Avtor/Urednik		Hamzagić, Elvina; Peršolja, Melita
Naslov		Vrednotenje zahtevnosti zdravstvene nege v enoti intenzivne terapije
Prevedeni naslov		Evaluation of nursing care intensity in the intensive care unit
Tip		članek
Vol. in št.		Letnik 54, št. 4
Leto izdaje		2020
Obseg		str. 297-303
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Jezik		slv
Abstrakt		Uvod: Nekateri oddelki za intenzivno terapijo in nego potrebe po osebju zdravstvene nege izračunavajo iz podatkov dveh sistemov kategorizacije potreb pacientov (slovenskem in točkovnem sistemu terapevtskih intervencij TISS-28). Namen raziskave je bil ugotoviti razlike v dokumentirani zahtevnosti zdravstvene nege in v potrebah po medicinskih sestrah glede na uporabljen sistem kategorizacije potreb pacientov. Metode: Uporabljena je bila kvantitativna opisna raziskava. Na bolnišničnem oddelku je bila v letu 2018 izvedena retrospektivna raziskava, v katero so bili vključeni podatki vseh 239 pacientov, ki so bili hospitalizirani med 1. januarjem 2016 in 31. decembrom 2016. S pregledom dokumentacije 108 opazovalnih dni so bili na opazovalni listi beleženi podatki o kategoriji potreb pacientov po dveh metodah kategoriziranja. Podatki so bili obdelani opisno in s statistiko sklepanja o povezavah. Rezultati: Razlika v dokumentirani stopnji zahtevnosti zdravstvene nege glede na uporabljeno metodo kategorizacije je statistično značilna. Število medicinskih sester, ki jih potrebujejo v zdravstveni negi, se razlikuje glede na uporabljeno metodo kategorizacije (Z = 3,548, p < 0,001); potreba po medicinskih sestrah se močno povezuje z metodo kategorizacije pacienta (p = 0,939, p = 0,001). Diskusija in zaključek: Potrebe po medicinskih sestrah, ki izhajajo iz metode kategoriziranja pacientov s TISS-28, so v primerjavi z neto potrebami glede na Slovensko kategorizacijo zahtevnosti bolnišnične zdravstvene nege večje. Izsledki raziskave so pomembni za menedžment zdravstvene nege, ki z izbiro sistema kategorizacije potreb pacientov lahko vpliva na prikaz kadrovskih potreb.Introduction: Some intensive care departments calculate the needs for nursing staff based on data from two patient needs categorization systems (the Slovenian and the TISS-28 system). The aim of this research was to determine the differences in the documented complexity of nursing care and in the needs of nurses according to the system of patient needs categorization used. Methods: A quantitative descriptive methodology was used. A retrospective study that included data from all the 239 patients hospitalized between 1 January and 31 December 2016 was conducted in 2018 at a hospital ward. By reviewing the documentation from 108 observation days, the category of patient needs by two methods of categorization was documented. The data were processed with descriptive and inference statistics. Results: The difference in the documented level of nursing intensity according to the categorization method used is statistically significant. The number of nursing staff required in nursing varies according to the categorization method used (Z = 3.548, p < 0.001) and correlates strongly with the patient categorization method (p = 0.939, p = 0.001). Discussion and conclusion: The need for nursing staff resulting from the method for categorizing patients and the scoring system for therapeutic interventions is greater than the needs resulting from the Slovenian system for categorizing patients in nursing. The research results are relevant for nursing management, which may have an influence on the representation of personnel requirements by selecting the categorization of nursing requirements.
Proste vsebinske oznake		zdravstvena nega kategorizacija menedžment z dokazi podprta praksa kakovost intenzivna nega quality categorization management intensive care evidence-based practice