Arch Dis Child. 1993 May;68(5 Spec No):539-43. doi: 10.1136/adc.68.5_spec_no.539.
A dependency scale has been devised for the assessment of the needs of neonates for nursing time. It has been validated by work studies which have shown that non-surgical babies can be grouped into one of two categories: high dependency babies generating a mean (SD) 25 (5) minutes and low dependency babies generating 12 (3) minutes of nursing work per hour, when the work is averaged out over the whole shift. Any one of five simple and unambiguous criteria serve as robust markers for identifying more than 95% of babies regularly generating more than 15 minutes of nursing work per hour. The scale is simpler, can be applied more rapidly, and with greater consistency, than other currently available neonatal dependency scales. Additional allowance needs to be made for miscellaneous activity not attributable to individual babies, for the occasional baby who requires almost continuous undivided nursing attention, for the possibility of new admissions, and for the provision of an emergency interhospital transport service. A formula is suggested by which safe staffing levels for any given nursing shift can be determined, based upon the number of babies present and their dependency levels as determined by the scale.
已经设计出一种依赖程度量表，用于评估新生儿对护理时间的需求。该量表已通过工作研究得到验证，研究表明，非手术婴儿可分为两类：高度依赖型婴儿，平均（标准差）每小时产生25（5）分钟的护理工作；低度依赖型婴儿，每小时产生12（3）分钟的护理工作，当整个班次的工作平均计算时。五个简单明了的标准中的任何一个都可作为有力指标，用于识别超过95%的每小时常规产生超过15分钟护理工作的婴儿。与目前其他可用的新生儿依赖程度量表相比，该量表更简单，应用更迅速，且一致性更高。对于不归因于单个婴儿的杂项活动、偶尔需要几乎持续不间断护理关注的婴儿、新入院的可能性以及提供紧急院际转运服务，需要额外考虑。建议了一个公式，可根据当时的婴儿数量及其通过该量表确定的依赖程度来确定任何给定护理班次的安全人员配备水平。
