Rosenthal M, Pratt R, Leelarthaepin B, Blizard P
Aust J Adv Nurs. 1991 Mar-May;8(3):34-41.
This paper describes a study which assesses a wide variety of both physical and psychosocial outcomes of patient care against nursing care standards, and as a function of two different staff mixes--an 80% registered nurse (RN) 20% enrolled nurse (EN) mix and an all-RN staffing regimen. The study is divided into three stages: Stage I which concerned the design of the investigation and development of research instruments and procedures; Stage II which concerned the field-testing of all research procedures and assessment of the reliability of research instruments and Stage III which will constitute the main study and is presently being conducted in an acute medical and an acute surgical ward. This paper is confined to a report on Stages I and II and provides the conceptual framework for the study, a description of the research instruments and the ways they were developed and a description of the research methods. The results from Stage II show that the principal research instruments are highly reliable with coefficients always in excess of 0.80, and that all of the research methods and procedures are practical and feasible. The study is significant because outcome-based evaluations, while attractive in principle, are in their infancy and little guidance appears in the literature about how to conduct these types of investigations. This paper attempts to address this deficiency.
本文描述了一项研究，该研究根据护理标准评估了患者护理的各种身体和心理社会结果，并将其作为两种不同人员配置组合的函数——一种是80%注册护士（RN）和20%登记护士（EN）的组合，另一种是全RN人员配置方案。该研究分为三个阶段：第一阶段涉及调查设计以及研究工具和程序的开发；第二阶段涉及所有研究程序的现场测试以及研究工具可靠性的评估；第三阶段将构成主要研究，目前正在一个急性内科病房和一个急性外科病房进行。本文仅限于对第一阶段和第二阶段的报告，提供了研究的概念框架、对研究工具及其开发方式的描述以及对研究方法的描述。第二阶段的结果表明，主要研究工具具有高度可靠性，系数始终超过0.80，并且所有研究方法和程序都是切实可行的。该研究具有重要意义，因为基于结果的评估虽然在原则上很有吸引力，但仍处于起步阶段，文献中几乎没有关于如何进行这类调查的指导。本文试图弥补这一不足。
