Contenuto dell'articolo principale
Abstract
RIASSUNTO
ll carico di lavoro infermieristico si sta sviluppando a causa delle innumerevoli richieste, per i cambiamenti demografici e tecnologici, nonché per i progressi dei trattamenti medici. Lo scopo di tale lavoro di ricerca è comprendere quali metodologie esistono oggi nei vari Paesi del mondo per quantificare il fabbisogno di personale infermieristico. I risultati ottenuti evidenziano che la scelta della metodologia di rilevazione del carico di lavoro infermieristico è fortemente correlata alla politica di economia sanitaria adottata in ciascun Paese ed alla tipologia di assistenza da erogare, in relazione all'istituto di ricovero considerato.
Parole chiave: assistenza infermieristica, carico di lavoro, misura / rilevazione, personale, con varie combinazioni.
ABSTRACT
Due to demographic and technological changes , medical progress and increased demand, nursing work-loads are changing. The aim of this study is to observe which methods exist in other countries to assess the need for nursing staff. The results obtained show that the choice of the method for evaluating nursing requirements is strongly influenced by the health economy policy adopted in each single country and by the type of care erogated by the health institution considered .
Key words: nursing care, work-load, evaluation, staff, with various combinations.
Dettagli dell'articolo
Riferimenti
- Alvaro, R., Venturini, G., & Roberto, R. (2006). Utilization of the results or research about nursing workload in a surgical suite, based on the methodology of the "Project de Recherche en Nursing". Ig Sanita Pubbl., 62(3), 279-288.
- Amar, B., & Guéguen, J. (2004). Soins infirmiers individualisé a la personne soignée (pp. 12-127). Paris: Masson.
- Bartholomeyczik, S., & Hunstein, D. (2000). Erforderliche Pflege - Zu de Grundland einer Personalbemessung. Retrieved October 20, 2009.
- Baumann, A., & Blythe, J. (2003). Nursing human resources: Human cost versus human capital in the restructured health care system. Health perspective, 24, 34-38.
- Baumann, A., Blythe, J., Zeytinoglu, I., Denton, M., Boos, L., & Davies, S. (2003). Retaining nurses in their employing hospitals and in the profession: Effects of jobs preference, unpaid overtime, importance of earnings and stress. Health Policy, 79(1), 57-72.
- Bolin - Cummings, S., Baumann, A., & Deber, R. (2000). Critical elements in the Process of Decision Making: A Nursing Perspective. Nursing Leadership, 12(1), 6-13.
- Cantarelli, M. (2006). Il modello delle prestazioni infermieristiche. Milano: Masson.
- Carayon, P., & Gurses, A. (2005). A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive and Critical Care Nursing, 21(5), 284-301.
- Cavaliere, B. (2000). Metodologia per la rilevazione della complessití assistenziale infermieristica: calcolo dell'indice di complessití assistenziale. Management infermieristico, 1(2), 234-245.
- Cockerill, R., Pallas, L., Bolley, H., & Pink, G. (2006). Measuring nursing workload for case costing. Nursing Economy, 11(6), 342-349.
- Di Laurence, P., Perlemuter, L., Quevauvilliers, J., & Perlemuter, G. (2008). Symptome et pratique infirmière: fiches de soins (pp. 16-128). Paris: Masson.
- Giorgetti, R. (2001). Legislazione e organizzazione del Servizio Sanitario. Milano: Maggioli.
- Granger, C., Hamilton, B., & Linacre, J. (2003). Performance Profiles of the Functional Independence Measure. American Journal of Physical Medicine & Rehabilitation, 72(2), 199-202.
- Griffiths, P. (2009). RN and RN = Better care? What do we know about the association between the number of nurses and patient outcomes? International Journal of Nursing Studies, 45, 1289-1290.
- Grindel, C. G. (2000). Building nursing's minimum data set: the results of a pilot study. MedSurg Nursing, 67, 345-349.
- Hawes, C., Phillips, C., Fries, B., Morris, J., Steele-Friedlob, E., & Greene, A. (2005). The OBRA-87 nursing home regulations and implementation of the Resident Assessment Instrument: effects on process quality. Journal of American Geriatric Society, 45(8), 977-985.
