Reilly Karen E, Mueller Christine, Zimmerman David R
Center for Health Systems Research and Analysis, University of Wisconsin-Madison, 191 Grove Street, Auburndale, MA 02466, USA.
J Nurs Care Qual. 2006 Apr-Jun;21(2):176-86. doi: 10.1097/00001786-200604000-00014.
A nurse-staffing taxonomy is proposed to facilitate informed staffing decisions in long-term care nursing facilities and to set forth construct components for empirically related research. Recommendations from an expert workgroup were synthesized with current staffing research to define a staffing taxonomy. Refinements were made, incorporating on-site nursing home quality assessments and concepts founded on psychometric theory and Donabedian's model. A quality monitoring protocol, based on the staffing taxonomy, was used to assess quality improvement systems. Results from 48 US nursing facilities indicate that most long-term care facilities struggle with staffing allocation and the integration of staffing into a quality monitoring process.
提出了一种护士人员配置分类法，以促进长期护理机构做出明智的人员配置决策，并阐述实证相关研究的构成要素。专家工作组的建议与当前的人员配置研究相结合，以定义人员配置分类法。进行了完善，纳入了现场养老院质量评估以及基于心理测量理论和唐纳贝迪安模型的概念。基于人员配置分类法的质量监测协议被用于评估质量改进系统。来自美国48家护理机构的结果表明，大多数长期护理机构在人员配置分配以及将人员配置纳入质量监测过程方面存在困难。
