Bravetti C, Cocchieri A, D'Agostino F, Alvaro R, Zega M
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Department of Nursing Professions, Catholic University, Rome, Italy.
Ann Ig. 2017 Jul-Aug;29(4):273-280. doi: 10.7416/ai.2017.2155.
The costs of nursing staff amounts to approximately 50% of the total budget of the health workforce and accounts for 20% to 30% of the total costs incurred by the health care companies. The goal of the study, by analyzing the complexity of care, is to provide a quantification of the assistance delivered, through the assessment of the technical aspects of the welfare activities according to the variable of time. Data from these activities flow into the clinical nursing information system Professional Assessment Instrument - PAI - which is used at the health facility involved in this study. This instrument allows nurses to document the nursing process in electronic format by using a standardized nursing language (nursing diagnoses, nursing interventions and nursing outcomes).
The design of the study is observational. The participants will be patients that are hospitalized in the cardiology departments, the intensive care units for cardiac and thoracic surgery, pulmonary medicine and medical oncology of the "A.Gemelli" hospital in Rome, Italy. The observers who will carry out the surveys will be students of the nursing degree course and the coordinators of the respective wards. The times recorded for each health care activity will be correlated with variables that are defined in the literature as the indicators of the complexity of care. The research protocol was approved by the Ethics Committee of the "A. Gemelli" Hospital in June 2015.
In terms of results, this study aims to verify the reliability of the Professional Assessment Instrument tool as a system for the classification and measurement of nursing care which includes the entire care process, taking into account all of the variables deemed crucial to the nursing care effort.
This study will provide a tool for the assessment of the complexity of care, with the goal of improving the quality of care for the patients and of interacting with the health administration system for the management of resources.
护理人员成本约占卫生人力总预算的50%，占医疗保健公司总成本的20%至30%。本研究的目的是通过分析护理复杂性，根据时间变量评估福利活动的技术方面，从而对提供的护理进行量化。这些活动的数据流入临床护理信息系统专业评估工具（PAI），本研究涉及的医疗机构使用该工具。该工具允许护士使用标准化护理语言（护理诊断、护理干预和护理结果）以电子格式记录护理过程。
本研究设计为观察性研究。参与者将是在意大利罗马“A.杰梅利”医院的心脏病科、心胸外科重症监护病房、肺病科和医学肿瘤科住院的患者。进行调查的观察员将是护理学位课程的学生和各病房的协调员。记录的每项医疗保健活动的时间将与文献中定义为护理复杂性指标的变量相关联。该研究方案于2015年6月获得“A.杰梅利”医院伦理委员会批准。
在结果方面，本研究旨在验证专业评估工具作为一种护理分类和测量系统的可靠性，该系统涵盖整个护理过程，同时考虑到所有被认为对护理工作至关重要的变量。
本研究将提供一种护理复杂性评估工具，目标是提高患者护理质量，并与卫生管理系统互动以进行资源管理。
