Bravetti C, Cocchieri A, D'Agostino F, Vellone E, Alvaro R, Zega M
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.
Ann Ig. 2018 Sep-Oct;30(5):410-420. doi: 10.7416/ai.2018.2241.
The complexity of care can be described through a clinical nursing information system, in particular through the Professional Assessment Instrument -PAI-, encoding each health care activity in time units and analysing the relationship of observed time to patient characteristics in relation to the functional models of care needs.
Observational study.
Data were collected for 11 months in 2016-17 in four inpatient units of an Italian hospital using the Professional Assessment Instrument, and a survey grid to measure the time of the nursing activities delivered. All activities with a frequency of 20 or more have been included. The Work Sampling technique was used for time-tracking.
The sample included 2765 nursing activities. The mean times for each care activity were compared showing significant differences. A statistically significant correlation (Sperman's correlation coefficient) was observed both between the observed time and the level of illness severity and between time and functional models.
Patient complexity, both in terms of illness severity and level of dependence, can be coded through a clinical nursing information system. This facilitates the classification and measurement of nursing care delivered, which includes the entire care process.
护理的复杂性可通过临床护理信息系统来描述，尤其是通过专业评估工具（PAI），该工具将每项医疗活动按时间单位进行编码，并根据护理需求的功能模型分析观察到的时间与患者特征之间的关系。
观察性研究。
2016 - 17年期间，在意大利一家医院的四个住院科室使用专业评估工具收集了11个月的数据，并使用一个调查网格来测量所提供护理活动的时间。所有频率为20次或以上的活动均被纳入。采用工作抽样技术进行时间跟踪。
样本包括2765项护理活动。比较了每项护理活动的平均时间，显示出显著差异。在观察到的时间与疾病严重程度水平之间以及时间与功能模型之间均观察到具有统计学意义的相关性（斯皮尔曼相关系数）。
患者的复杂性，无论是在疾病严重程度还是依赖程度方面，都可以通过临床护理信息系统进行编码。这有助于对所提供的护理进行分类和测量，其中包括整个护理过程。
