Nelson Audrey, Powell-Cope Gail, Palacios Polly, Luther Stephen L, Black Terrie, Hillman Troy, Christiansen Beth, Nathenson Paul, Gross Jan Coleman
Patient Safety Center of Inquiry, James A Haley Veterans Administration Medical Center, Tampa, FL 33612, USA.
Rehabil Nurs. 2007 Sep-Oct;32(5):179-202. doi: 10.1002/j.2048-7940.2007.tb00173.x.
In rehabilitation nursing, the patient classification systems or acuity models and nurse-staffing ratios are not supported by empirical evidence. Moreover there are no studies published characterizing nursing hours per patient day, proportion of RN staff and impact of agency nurses in inpatient rehabilitation settings. The purpose of this prospective observational study was to describe rehabilitation nurse staffing patterns, to validate the impact of rehabilitation nursing on patient outcomes, and to test whether existing patient measures on severity and outcomes in rehabilitation could be used as a proxy for burden of care to predict rehabilitation nurse staffing ceilings and daily nurse staffing requirements. A total of 54 rehabilitation facilities in the United States, stratified by geography, were randomly selected to participate in the study.
在康复护理中，患者分类系统或 acuity 模型以及护士人员配备比例并无实证依据支持。此外，尚无已发表的研究描述住院康复环境中每位患者每天的护理时长、注册护士人员比例以及代理护士的影响。这项前瞻性观察研究的目的是描述康复护士的人员配备模式，验证康复护理对患者结局的影响，并测试康复中现有的病情严重程度和结局测量指标是否可作为护理负担的替代指标，以预测康复护士人员配备上限和每日护士人员配备需求。美国共有54家康复机构，按地理位置分层后随机选取参与该研究。
