Levels of care in medium and long-stay hospital patients
Section: Healthcare Management
How to quote
Salazar de la Guerra RM, Pascual Bastida L, Ferrer Arrendó C. Niveles de cuidados en pacientes ingresados en hospitales de media y larga distancia. Metas Enferm 2013; 16(7):6-11.
Authors
1Rosa Mª Salazar de la Guerra, 2Lourdes Pascual Bastida, 3Carmen Ferrer Arnedo
Position
1Directora de Enfermería y coordinadora de calidad. Hospital Guadarrama (Madrid). 2Directora de Enfermería. Hospital La Fuenfría (Madrid). 3ENfermera. Gerente del Hospital Guadarrama (Madrid).
Contact address
Rosa Mª Salazar de la Guerra. C/ Leizarán, 32. 28670 Villaviciosa de Odón (Madrid).
Contact email: rosam.salazar@salud.madrid.org
Abstract
Objective: to determine the levels of care in patients admitted in medium and long-stay hospitals in the Comunidad de Madrid.
Materials and method: Longitudinal descriptive study in medium-stay hospitals in the Comunidad de Madrid (La Fuenfría and Guadarrama), over the total number of patients hospitalized from 2000 to 2010 (n= 23.595). The tool used for patient classification was the Parrilla de Montesinos method. Care needs were classified into nine of the eleven care actions put forward by SIGNO II, and they were assigned a value from 1 to 4 (1 = lower level of dependence), which translated into the need for nurse or nursing assistant time. The rate of care complexity resulted from the arithmetical median of those registered scores for each one of the nine care actions.
Results: no relevant changes regarding dependence levels have been shown throughout the years studied, though an increase in the number of dependent and very dependent patients has been observed since 2005. However, the weight in other aspects studied has no change of level as a consequence.
Conclusions: the tool used for patient classification is insufficient to measure the needs for care, because it does not collect many aspects which are currently relevant for care. It is recommended to apply a new tool which measures direct care and includes systematic interventions, safety, team work, administrative and teaching functions, and traceability care.
Keywords:
dependence; Descriptive Study; levels of care; medium and long-stay hospitalMontesinos method
Versión en Español
Título:
Niveles de cuidados en pacientes ingresados en hospitales de media y larga estancia
