursing service
activity in emergency department Naresuan
University Hospital. Journal of Nursing and
Health Sciences, 8(3), 252-67. [In Thai]
World Health Organization [WHO]. (1997). Safe
motherhood: Thermal protection of the
newborn: A practical guide. Geneva: World
Health Organization.
World Health Organization [WHO]. ( 2017) . WHO
recommendations on newborn health:
Guidelines approved by the WHO guidelines
review committee. Geneva: World Health
Organization.
