Détail de la notice
Titre du Document
Assessment of nursing management and utilization of nursing resources with the RAFAELA patient classification system : case study from the general wards of one central hospital
Auteur(s)
RAINIO Anna-Kaisa ; OHINMAA Arto E.
Résumé
Background. RAFAELA is a new Finnish PCS, which is used in several University Hospitals and Central Hospitals and has aroused considerable interest in hospitals in Europe. Aims and objectives. The aim of the research is firstly to assess the feasibility of the RAFAELA Patient Classification System (PCS) in nursing staff management and, secondly, whether it can be seen as the transferring of nursing resources between wards according to the information received from nursing care intensity classification. Methods. The material was received from the Central Hospital's 12 general wards between 2000 and 2001. The RAFAELA PCS consists of three different measures: a system measuring patient care intensity, a system recording daily nursing resources, and a system measuring the optimal nursing care intensity/nurse situation. The data were analysed in proportion to the labour costs of nursing work and, from that, we calculated the employer's loss (a situation below the optimal level) and savings (a situation above the optimal level) per ward as both costs and the number of nurses. Results. In 2000 the wards had on average 77 days below the optimal level and 106 days above it. In 2001 the wards had on average 71 days below the optimal level and 129 above it. Converting all these days to monetary and personnel resources the employer lost ?307,745 or 9.84 nurses and saved ?369,080 or 11.80 nurses in total in 2000. In 2001 the employer lost in total ?242,143 or 7.58 nurses and saved ?457,61
Editeur
Blackwell
Identifiant
PMID : 15946275 ISSN : 0962-1067
Source
Journal of clinical nursing (Print) A. 2005, vol. 14, n° 6, pp. 674-684 [11 pages]
Langue
Anglais
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