Mark Barbara A, Salyer Jeanne, Harless David W
University of North Carolina at Chapel Hill, 27599-7460, USA.
J Nurs Adm. 2002 May;32(5):234-42. doi: 10.1097/00005110-200205000-00003.
Much attention is being paid to the adequacy of nurse staffing in acute care hospitals, and much of the information relies on nurses' perceptions about staffing adequacy. Yet, we know little about what influences these perceptions.
We examined the impact of hospital characteristics, nursing unit characteristics, nurse characteristics, and patient characteristics on nurses' perceptions of staffing adequacy. We tested three different models, incorporating different conceptualizations that relate current and past characteristics to these perceptions.
This was a secondary analysis of data from the Outcomes Research in Nursing Administration Project, a longitudinal study conducted in 60 hospitals in the Southeastern United States.
Perceptions of staffing adequacy were influenced significantly by the hospital's case mix index and growth in hospital admissions, by the number of beds on a unit, and by patient acuity. Further, current perceptions of staffing adequacy were significantly affected by prior perceptions.
Based on our results, we present potential interventions for administrators that may ameliorate some of the negative influences on nurses' perceptions of staffing adequacy.
急症护理医院护士人员配备是否充足备受关注，且许多信息依赖于护士对人员配备充足性的看法。然而，我们对影响这些看法的因素知之甚少。
我们研究了医院特征、护理单元特征、护士特征和患者特征对护士对人员配备充足性看法的影响。我们测试了三种不同模型，纳入了将当前和过去特征与这些看法相关联的不同概念。
这是对护理管理项目成果研究数据的二次分析，该纵向研究在美国东南部的60家医院进行。
对人员配备充足性的看法受到医院病例组合指数和住院人数增长、护理单元床位数量以及患者 acuity 的显著影响。此外，当前对人员配备充足性的看法受到先前看法的显著影响。
基于我们的结果，我们为管理人员提出了可能改善对护士人员配备充足性看法的一些负面影响的潜在干预措施。
