School of Nursing, University of California, San Francisco, CA, USA.
J Nurs Adm. 2013 Feb;43(2):89-94. doi: 10.1097/NNA.0b013e31827f2028.
The aim of this study was to examine the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees.
The Future of Nursing report recommends increasing the percentage of RNs with baccalaureate degrees from 50% to 80% by 2020. Research has linked RN education levels to hospital mortality rates but not with other nurse-sensitive outcomes.
This was a cross-sectional study that, with the use of data from 21 University HealthSystem Consortium hospitals, analyzed the association between RN education and patient outcomes (risk-adjusted patient safety and quality of care indicators), controlling for nurse staffing and hospital characteristics.
Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay.
The recommendation of the Future of Nursing report to increase RN education levels is supported by these findings.
本研究旨在通过确定护士敏感型患者结局在拥有更高比例本科及以上注册护士（RN）的医院中是否更好，来检验注册护士教育的效果。
《未来护理报告》建议到 2020 年，将拥有本科及以上学历的注册护士比例从 50%提高到 80%。研究已经将 RN 教育水平与医院死亡率联系起来，但与其他护士敏感型结局无关。
这是一项横断面研究，使用了 21 家大学卫生保健联盟医院的数据，分析了 RN 教育与患者结局（风险调整后的患者安全和护理质量指标）之间的关联，同时控制了护士配置和医院特征。
本科及以上 RN 比例较高的医院，充血性心力衰竭死亡率、压疮、未能抢救、术后深静脉血栓或肺栓塞以及住院时间更短。
这些发现支持《未来护理报告》提高 RN 教育水平的建议。
