Liang Yia-Wun, Huang Li-Chi, Yin Yu-Chun, Chen Wen-Yi, Chuang Chia-Ling, Lee Jwo-Leun
Department of Senior Citizen Service Management, National Taichung Nursing College, ROC.
Hu Li Za Zhi. 2010 Oct;57(5):77-82.
Staff shortages present nurses with ever increasing levels of stress and working hours. This has resulted in a corresponding increase in talent flight away from the nursing profession. Responding to financial constraints imposed by the Bureau of National Health Insurance (NHI), Taiwan hospitals have reduced nursing staff numbers and recruited nurses at lower levels of competencies and experience. However, few studies have explored the impact of nurse staffing on patient outcomes in Taiwan. Accordingly, we review relevant literature on nurse classifications, the current status of Taiwan nursing manpower, Taiwan and other national regulations on nursing staffing, and the impact of nursing staffing on patient outcomes in an effort to facilitate future study. Our literature review demonstrated that insufficient nursing staffing relates significantly to rates of nosocomial infections, patient mortality, patient falls, pressure ulcers, and rates of patient and family satisfaction. Insufficient nurse staffing leads to increases in adverse patient events, prolonged average hospital stay lengths, and total healthcare expenditures. Evidence shows that nurse staffing is closely linked to patient outcomes.
人员短缺给护士带来了日益增加的压力和工作时长。这相应地导致了从护理行业流失的人才数量增加。为应对国民健康保险局（NHI）施加的财务限制，台湾医院减少了护理人员数量，并招聘能力和经验较低的护士。然而，很少有研究探讨台湾地区护士人员配置对患者结局的影响。因此，我们回顾了关于护士分类、台湾护理人力现状、台湾及其他国家护理人员配置法规以及护理人员配置对患者结局影响的相关文献，以便为未来的研究提供便利。我们的文献综述表明，护理人员不足与医院感染率、患者死亡率、患者跌倒、压疮以及患者和家属满意度显著相关。护士人员不足会导致不良患者事件增加、平均住院时间延长以及医疗总支出增加。有证据表明，护士人员配置与患者结局密切相关。