- Hegney, D., Plank, A., & Paerker, V. (2003). Nursing workloads: the results of a study of Queensland Nurses. Journal of Nursing Management, 11(5), 307-314.
- Horrocks, S., Anderson, E., & Salisbury, C. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care doctors. BJM, 324, 234-237.
- Hossain, B., & Alam, S. (2000). Likely Benefit of Using Workload Indicators of Staffing Need (WISN) for Human Resources Management in the Health Sector of Bangladesh. Retrieved April 8, 2010.
- Hurst, K. (2008). UK ward design: Patient dependency, nursing workload, staffing and quality - An observational study. International Journal of Nursing Studies, 24, 131-139.
- Keith, R., Granger, C., Hamilton, B., & Sherwin, F. (2004). The functional independence measure: a new tool for rehabilitatio. Adv Clin Rehabil, 1, 16-18.
- Kidd, D., Stewart, G., Baldry, J., & Johnson, J. (2005). The Functional Independence Measure: a comparative validity and reliability study. Informaworld, 23(4), 123-126.
- Lann, K., Rogers, W., & Rubestein, V. (2000). Measuring Quality of Care With Explicit Process Criteria before and after Implementation of the DRG - Based Prospective Payment System. JAMA, 264(15), 1969-1973.
- Lin, S., Goodwin, L., VanDyne, M., & Talbert, S. (2003). Data mining issues and opportunities for building nursing knowledge. Journal of Biomedical Informatics, 36(4-5), 379-388.
- Lombardo, S. (2004). Lavoro infermieristico e qualití dell'assistenza (I ed. , pp. 1-244). Milano: Franco Angeli.
- Mahnke, R., Kroll, M., Melzer, K., & Lipinski, H. (2001). Ein mobiles informations system fur die hausliche Pflege. Retrieved March 8, 2010.
- Manara, D. F. (2000). L'inquadramento epistemiologico della disciplina infermieristica. Nursing Oggi, 22(1), 23-32.
- Marzais, M., & Michot, P. (2003). L'équipe soignante en gériatrie, des spécificités a prendre en compte. Retrieved May 22, 2010.
- Mor, V., Intrator, O., Fries, B., Phillips, C., Teno, J., Hiris, J., & Hawes, C. (2007). Changes in hospitalization associated with introducing the Resident Assessment Instrument. Journal of American Geriatric Society, 45(8), 1002-1010.
- Museau, P., Nyongesca, P., Shikhule, A., Birech, E., Kirui, D., Njenga, M., & Mbiti, M. (2008). Workload Indicators of Staffing Need method in determining optimal staffing levels at Moi Teaching and Referral Hospital. East African Medical Journal, 85(5), 232-239.
- Norman, I. (2007). Two years into the job: An overview of published papers and future directions. International Journal of Nursing Studies, 48, 1-8.
- O' Brien - Pallas, L., Cockerill, R., & Leatt, P. (2002). Different Systems, Different Costs?: An Examination of the Comparability of Workload Measurement Systems. Journal of Nursing Administration, 22(12), 17-22.
- Ruth, R., Michel-Backfen, A., Katzer, C., & Meister, M. (2000). Abbidung des strukturierten Vokabulars einer intensivstation in LOINC. Retrieved January 8, 2010.
- Santullo, A. (2004). L'infermiere e le innovazioni in sanití . Milano: Mc Graw Hill.
- Shipp, P. J. (2000). Workload Indicators of Staffing Need (WINS): a manual for implementation. Retrieved May 8, 2010.
- Solomon, M. (2009, February 24). How many nurses does it take?. Retrieved May 8, 2010.
- Spetz, J., Donaldson, N., Aydin, C., & Brown, D. (2008). How many nurses per patient? Measurements of nurse staffing in health services research. (Methods). Health Services Research, 23, 89-95.
- Twigg, D., & Duffield, C. (2009). A review of workload measures: A context for a new staffing methodology in Western Australia". International Journal of Nursing Studies, 23, 131-139.
