Application of nursing cases in promoting accuracy of nursing grading

Objective To evaluate the effect of applying nursing cases in promoting accuracy of nursing grading. Methods A specialized-group of nursing cases was built to clear up the problems in nursing grading by using quality control system. The researchers surveyed the accuracy of nursing grading of 84 patients with activities of daily living (ADL) score less than or equal to 60 (ADL≤60) in two wards before and after the improvement project. The researchers compared the relative knowledge of nursing grading and sense of dynamically adapting nursing grading of 20 resident doctors, and self-ability of 7 nurses in specialized-group of nursing cases before and after the improvement project. Results The relative knowledge of nursing grading, ability of dynamically adapting classification and accuracy of classification were higher than before (χ2=42.15, 8.09, 12.2; P<0.01). The abilities of promoting nursing cases, communication, solving problem, reading literatures were significantly higher than before(t=-3.16, -4.90, -2.57, -4.90, -2.93; P<0.05). The dimension of responsibility had no significant difference (t=-1.84, P=0.090). Conclusions Nursing cases is effective in improving the accuracy of nursing grading, and promoting the ability and sense of improving nursing cases actively. Key words: Nursing cases; Nursing grading; Accuracy