Byrne Gobnait, Brady Anne-Marie, Horan Paul, Macgregor Catriona, Begley Cecily
School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
J Adv Nurs. 2007 Oct;60(1):39-49. doi: 10.1111/j.1365-2648.2007.04374.x.
This paper is a report of a study to explore the relationship between the dependency levels of older people who are part of the community nurse's caseload and the volume and nature of nursing input required.
International healthcare policy has consistently emphasized the reorientation of health services from hospital to community care. It is necessary to determine ways to use nursing resources appropriately to meet service needs of an increasing older population.
This quantitative study was conducted in one region of Ireland, which included a city and sparsely populated rural areas. Over a 4-week period in 2004, a volunteer sample of 44 nurses assessed all older people (1482) on their community caseload using the Community Client Need Classification System. In addition, participants recorded the amount of care time spent with each individual client by all members of the community nursing team.
The vast majority of clients were seen in their own homes (85%, n = 1259). On the 5-point Community Client Need Classification System, the majority (39%, n = 571) were assessed at level 2 (low level of need) and 4% (n = 61) at level 5 (high level of need). As client need level increased, the consumption of community nursing time also increased.
The tool was successful in discriminating between care needs levels of older people and may be useful in predicting the type and amount of human resources required by individuals who need community nursing services. Lack of information on demographic variables may limit the transferability of these findings.
本文报告一项研究，旨在探讨社区护士工作范围内老年人的依赖程度与所需护理投入的数量和性质之间的关系。
国际医疗政策一直强调将医疗服务从医院转向社区护理。有必要确定适当利用护理资源的方法，以满足日益增长的老年人口的服务需求。
这项定量研究在爱尔兰的一个地区进行，该地区包括一个城市和人口稀少的农村地区。2004年，在为期4周的时间里，44名护士志愿者样本使用社区客户需求分类系统对其社区工作范围内的所有老年人（1482人）进行了评估。此外，参与者记录了社区护理团队所有成员与每位客户相处的护理时间。
绝大多数客户是在自己家中接受服务（85%，n = 1259）。在5分制的社区客户需求分类系统中，大多数（39%，n = 571）被评估为2级（低需求水平），4%（n = 61）为5级（高需求水平）。随着客户需求水平的提高，社区护理时间的消耗也增加。
该工具成功地区分了老年人的护理需求水平，可能有助于预测需要社区护理服务的个人所需的人力资源类型和数量。缺乏人口统计学变量信息可能会限制这些研究结果的可转移性。
