Department of Medical Services and Techniques, Kutahya University of Health Sciences, Gediz Vocational of Health Services, Kutahya, Turkey.
Department of Nursing, Istinye University, Faculty of Health Sciences, Istanbul, Turkey.
Semin Oncol Nurs. 2024 Apr;40(2):151608. doi: 10.1016/j.soncn.2024.151608. Epub 2024 Feb 23.
The aim of this study was to determine the daily nursing care times of hospitalized inpatient oncology unit patients according to degree of acuity using the Perroca Patient Classification tool.
This study used a mixed method sequential explanatory design. The "Nursing Activity Record Form" and "Perroca Patient Classification Instrument" were used for quantitative data collection, and direct observation was performed for 175 hours via time-motion study. Descriptive statistics, between-group comparison, and correlation analysis were used for data analysis. Using a semistructured questionnaire, qualitative data were collected from individual in-depth interviews with seven nurses who participated in the quantitative part of the study. Qualitative data were analyzed by thematic analysis. The reporting of this study followed GRAMMS checklist.
As a result of the integration of quantitative and qualitative data, daily nursing care duration was determined as 2 to 2.5 hours for Type 1 patients, 2.6 to 3.5 hours for Type 2 patients, 3.6 to 4.75 hours for Type 3 patients, and 4.76 to 5.5 hours for Type 4 patients. The findings showed that in an inpatient oncology unit, nursing care hours increased as patients' Perroca Patient Classification Instrument acuity grade increased; thus, the instrument was discriminative in determining patients' degree of acuity.
Nurse managers can utilize this study's results to plan daily assignments that are sensitive to patient care needs. The results can also help nurse managers to identify relationships between nurse staffing and patient outcomes at the unit level, as well as to develop ways to analyze such relationships.
本研究旨在使用 Perroca 患者分类工具，根据疾病严重程度确定住院肿瘤病房患者的每日护理时间。
本研究采用混合方法序贯解释设计。使用“护理活动记录表”和“Perroca 患者分类工具”进行定量数据收集，并通过时间动作研究进行 175 小时的直接观察。采用描述性统计、组间比较和相关分析进行数据分析。使用半结构化问卷，对参与定量部分研究的 7 名护士进行个体深入访谈，收集定性数据。定性数据采用主题分析进行分析。本研究报告遵循 GRAMMS 清单。
通过整合定量和定性数据，确定 1 型患者的每日护理时间为 2 至 2.5 小时，2 型患者为 2.6 至 3.5 小时，3 型患者为 3.6 至 4.75 小时，4 型患者为 4.76 至 5.5 小时。研究结果表明，在肿瘤病房中，随着患者 Perroca 患者分类工具疾病严重程度的增加，护理时间增加；因此，该工具在确定患者疾病严重程度方面具有鉴别力。
护士长可以利用本研究的结果，制定对患者护理需求敏感的日常任务计划。研究结果还可以帮助护士长在单位层面上识别护士人力配备与患者结果之间的关系，并制定分析这些关系的方法。
