首页|基于相对价值比率评估系统的护理工作量化表的构建

基于相对价值比率评估系统的护理工作量化表的构建

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目的 基于以资源为基础的相对价值比率(RBRVS)评估系统构建临床护理工作量化表,为量化临床护理工作提供科学依据.方法 应用RBRVS评估系统通过对工作时间和医疗风险赋值构建护理工作量化表,运用德尔菲专家咨询法确定各护理服务项目赋值系数.结果 2轮专家函询的积极系数分别为75%和100%,专家权威系数为0.92,肯德尔协调系数分别为0.327、0.412(均P<0.01),各项目赋值均数均大于3.00,变异系数均小于0.35.最终共确定护理服务项目114项,其中57个项目(50.0%)的赋值为0.1~0.9,36个项目(31.6%)的赋值为1.0~1.9,14个项目(12.3%)的赋值为2.0~2.9,7个项目(6.1%)的赋值≥3.结论 基于RBRVS评估系统形成的临床护理工作量化表能够客观合理地反映本院临床护理工作量,为护理人力资源配置和绩效分配提供可靠依据.
Construction of a Nursing Workload Quantification Scale Based on Relative Value Scale
Objective To construct a clinical nursing workload quantification scale based on the Resource-based Relative Value Scale(RBRVS)and provide a scientific basis for quantifying clinical nursing workload.Methods The nursing workload quantification scale was constructed by assigning values to working hours and medical risks based on the RBRVS.The coefficient assigned to each nursing service item was determined using the Delphi method.Results For the 2 rounds of expert consultation,the positive coefficient was 75%and 100%respectively,the authoritative coefficient was 0.92,Kendall's coefficient of concordance was 0.327 and 0.412 respectively(P<0.01 for all),the mean value assigned to each item was>3.00 and the coefficient of variation was<0.35.A total of 114 nursing service items were finally determined,with 57 items(50.0%)as-signed values ranging from 0.1 to 0.9,36 items(31.6%)assigned values ranging from 1.0 to 1.9,14 items(12.3%)assigned values ranging from 2.0 to 2.9 and 7 items(6.1%)assigned values≥3.Conclusion The clinical nursing workload quantification scale formed based on the RBRVS can objectively and reasonably re-flect the clinical nursing workload in our hospital and serves as a reliable basis for allocating nursing workforce and evaluating work performance.

Performance managementResource-based Relative Value ScaleWorkload quantificationNurs-ing management

毛怡君、范惠、孙小虎、王小娟、何文静、欧阳雪倩、牛静

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咸阳市中心医院,陕西 咸阳 712000

绩效管理 以资源为基础的相对价值比率 工作量化 护理管理

咸阳市科技局重点研发计划

2020k02-110

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(2)
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