Ogata Y, Yokote E, Hashimoto M, Fukuda T, Nakano Y, Mori K, Otosaka K, Gunji A
Division of Health Economics, Graduate School of Health Sciences & Nursing, Faculty of Medicine, University of Tokyo.
Nihon Koshu Eisei Zasshi. 2000 Dec;47(12):973-89.
The purpose of this study was to investigate the resource based relative values of visiting nursing services, and to analyze the relationships between the relative values and the dimensions of nursing service(time, mental effort and physical effort).
We interviewed nurses at 20 Home-visit nursing care stations (HVNCS) in the Metropolitan area using the resource based relative value questionnaires. We asked nurses about relative values of "Total Work", and also measured relative weight of 3 dimensions of nursing services. Total Work was defined as comprehensive evaluation of nursing services, with careful consideration of intensity as well as duration. With the dependent variable as Total Work and independent variables as the 3 dimensions, multiple regression analyses were carried out. Furthermore we examined the degree of influence on Total Work by service type and individual respondent. To examine the validity of the results, we timed nursing services and compared the measured time with the answered time.
The 107 respondents were all female and their average age was 36.6 years old. They had HVNCS experience of 2.2 years and 95.3% nurses had experience of hospital nursing. "Total Work" and 3 dimension scores were standardized using common logarithms. "Total Work" of every service significantly differed among service types. The 3 dimensions explained 54.6% of Total Work in the multiple regression analysis. Service type explained 3.3% of Total Work. Individual respondent explained 16.0% of Total Work. Answered time and measured time were not significantly different with nursing services.
Although Total Work was somewhat influenced by individual respondent, most of variation was explained by 3 dimensions. Thus, it could be concluded that Total Work is an index of nursing resource input. A further investigation about influence of patients' condition on Total Work is necessary in the future.
本研究旨在调查访视护理服务基于资源的相对价值，并分析这些相对价值与护理服务维度（时间、脑力和体力）之间的关系。
我们使用基于资源的相对价值问卷对大都市地区20个家访护理站的护士进行了访谈。我们询问护士关于“总工作量”的相对价值，并测量了护理服务三个维度的相对权重。总工作量被定义为对护理服务的综合评估，同时仔细考虑强度和持续时间。以总工作量为因变量，三个维度为自变量，进行多元回归分析。此外，我们还研究了服务类型和个体受访者对总工作量的影响程度。为检验结果的有效性，我们对护理服务进行了计时，并将测量时间与回答时间进行了比较。
107名受访者均为女性，平均年龄为36.6岁。她们有2.2年的家访护理站工作经验，95.3%的护士有医院护理经验。“总工作量”和三个维度得分使用常用对数进行标准化。每种服务的“总工作量”在不同服务类型之间存在显著差异。在多元回归分析中，三个维度解释了总工作量的54.6%。服务类型解释了总工作量的3.3%。个体受访者解释了总工作量的16.0%。护理服务的回答时间和测量时间没有显著差异。
尽管总工作量在一定程度上受个体受访者的影响，但大部分变异是由三个维度解释的。因此，可以得出结论，总工作量是护理资源投入的一个指标。未来有必要进一步研究患者病情对总工作量的影响。
