病人分类系统在优质护理服务病区护理人力资源配置中的应用  

Application of patient classification system in nursing human resources allocation in high quality nursing service ward

作　　者：鲁桂兰[1] 夏春香[1] 沙莉[1] 徐艳[1] 王慧群[1] 张立[1] 俞曦[1] 曹慧[1] 陈艳[1] 

机构地区：[1]南京市第二医院

出　　处：《护理研究（下旬版）》2015年第1期280-283,共4页Chinese Nursing Researsh

基　　金：南京市医学科技发展项目;编号:YKK11080

摘　　要：[目的]应用病人分类系统探索专科医院优质护理服务病区护理人力资源配置,为专科医院优质护理服务病区护理人力资源配置提供科学依据。[方法]2013年9月选择我院开展优质护理服务的肝病内科、肝胆外科、肝病产科、感染病科、肿瘤科5个病区的住院病人护理需求量及各班次护理人员每日护理时数作为研究对象。采用改良的罗斯麦迪可斯量表(RMT-PCS)调查,辅以工作参与法,计算出各病区病人24h的平均工作量指数、各病区病人疾病平均严重度,按照改良RMT-PCS量表护理人力分配比率计算出各病区所需护理人员数量。[结果]各病区由于病种不同,病人类别所占比例不同,病人严重度、每日平均工作量指数、每日所需护理时间均有不同。[结论]运用改良RMT-PCS量表对病人分类,建立专科医院的病人分类系统,为专科医院优质护理服务病区的护理人员配置提供科学依据,更加有利于护理管理,有利于为病人提供优质护理服务。Objective：To apply patient classification system to explore nursing human resources allocation in high quality nursing service ward in specialized hospital,so as to provide scientific basis for nursing human resource allocation in high quality nursing service ward in specialized hospital.Methods：The amount of patients’care needs and the daily nursing hours of nursing personnel were selected as the research obj ects in 5 wards including department of liver disease internal medicine,department of hepatobiliary surgery,department of obstetrics liver diseases,department of infection diseases,department of oncology in September of 2013 year.The improved Ross Maddie Marcus scale（RMT PCS）survey was used,supplemented by the work involved method,to calcu-late 24 h average workload index and average disease severity of patients in each ward,according to the nursing manpower allocation ratio in modified RMT PCS scale to calculate the required number of nursing personnel in each ward.Results：Because of different diseases in each ward,patients’category accounted for the different pro-portion.The patients’severity,the average daily workload index and required nursing time per day were differ-ent.Conclusion：Using modified RMT PCS scale to classify patients and to establish a patient classification sys-tem of specialized hospital,which can provide scientific basis for nursing personnel allocation in high quality care ward.It is more conductive to the nursing management,are conductive to provide high quality of nursing service for patients.

关 键 词：优质护理服务 改良 RMT PCS量表 病人分类 人力资源 合理配置 

分 类 号：R197.323[医药卫生—卫生事业管理]