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46 Musculoskeletal & Neurological Rehabilitation KCE reports 57 analysis of the scales, obstacles are seen to the development of a standardized approach to post-acute care quality assessment related to the potentially different characteristics in patient populations served by different types of providers. Bryant et al conclude that it may not be possible to construct a single dataset that by itself meets all needs in each setting. However, a single core set of measures applicable to all settings is considered to be useful for assessing quality, facilitating transfers between providers, and minimizing any data collection burden for healthcare professionals. 4.3 THE BELGIAN NURSING MINIMUM DATA SETS 4.3.1 Background The Belgian Nursing Minimum Data Set (BNMDS) is a registration of nursing activities implemented nationally in 1988. Four times per year, during a two-week period, patients in hospitals are scored on the level of nursing activities. The results of these scores are presented as so called “fingerprints” of hospital departments, projected on a national map. The reference for this national comparison is the “average” Belgian nursing unit. 4.3.2 Fingerprints of rehabilitation departments The fingerprints identify the nursing care on a nursing department organised around 23 activities (see Appendix to chapter 4) The fingerprint is presented as horizontal histogrammes for each of the 23 dimensions. Each variable is scored between -0,5 and +0,5. A score 0 implies that the department scores identical to the average Belgian nursing department. The calculations of the scores are based on a Ridit-analysis. • Example: The reference value 0 for the dimension “hygiëne”, is based on the observation that 35% of the patients in general hospitals is not getting help in hygienic care, 30% is receiving supportive help, 20% partial help, 15% full help. Each nursing unit is then compared to this reference point. A higher percentage patients needing a higher level of care, will lead to a positive score on the fingerprint. A lower percentage of patients needing more care will lead to a negative score Figure 4.1 is an example of a 1998 fingerprint of an average Belgian “locomotor” rehabilitation department, and Figure 4.2 of an average Belgian “neurological” rehabilitation department. These average departments are characterized by a large (always compared to the average nursing unit) amount of basic nursing care (hygiene, mobility, excretion and nourishment), a lot of day clothing tasks, comfort care (special mouth care and pressure ulcer care), and training for independency (programme). The units have little technical nursing care. Figure 4.2 shows a similar fingerprint of an average Belgian neurological rehabilitation department.
KCE reports 57 Musculoskeletal & Neurological Rehabilitation 47 Figure 4.1: Fingerprint of an average Belgian “locomotor” rehabilitation department (1998) (Source: Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu: https://portal.health.fgov.be/portal/page?_pageid=56,698710&_dad=portal&_schema=PORTAL#fb2000)
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Dépôt légal : D/2007/10.273/19
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