Laquintana Dario, Pazzaglia Silvia, Demarchi Antonia
Assist Inferm Ric. 2017 Jul-Sep;36(3):123-134. doi: 10.1702/2786.28221.
. The new methods to define the staffing requirements for doctors, nurses and nurses aides: an example of their implementation in an Italian hospital. The Italian government, after the transposition of European Union legislation on working hours, made a declaration of commitment to increase the number of staff of the National Health Service (NHS). The method for assessing the staffing needs innovates the old one that dated back a few decades.
To implement the method proposed by the Ministry of Health to an Italian hospital and assess its impact on staffing and costs.
The model was implemented on all the wards, multiplying the minutes of care expected in 2016, dividing the result by 60 to obtain the hours of care, and further dividing by the number of yearly hours of work of a nurse (1418). Same was done for nurses aides. The minutes of care were related to mean weight of the Diagnosis Related Groups of the ward and the results obtained compared to the actual staffing of nurses and nurses aides. The costs of the differences were calculated.
The implementation of the model produced an excess of 23 nurses and a scarcity of 95 nurses aides compared to the actual staffing, with an increase of the costs of € 1.828.562,00.
The results obtained and the criticisms received so far show the need of major changes. The data from international studies that associate staffing and patients outcomes and the nurse/patient ratio are macro-indicators already available that may orient choices and investments on the health care professions.
确定医生、护士和护理辅助人员人员配备要求的新方法：以其在一家意大利医院的实施为例。意大利政府在将欧盟关于工作时间的立法转化为本国法律后，宣布承诺增加国家医疗服务体系（NHS）的工作人员数量。评估人员配备需求的方法革新了几十年前的旧方法。
将卫生部提议的方法应用于一家意大利医院，并评估其对人员配备和成本的影响。
该模型应用于所有病房，用2016年预计护理分钟数乘以病房诊断相关组的平均权重，将结果除以60得到护理小时数，再进一步除以一名护士每年的工作小时数（1418小时）。护理辅助人员的计算方法相同。护理分钟数与病房诊断相关组的平均权重相关，并将所得结果与护士和护理辅助人员的实际配备情况进行比较。计算差异成本。
与实际人员配备相比，该模型的实施导致护士超编23人，护理辅助人员短缺95人，成本增加1,828,562.00欧元。
迄今获得的结果和收到的批评表明需要进行重大变革。将人员配备与患者结局以及护士/患者比例相关联的国际研究数据是现有的宏观指标，可指导对医疗保健专业的选择和投资。
