Ron R, Bar-Tal Y
Department of Nursing, School of Health Professions, Tel Aviv University, Israel.
Qual Assur Health Care. 1993 Mar;5(1):57-65. doi: 10.1093/intqhc/5.1.57.
In a quality nursing care survey conducted in Israel, 1988-1990, the four nursing process components were examined. The survey covered 13 hospitals with 119 medical and surgical wards, in which the nursing care quality for a sample of 2065 patients was assessed. Instruments used were (a) the Patient Classification Form, to assess patient dependency level, and (b) Monitor--an index of the quality of nursing care for acute medical and surgical wards [Goldstone et al., Polytechnic Products, Newcastle upon Tyne, 1982], a British adaptation of the Rush Medicus methodology [Jelinek et al., US Dept of Health, Education and Welfare, 1974]. The survey process involved orientation of the hospitals' senior staff, and training of participants in the administration of patient classification and of Monitor. The highest quality nursing care was found in "Meeting the patient's physical needs"; the lowest in "Assessment and planning of patient care". Factors chosen for possible influence on quality of nursing care were: patient dependency category, type of ward (medical, surgical), ward size and hospital size. The most influential factor was found to be the patient dependency category.
在1988 - 1990年于以色列进行的一项优质护理调查中，对护理程序的四个组成部分进行了检查。该调查涵盖了13家医院的119个内科和外科病房，评估了2065名患者样本的护理质量。使用的工具包括：(a)患者分类表，用于评估患者的依赖程度；(b)监测器——急性内科和外科病房护理质量指数[戈德斯通等人，理工产品公司，泰恩河畔纽卡斯尔，1982年]，这是对拉什医疗方法[耶莱内克等人，美国卫生、教育和福利部，1974年]的英国改编版。调查过程包括对医院高级工作人员进行指导，以及对参与患者分类管理和监测器管理的人员进行培训。在“满足患者身体需求”方面发现护理质量最高；在“患者护理评估和计划”方面最低。选择了可能影响护理质量的因素：患者依赖类别、病房类型（内科、外科）、病房规模和医院规模。发现最具影响力的因素是患者依赖类别。
