[The usefulness of BOP and SIVIS (ADL and behavior rating scales) for the estimation of workload in a psychogeriatric nursing home. Results of a time-standard study].
In a 168-bed psychogeriatric nursing home the estimated nursing time for all aspects of care was determined by setting time-standards for a sample of 39 patients. Then BOP (Behaviour Rating Scale for Elderly Patients) and SIVIS (SIG Nursing Home Information System) data were related to nursing time for different aspects of care, in order to determine the usefulness of these scales for estimating workload. Pearson correlations between time for basic care (mainly ADL care, representing 58% of total nursing time) and some BOP subscales were high: Dependency: r = 0.81, Physical Disability: r = 0.80 and Apathy: r = 0.81. The correlation between the SIVIS-Helpindex and time for basic care was within the same range: r = 0.78. If BOP subscale Dependency and SIVIS-Helpindex scores were very high, total nursing time for basic care varied widely from 100 to 220 minutes per day. Besides basic care there are other activities done with the patients, of which social activities are the most important (17% of total nursing time). Time spent on social activities was less for patients in need of very high levels of nursing care than for patients who required mild to moderate levels of care. This study shows that a global estimation of workload by BOP as well as SIVIS is possible. A more accurate estimation requires an instrument that is more suited to differentiate between the most impaired patients.
van der Kam
P
P
Stichting Verpleeghuizen Nederland.
Hoeksma
B H
BH
D000203:Activities of Daily Living; D000368:Aged; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D006801:Humans; D009735:Nursing Homes; D010361:Patients / Q000145:classification*; D012919:Social Behavior; D013997:Time Factors
De bruikbaarheid van BOP en SIVIS voor het schatten van de werklast in het psychogeriatrisch verpleeghuis. Uitkomsten van een tijdnormstellingsonderzoek.