Owens R, Cronin S N
Clark Memorial Hospital, Jeffersonville, IN, USA.
Cost Qual Q J. 1998 Oct;4(3):18-22.
To describe nurses' attitudes toward cost-effectiveness in nursing practice and its perceived effects on quality of care, and to examine the influence of role, education, and experience on these attitudes.
A comparative, descriptive design was used.
Two community hospitals in the midwest.
Registered nurses and licensed practical nurses.
Blaney Hobson Nursing Attitude Scale was used to measure nurses' attitudes toward cost-effectiveness. Demographic information was obtained by asking open-ended questions. Scores ranged from 30 to 96, with a mean score of 65.57 (SD = 13.58).
Nurses with greater than 10 years experience had more positive attitudes than nurses with 10 years or less experience. Nurses in administration/management positions had more positive attitudes than did staff nurses. No significant correlation was found between education level and attitudes toward cost-effectiveness. The major concern of participants was that quality of care would suffer due to cost containment efforts. The majority of participants agreed that education in cost containment and budgetary issues should begin in basic nursing school and should be included in employer orientation programs.
描述护士在护理实践中对成本效益的态度及其对护理质量的感知影响，并研究角色、教育程度和经验对这些态度的影响。
采用比较性描述性设计。
中西部的两家社区医院。
注册护士和执业护士。
使用布莱尼·霍布森护理态度量表来测量护士对成本效益的态度。通过开放式问题获取人口统计学信息。分数范围为30至96，平均分为65.57（标准差=13.58）。
工作经验超过10年的护士比工作经验10年及以下的护士态度更积极。行政/管理岗位的护士比普通护士态度更积极。教育水平与对成本效益的态度之间未发现显著相关性。参与者主要担心的是成本控制措施会导致护理质量下降。大多数参与者同意成本控制和预算问题的教育应在基础护理学校开始，并应纳入雇主入职培训项目。
