Benefield L E
Harris College of Nursing, Texas Christian University, Fort Worth, TX 76129, USA.
Public Health Nurs. 1996 Aug;13(4):233-43. doi: 10.1111/j.1525-1446.1996.tb00246.x.
The purpose of this study was to develop a productivity measurement method applicable to home health care registered nurses (RNs) by identifying and quantifying the areas of knowledge and ability that define productive nursing practice in home health care. A descriptive, correlational design using qualitative and quantitative methods of data collection and analysis identified 35 knowledge and ability variables that grouped into seven dimensions: Client/Family Management, Practice Management, Knowledge/Skill Maintenance, Communication, Nursing Process, Written Documentation, and Home Health Care Knowledge. There were no significant differences in productivity variables among four major types of agencies. Among agencies considered preeminent, intellectual skills appeared to be of greater importance to productive practice than direct-care skills. The seven productivity dimensions that emerged from this study show promise in providing 1) a theoretical basis for understanding the knowledge and abilities associated with RN productivity in the home health setting, 2) a description of nurse inputs in a home health services productivity model, and 3) a reality-based measurement tool that has utility in managing RN productivity in home health care.
本研究的目的是通过识别和量化界定家庭健康护理中高效护理实践的知识和能力领域，开发一种适用于家庭健康护理注册护士（RN）的生产力测量方法。一项采用定性和定量数据收集与分析方法的描述性、相关性设计，确定了35个知识和能力变量，这些变量分为七个维度：客户/家庭管理、实践管理、知识/技能维护、沟通、护理流程、书面记录和家庭健康护理知识。四大类机构在生产力变量方面没有显著差异。在被认为卓越的机构中，智力技能对高效实践似乎比直接护理技能更为重要。本研究得出的七个生产力维度有望提供：1）理解家庭健康环境中与注册护士生产力相关的知识和能力的理论基础；2）家庭健康服务生产力模型中护士投入的描述；3）一种基于实际情况的测量工具，可用于管理家庭健康护理中注册护士的生产力。
