Esparza Salvador J, Zoller James S, White Andrea Weatherby, Highfield Martha E F
California State University, Northridge, USA.
J Healthc Risk Manag. 2012;31(3):14-23. doi: 10.1002/jhrm.20092.
The purpose of this study was to examine the impact on patient outcomes of nurse staffing and registered nurse (RN) skill mix patterns used by medical-surgical units in California hospitals after enactment of nurse-to-patient staffing ratio laws, and determine if there are differences in patient outcomes for conditions that are considered sensitive to nursing care. Results from this study demonstrated an association between total nursing hours per patient day (NHPPD) and two outcomes: urinary tract infections (UTI) and length of stay (LOS). A stronger association was observed between the RN proportions of the total nursing hours of care and the same outcomes. The higher the total NHPPD and RN proportion, the lower the LOS and the lower the odds of hospitalized patients' developing UTI.
本研究的目的是探讨加利福尼亚州医院内科-外科病房在实施护士与患者配比法律后，护士人员配备和注册护士（RN）技能组合模式对患者预后的影响，并确定在被认为对护理敏感的疾病方面，患者预后是否存在差异。本研究结果表明，每位患者每天的总护理时长（NHPPD）与两个预后指标之间存在关联：尿路感染（UTI）和住院时长（LOS）。在护理总时长中的RN占比与相同的预后指标之间观察到更强的关联。总NHPPD和RN占比越高，住院时长越短，住院患者发生UTI的几率越低。
