Application of diagnosis related groups indexes in nursing human resource allocation of internal medicine system

中华现代护理杂志 Pub Date : 2020-04-06 DOI:10.3760/CMA.J.CN115682-20190923-03447

Meirong Lyu, Min Wang

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Abstract

Objective To explore the effects of diagnosis related groups (DRGs) related indexes in nursing human resource allocation of internal medicine system so as to provide a basis for reasonably allocating nursing human resource. Methods This study retrospectively consulted the medical record information of inpatients in internal medicine system of Linyi People's Hospital from 1st January 2017 to 31st December 2017, analyzed the production capacity of internal medicine system in 2017. Based on the capacity, this study allocated 2018 nursing human resource allocation of internal medicine, and compared the production capacity scores of internal medicine capacity, the medical service efficiency, medical service safety, nursing quality, satisfaction of nurses with nursing human resource allocation and patients' satisfaction with nursing care before and after implementation. SPSS18.0 software was used in data processing and analysis. Results After allocating nursing human resource based on DRGs capacity score, the production capacity scores were higher than those before implentation; the time efficiency of medical service efficiency reduced compared with that before implementation; ward management quality, nursing safety management quality, clinical nursing service quality, nursing documentation writing quality, health education quality, critical patients management quality, disinfection isolation quality, patients' satisfaction with nursing care and satisfaction of nurses with nursing human resource allocation in 2018 internal medicine system improved compared with those before implementation with statistical differences (t=-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906; P<0.05) . Conclusions Nursing human resource allocation based on DRGs capacity score could cover the demand of clinical nursing work, improve the work efficiency and nursing quality, and increase satisfaction of patients and nurses under the condition of limited nursing human resource. Key words: Nursing staff; Nursing human resource allocation; Diagnosis related groups; Capacity; Internal medicine

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诊断相关组指标在内科系统护理人力资源配置中的应用

目的探讨诊断相关组（DRGs）相关指标在内科系统护理人力资源配置中的作用，为合理配置护理人力资源提供依据。方法回顾性查阅2017年1月1日至2017年12月31日临沂市人民医院内科住院病人病历资料，分析2017年内科系统生产能力。基于能力，本研究分配了2018年内科护理人力资源配置，并比较了实施前后内科能力生产能力得分、医疗服务效率、医疗服务安全、护理质量、护士对护理人力资源分配的满意度和患者对护理的满意度。数据处理和分析采用SPSS18.0软件。结果根据DRGs能力得分进行护理人力资源配置后，生产能力得分高于实施前；医疗服务效率的时间效率较实施前有所下降；病房管理质量、护理安全管理质量、临床护理服务质量、护理文书撰写质量、健康教育质量、危重病人管理质量、消毒隔离质量，2018年内科系统患者对护理的满意度和护士对护理人力资源配置的满意度与实施前相比有所提高，差异有统计学意义（t=-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906；P<0.05）在护理人力资源有限的情况下，能够满足临床护理工作的需要，提高工作效率和护理质量，提高患者和护士的满意度。关键词：护理人员；护理人力资源配置；诊断相关组；容量；内科学

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中华现代护理杂志

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