Measuring the unmeasurable: a caring science perspective on patient classification.
OBJECTIVE
To give a short historical survey of patient classification and its motives, to analyse patient classification and especially the instrument, The Oulu Patient Classification more closely from a caring science perspective.


BACKGROUND
A survey of topical literature and research on patient classification show that economic and administrative justifications predominate and the caring science connection is weak, almost non-existent.


METHODS
Topical literature and research on patient classification and the instrument, The Oulu Patient Classification.


METHODS
Topical literature and research were evaluated from a caring science perspective in accordance with Eriksson's theory of caring and the basic concept of man as an entity of body, soul and spirit.


RESULTS
Patient classification is used in staff planning and is also justified from the viewpoint of content, that is, as a method of guaranteeing good quality in the care of patients and as an expression of the prevalent caring ideology. The concept of man is reduced in current literature and research on patient classification. The Oulu Patient Classification is based on a humanistic view of man, but man's spiritual and existential needs do not emerge clearly from the manual of the instrument.


CONCLUSIONS
It is essential for patient classification to start from a caring perspective. Correctly dimensioned staffing based on patient classification is a prerequisite for good care. This should be combined with a caring culture that considers the whole complexity of man in order to make good care possible.
Fagerström
L
L
Faculty of Social and Caring Sciences, Abo Akademi University, Vasa, Finland.
Engberg
I B
IB
D000203:Activities of Daily Living; D003953:Diagnosis-Related Groups / Q000145:classification* / Q000639:trends; D004645:Empathy; D005387:Finland; D006694:Holistic Health; D006808:Humanism; D006801:Humans; D015401:Nursing Administration Research; D009730:Nursing Assessment; D009732:Nursing Care / Q000145:classification*; D009740:Nursing Staff / Q000600:supply & distribution*; D009742:Nursing Theory; D009745:Nursing, Supervisory; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D012720:Severity of Illness Index