北京地区三级甲等医院普通病房适于难度评价的护理项目的研究

A study on difficulty measurement of nursing items in general wards in level three grade A hospitals in Beijing

目的：探讨如何界定北京地区三级甲等医院普通病房适于难度评价和时间测量的护理项目，为科学、合理的护理工作量测量提供依据。方法通过文献回顾，自行设计形成护理项目调查问卷，便利抽取30名护士对各护理项目代表护理工作量的程度进行评分。重新筛选护理项目后，选择10名护理专家进行半结构访谈。最后选取9名护理专家召开专家论证会，得到适合难度评价和时间测量的护理项目。结果本研究最终确定了64项护理项目，这些项目均适于难度评价和时间测量，并未涵盖由护理员或外勤人员承担的工作项目，也并未涉及一级护理等难以测量时间的工作项目。结论北京地区三级甲等医院的护理项目近年来得到了一定的发展和更新，本研究通过多种方法得到的64项护理项目均为临床护理工作中最常见的护理活动，且适用于难度的评价和时间的测量，能够为护理工作量的合理、准确统计奠定基础。

Objective To explore how to define the difficulty and time measurement of nursing items in general wards in level three grade A hospital in Beijing, so as to provide evidence for nursing workload measurement. Methods By literature review, we self-designed nursing items scale, and selected 30 nurses conveniently for the each item assessment of workload. After screening nursing items again, 10 nurse clinicians had been chosen for semi-structure interview. Finally, we selected 9 nurse clinicians to take part in the discussion meeting, in order to acquire a suitable difficulty assessment and time measurement of nursing items. Results Our study confirmed 64 nursing items at the end, and all items were suitable for difficulty assessment and time measurement, and included the work items of personal care assistant and field staffs, but never contained some items, which could not measure time, such as grade one nursing. Conclusions The nursing items had some certain development and updating recently in level three grade A hospital in Beijing, and this study acquires 64 nursing items, which are all normal clinical nursing activities and suitable for difficulty assessment and time measurement, can be cornerstone for a reasonable and accurate nursing workload measurement.