- Vitacca, M., Clini, E., Porta, R., & Ambrosino, N. (2007). Preliminary results on nursing workload in a dedicated weaning center. Intensive care medicine, 26(6), 796-799.
- Werley, H. H., Devine, E. C., Zorn, C. R., Ryan, P., & Westra, B. L. (2000). The Nursing Minimum Data Set: abstraction tool for standardized, comparable, essential data. American Journal of Public Health, 91(4), 234-237.
- Williams, C. A. (2003). The Nursing Minimum Data Set: a major priority for public health nursing but not a panacea. American Journal of Public Health, 81(7), 567-569.
Riferimenti
Alvaro, R., Venturini, G., & Roberto, R. (2006). Utilization of the results or research about nursing workload in a surgical suite, based on the methodology of the "Project de Recherche en Nursing". Ig Sanita Pubbl., 62(3), 279-288.
Amar, B., & Guéguen, J. (2004). Soins infirmiers individualisé a la personne soignée (pp. 12-127). Paris: Masson.
Bartholomeyczik, S., & Hunstein, D. (2000). Erforderliche Pflege - Zu de Grundland einer Personalbemessung. Retrieved October 20, 2009.
Baumann, A., & Blythe, J. (2003). Nursing human resources: Human cost versus human capital in the restructured health care system. Health perspective, 24, 34-38.
Baumann, A., Blythe, J., Zeytinoglu, I., Denton, M., Boos, L., & Davies, S. (2003). Retaining nurses in their employing hospitals and in the profession: Effects of jobs preference, unpaid overtime, importance of earnings and stress. Health Policy, 79(1), 57-72.
Bolin - Cummings, S., Baumann, A., & Deber, R. (2000). Critical elements in the Process of Decision Making: A Nursing Perspective. Nursing Leadership, 12(1), 6-13.
Cantarelli, M. (2006). Il modello delle prestazioni infermieristiche. Milano: Masson.
Carayon, P., & Gurses, A. (2005). A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive and Critical Care Nursing, 21(5), 284-301.
Cavaliere, B. (2000). Metodologia per la rilevazione della complessití assistenziale infermieristica: calcolo dell'indice di complessití assistenziale. Management infermieristico, 1(2), 234-245.
Cockerill, R., Pallas, L., Bolley, H., & Pink, G. (2006). Measuring nursing workload for case costing. Nursing Economy, 11(6), 342-349.
Di Laurence, P., Perlemuter, L., Quevauvilliers, J., & Perlemuter, G. (2008). Symptome et pratique infirmière: fiches de soins (pp. 16-128). Paris: Masson.
Giorgetti, R. (2001). Legislazione e organizzazione del Servizio Sanitario. Milano: Maggioli.
Granger, C., Hamilton, B., & Linacre, J. (2003). Performance Profiles of the Functional Independence Measure. American Journal of Physical Medicine & Rehabilitation, 72(2), 199-202.
Griffiths, P. (2009). RN and RN = Better care? What do we know about the association between the number of nurses and patient outcomes? International Journal of Nursing Studies, 45, 1289-1290.
Grindel, C. G. (2000). Building nursing's minimum data set: the results of a pilot study. MedSurg Nursing, 67, 345-349.
Hawes, C., Phillips, C., Fries, B., Morris, J., Steele-Friedlob, E., & Greene, A. (2005). The OBRA-87 nursing home regulations and implementation of the Resident Assessment Instrument: effects on process quality. Journal of American Geriatric Society, 45(8), 977-985.
Hegney, D., Plank, A., & Paerker, V. (2003). Nursing workloads: the results of a study of Queensland Nurses. Journal of Nursing Management, 11(5), 307-314.
Horrocks, S., Anderson, E., & Salisbury, C. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care doctors. BJM, 324, 234-237.
Hossain, B., & Alam, S. (2000). Likely Benefit of Using Workload Indicators of Staffing Need (WISN) for Human Resources Management in the Health Sector of Bangladesh. Retrieved April 8, 2010.
