Anderson E Faye, Frith Karen H, Caspers Barbara
University of Alabama in Huntsville, College of Nursing, Huntsville, Alabama, USA.
Nurs Adm Q. 2011 Jan-Mar;35(1):53-60. doi: 10.1097/NAQ.0b013e3182047dff.
The evidence linking nurse staffing with patient outcomes has been established; however, incorporating the evidence into practice is lagging. This article describes a practice/academic collaborative initiated to promote the translation of staffing research into decision-making through the development of an evidence-based staffing tool. Reports of previous research on nurse staffing and patient and financial outcomes are summarized, and aspects of the 2 phases of the collaborative to date are discussed. In the initial phase, a pilot research study on nurse staffing and patient outcomes in medical-surgical units support previous findings that higher nurse staffing results in positive patient outcomes. The focus in the current phase is expansion of the pilot research and the development of a decision-making staffing tool based on the additional staffing research. Identifying the critical data elements and sources of the data are major challenges to achieving the project objectives. Other challenges are maintaining interest and creating wide-spread understanding of the importance of nurse managers having access to timely, useable information. The success of the collaborative is due to the commitment and participation of leaders from various disciplines in both organizations.
护士人员配备与患者预后之间的关联证据已经确立；然而，将这些证据应用于实践的进程却较为滞后。本文描述了一项实践/学术合作项目，该项目旨在通过开发基于证据的人员配备工具，推动将人员配备研究成果转化为决策依据。文中总结了以往关于护士人员配备以及患者和财务结果的研究报告，并讨论了该合作项目至今两个阶段的相关情况。在初始阶段，一项关于内科/外科病房护士人员配备与患者预后的试点研究支持了先前的研究结果，即较高的护士人员配备会带来积极的患者预后。当前阶段的重点是扩大试点研究范围，并基于更多的人员配备研究开发一种决策性人员配备工具。确定关键数据元素和数据来源是实现项目目标的主要挑战。其他挑战包括保持各方兴趣，以及让人们广泛理解护士管理者获取及时、可用信息的重要性。该合作项目的成功得益于两个组织中各学科领导者的投入与参与。
