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使用拉斐拉患者分类系统进行护理基准评估——护士长的一种可能性。

Benchmarking in nursing care by the RAFAELA patient classification system - a possibility for nurse managers.

作者信息

Fagerström Lisbeth, Rauhala Auvo

机构信息

Vasa Central Hospital, Vasa, Finland.

出版信息

J Nurs Manag. 2007 Oct;15(7):683-92. doi: 10.1111/j.1365-2934.2006.00728.x.

Abstract

AIM

The aim of the study was to explore the possibilities of benchmarking with the RAFAELA system. In this study, comparisons are made between: (1) costs for one nursing care intensity point; (2) the nursing care intensity per nurse; (3) the relationship between nursing care intensity per nurse and (4) the optimal nursing care intensity.

BACKGROUND

During the period from 1994 to 2000 a new system for patient classification, the RAFAELA system, was developed in Finland.

METHODS

86 wards from 14 different hospitals in Finland took part in the study.

RESULTS

The costs for one nursing care intensity point on the adults' wards were on average 7.80euro. The average workload was 25.2 nursing care intensity points per nurse. The optimal nursing care intensity was exceeded during 49.5% of the days and under during 20% of the days.

CONCLUSIONS

The study shows that benchmarking with the RAFAELA system provides many opportunities for the nurse managers' resource allocation and their personnel administration.

摘要

目的

本研究旨在探索与RAFAELA系统进行基准对比的可能性。在本研究中,进行了以下几方面的比较:(1)一个护理强度点的成本;(2)每位护士的护理强度;(3)每位护士的护理强度与(4)最佳护理强度之间的关系。

背景

1994年至2000年期间,芬兰开发了一种新的患者分类系统——RAFAELA系统。

方法

芬兰14家不同医院的86个病房参与了本研究。

结果

成人病房一个护理强度点的平均成本为7.80欧元。每位护士的平均工作量为25.2个护理强度点。在49.5%的天数里超出了最佳护理强度,在20%的天数里未达到最佳护理强度。

结论

该研究表明,与RAFAELA系统进行基准对比为护士长的资源分配和人员管理提供了诸多机会。

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