Hurst, K. (2008). UK ward design: Patient dependency, nursing workload, staffing and quality - An observational study. International Journal of Nursing Studies, 24, 131-139.
Keith, R., Granger, C., Hamilton, B., & Sherwin, F. (2004). The functional independence measure: a new tool for rehabilitatio. Adv Clin Rehabil, 1, 16-18.
Kidd, D., Stewart, G., Baldry, J., & Johnson, J. (2005). The Functional Independence Measure: a comparative validity and reliability study. Informaworld, 23(4), 123-126.
Lann, K., Rogers, W., & Rubestein, V. (2000). Measuring Quality of Care With Explicit Process Criteria before and after Implementation of the DRG - Based Prospective Payment System. JAMA, 264(15), 1969-1973.
Lin, S., Goodwin, L., VanDyne, M., & Talbert, S. (2003). Data mining issues and opportunities for building nursing knowledge. Journal of Biomedical Informatics, 36(4-5), 379-388.
Lombardo, S. (2004). Lavoro infermieristico e qualití dell'assistenza (I ed. , pp. 1-244). Milano: Franco Angeli.
Mahnke, R., Kroll, M., Melzer, K., & Lipinski, H. (2001). Ein mobiles informations system fur die hausliche Pflege. Retrieved March 8, 2010.
Manara, D. F. (2000). L'inquadramento epistemiologico della disciplina infermieristica. Nursing Oggi, 22(1), 23-32.
Marzais, M., & Michot, P. (2003). L'équipe soignante en gériatrie, des spécificités a prendre en compte. Retrieved May 22, 2010.
Mor, V., Intrator, O., Fries, B., Phillips, C., Teno, J., Hiris, J., & Hawes, C. (2007). Changes in hospitalization associated with introducing the Resident Assessment Instrument. Journal of American Geriatric Society, 45(8), 1002-1010.
Museau, P., Nyongesca, P., Shikhule, A., Birech, E., Kirui, D., Njenga, M., & Mbiti, M. (2008). Workload Indicators of Staffing Need method in determining optimal staffing levels at Moi Teaching and Referral Hospital. East African Medical Journal, 85(5), 232-239.
Norman, I. (2007). Two years into the job: An overview of published papers and future directions. International Journal of Nursing Studies, 48, 1-8.
O' Brien - Pallas, L., Cockerill, R., & Leatt, P. (2002). Different Systems, Different Costs?: An Examination of the Comparability of Workload Measurement Systems. Journal of Nursing Administration, 22(12), 17-22.
Ruth, R., Michel-Backfen, A., Katzer, C., & Meister, M. (2000). Abbidung des strukturierten Vokabulars einer intensivstation in LOINC. Retrieved January 8, 2010.
Santullo, A. (2004). L'infermiere e le innovazioni in sanití . Milano: Mc Graw Hill.
Shipp, P. J. (2000). Workload Indicators of Staffing Need (WINS): a manual for implementation. Retrieved May 8, 2010.
Solomon, M. (2009, February 24). How many nurses does it take?. Retrieved May 8, 2010.
Spetz, J., Donaldson, N., Aydin, C., & Brown, D. (2008). How many nurses per patient? Measurements of nurse staffing in health services research. (Methods). Health Services Research, 23, 89-95.
Twigg, D., & Duffield, C. (2009). A review of workload measures: A context for a new staffing methodology in Western Australia". International Journal of Nursing Studies, 23, 131-139.
Vitacca, M., Clini, E., Porta, R., & Ambrosino, N. (2007). Preliminary results on nursing workload in a dedicated weaning center. Intensive care medicine, 26(6), 796-799.
Werley, H. H., Devine, E. C., Zorn, C. R., Ryan, P., & Westra, B. L. (2000). The Nursing Minimum Data Set: abstraction tool for standardized, comparable, essential data. American Journal of Public Health, 91(4), 234-237.
Williams, C. A. (2003). The Nursing Minimum Data Set: a major priority for public health nursing but not a panacea. American Journal of Public Health, 81(7), 567-569.