Thorsell K B E, Nordström B M, Fagerström L, Sivberg B V
Section of Nursing, Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, Baravägen 3, 221 00 Lund, Sweden.
Nurs Res Pract. 2010;2010:148435. doi: 10.1155/2010/148435. Epub 2010 Jun 29.
In order to measure actual care needs in relation to resources required to fulfill these needs, an instrument (Time in Care) with which to evaluate care needs and determine the time needed for various care activities has been developed with the aim of assessing nursing intensity in municipal care for older people. Interreliability (ICC = 0.854) of time measurements (n = 10'546) of 32 nursing activities in relation to evaluated care levels in two nursing homes (staff n = 81) has been determined. Nursing intensity for both periods at the two nursing homes comprised on average a direct care time of 75 (45%) and 101 (42%) minutes, respectively. Work time was measured according to actual schedule (462 hours per nursing home during two weeks). Given that the need for care was high, one must further investigate if the quality of care the recipients received was sufficiently addressed.
为了衡量与满足这些需求所需资源相关的实际护理需求，已开发出一种工具（护理时间），用于评估护理需求并确定各种护理活动所需的时间，目的是评估市政老年人护理中的护理强度。已确定了两家养老院（工作人员n = 81）中32项护理活动的时间测量（n = 10546）与评估的护理水平之间的内部信度（ICC = 0.854）。两家养老院两个时期的护理强度平均分别包括75（45%）分钟和101（42%）分钟的直接护理时间。工作时间根据实际时间表进行测量（两周内每家养老院462小时）。鉴于护理需求很高，必须进一步调查接受护理者所接受的护理质量是否得到了充分保障。
