摘要
目的:研制具备上海市护理工作特色的三级医院因素型病人分类工具,为科学合理测算护理人力成本奠定基础。方法:引进我国台湾地区徐南丽教授开发的因素型病人分类工具,采用德尔菲法,经过2轮专家函询,结合临床预实验,构建上海市三级医院因素型病人分类工具。结果:本研究2轮专家函询中,专家积极性系数均为100%,专家权威系数为0.85,共修改了14个条目,增加了2个条目;并经过临床测试,删除了勾选率小于1%的7个条目,最终构建出上海市三级医院因素型病人分类工具,包括11个类别79个条目,涵盖了病人动态、状况评估、呼吸、营养、舒适与清洁、活动、排泄、药物、健康教育、配合医疗和专科护理措施。结论:研发的上海市三级医院因素型病人分类工具科学、可靠,可为进一步测算护理人力成本及合理配置人力资源提供参考。
Objective： To develop a factor type patient classification tool for tertiary hospitals in Shanghai and to provide a basis for scientifically calculating nursing human costs. Methods： Based on factor type patient classification tool in Taiwan developed by Xu Nan-li, we designed and revised the tool by two rounds of experts＇ consultation and clinical testing. Results： The response rate of experts was 100% and the authority coefficient was 0.85. We revised 14 items and added 2 items and carried out clinical testing in a tertiary hospital. Seven items were deleted because the selecting rates were less than 1%. Finally the factor type patient classification tool for tertiary hospitals in Shanghai was developed, including I 1 categories and 79 items. This tool covered the patients dynamics, health status, respiratory condition, nutrition status, activity, medication, health education, treatment compliance and nursing interventions. Conclusions： The factor type patient classification tool is a scientific, reliable and applicable tool for rational nursing human costs measurement and allocation.
出处
《中国护理管理》
CSCD
2013年第2期31-34,共4页
Chinese Nursing Management
关键词
三级医院
病人分类工具
tertiary hospitals
patient classification tool
