Determining cost through price values of nursing services at A hospital

This descriptive and interventional study aimed at determining price of nursing interventions at hospitals and exploring cost of nursing services given at a hospital through a computer program which is called Nursing Cost Program (NCP) developed by the researchers. Frequency and percentage were used in the evaluation of the data. It was done 771 times only 29 out of the 99 nursing interventions by nurses at the district hospital. It was determined that 21 of these nursing interventions had a price values in Healthcare Implementation Communique (SUT in Turkish)). The large majority of the interventions at the wards were monitoring of vital signs. However, there is no any price of the monitoring of vital signs in the Healthcare Implementation Communique, it is determined that the intervention performed in surgery and pediatric wards were the intravenous drug infusions/fluid replacements were both the highest income and material expenses. In addition, it is determined that 46.43% of the most frequently applied nursing interventions in the wards were with medication, 45.14% of them were with general nursing/care interventions. Also, according to the Nursing Cost Program, the total cost of hospital nursing interventions was 8 235.5 ₺ while the average cost of a nursing intervention was 12.9 ₺ at its highest in surgical service. While the fees of nursing interventions determined by HMP constitute 10.30% of the revenue from patient billing of the hospital, the material expense of the nursing interventions constituted 4.98% of the total hospital expenditure. According to the calculations made with the gross salaries of the nurses; the total cost of nursing services (remuneration + material) represent 54.7% of the total hospital expenses of the services and 49.67% of them represent the remuneration of the nurses. One-fourth of the nursing interventions in HMP was carried out in the district hospital. The total revenue of these interventions accounted for one-tenth of the hospital invoice income, and the total material expense was approximately 5% of the total cost of the hospital. According to salaries, the cost of nursing services is more than half of the hospital expenses. The costs of nursing services within the hospital budget can be defined more comprehensively by adding the unpaid interventions to the program in the district hospital.