Fagerström Lisbeth, Lønning Kjersti, Andersen Marit Helen
Buskerud and Vestfold University College faculty of health sciences, Kongsberg, Norway.
Nurs Manag (Harrow). 2014 May;21(2):30-6. doi: 10.7748/nm2014.04.21.2.30.e1199.
The RAFAELA system was developed in Finland during the 1990s to help with the systematic and daily measurement of nursing intensity (NI) and allocation of nursing staff. The system has now been rolled out across almost all hospitals in Finland, and implementation has started elsewhere in Europe and Asia. This article describes the system, which aims to uphold staffing levels in accordance with patients' care needs, and its structure, which consists of three parts: the Oulu Patient Classification instrument; registration of available nursing resources; and the Professional Assessment of Optimal Nursing Care Intensity Level method, as an alternative to classical time studies. The article also highlights the benefits of using a systematic measurement of NI.
RAFAELA系统于20世纪90年代在芬兰开发，旨在辅助对护理强度（NI）进行系统的日常测量以及护理人员的分配。该系统现已在芬兰几乎所有医院推广使用，并且在欧洲和亚洲的其他地方也已开始实施。本文介绍了该系统，其旨在根据患者的护理需求维持人员配备水平，还介绍了其结构，该结构由三部分组成：奥卢患者分类工具；可用护理资源的登记；以及最佳护理强度水平专业评估方法，作为传统时间研究的替代方法。本文还强调了使用NI系统测量的益处。
