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首页> 外文期刊>Journal of advanced nursing >Assessment of dependency levels of older people in the community and measurement of nursing workload.
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Assessment of dependency levels of older people in the community and measurement of nursing workload.

机译：评估社区中老年人的依赖程度并衡量护理工作量。

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AIM: This paper is a report of a study to explore the relationship between the dependency levels of older people who are part of the community nurse's caseload and the volume and nature of nursing input required. BACKGROUND: International healthcare policy has consistently emphasized the reorientation of health services from hospital to community care. It is necessary to determine ways to use nursing resources appropriately to meet service needs of an increasing older population. METHOD: This quantitative study was conducted in one region of Ireland, which included a city and sparsely populated rural areas. Over a 4-week period in 2004, a volunteer sample of 44 nurses assessed all older people (1482) on their community caseload using the Community Client Need Classification System. In addition, participants recorded the amount of care time spent with each individual client by all members of the community nursing team. FINDINGS: The vast majority of clients were seen in their own homes (85%, n = 1259). On the 5-point Community Client Need Classification System, the majority (39%, n = 571) were assessed at level 2 (low level of need) and 4% (n = 61) at level 5 (high level of need). As client need level increased, the consumption of community nursing time also increased. CONCLUSION: The tool was successful in discriminating between care needs levels of older people and may be useful in predicting the type and amount of human resources required by individuals who need community nursing services. Lack of information on demographic variables may limit the transferability of these findings.
机译：目的：本文是一份研究报告，旨在探讨社区护士的工作量中老年人的抚养水平与所需护理投入的数量和性质之间的关系。背景：国际医疗政策一直强调将医疗服务从医院转向社区护理。必须确定适当使用护理资源的方法，以满足日益增长的老年人口的服务需求。方法：这项定量研究是在爱尔兰的一个地区进行的，其中包括一个城市和人口稀少的农村地区。在2004年的4个星期中，由44位护士组成的志愿者样本使用“社区客户需求分类系统”评估了所有老年人（1482）的社区病情。此外，参与者记录了社区护理团队所有成员在每个客户身上花费的护理时间。调查结果：绝大多数客户都是在自己的家中看到的（85％，n = 1259）。在五点社区客户需求分类系统上，大多数（39％，n = 571）在2级（低需求水平）评估，而4％（n = 61）在5级（高需求水平）评估。随着客户需求水平的提高，社区护理时间的消耗也增加了。结论：该工具成功地区分了老年人的护理需求水平，并且可能有助于预测需要社区护理服务的个人所需的人力资源的类型和数量。缺少有关人口统计学变量的信息可能会限制这些发现的可传递性。

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