Palese Alvisa, Regattin Laura, Bertolano Tania, Brusaferro Silvio
Scienze Infermieristiche, Università di Udine.
Assist Inferm Ric. 2006 Oct-Dec;25(4):206-13.
To compare the standards of nursing personnel involved in direct care in surgical and orthopedical wards, with those of the studies of Aiken et al.
A convenience snow ball sampling technique allowed to include 65 centres. Data were collected in an index day, in the middle of the week, in hospitals with a surgical and ortopedical ward on the following variables: number of nurses, number of nurses aids, average time of nursing care per patient over the 24 hours.
Sixty-five surgical and 43 ortopedical wards for overall 2286 beds were included. A nurse, on average, cares for 8.9 patients (7.2 in the morning; 9.2 in the afternoon and 13.6 during the night). Over the 24 hours patients receive 70 minutes of care from nursing personnel and 96 from nurses aids.
The number of patients cared for by Italian nurses is higher compared to that observed in Aikens' papers, although health care systems and organization are not strictly comparable. To reach the American standards 997 extra nurses would be necessary. The situation described stresses a critical problem and the need to define national standards on the number of nurses and health care personnel to guarantee to hospitalized patients.
将外科和骨科病房直接护理中的护理人员标准与艾肯等人的研究标准进行比较。
采用便利的滚雪球抽样技术纳入了65个中心。在一周中间的某个索引日，在设有外科和骨科病房的医院收集以下变量的数据：护士数量、护理辅助人员数量、每位患者24小时的平均护理时间。
共纳入65个外科病房和43个骨科病房，总计2286张床位。一名护士平均护理8.9名患者（上午7.2名；下午9.2名；夜间13.6名）。24小时内患者接受护理人员70分钟的护理，接受护理辅助人员96分钟的护理。
尽管医疗保健系统和组织没有严格的可比性，但与艾肯论文中观察到的情况相比，意大利护士护理的患者数量更多。要达到美国的标准，需要额外增加997名护士。所描述的情况凸显了一个关键问题，即需要确定护士和医疗保健人员数量的国家标准，以保障住院患者的权益。
