美国医院护士配置的最新趋势。
Recent trends in hospital nurse staffing in the United States.
机构信息
Department of Biostatistics and School of Nursing, University of Kansas Medical Center, Kansas City 66160, USA.
出版信息
J Nurs Adm. 2013 Jul-Aug;43(7-8):388-93. doi: 10.1097/NNA.0b013e31829d620c.
OBJECTIVE
The aim of this study was to examine recent trends in nurse staffing levels and nursing staff composition.
BACKGROUND
Recent trends in hospital nurse staffing have not been well described, and the effects of the 2007 to 2012 recession and 2008 Centers for Medicare & Medicaid Services rule change are unknown.
METHODS
A longitudinal study of unit-level data from the National Database of Nursing Quality Indicators (NDNQI) and hospital-level data from the American Hospital Association (AHA) annual survey was conducted.
RESULTS
From 2004 to 2011, total nursing hours per patient day on general care units in NDNQI hospitals increased by 11.5%, and registered nurse (RN) hours per patient day by 22.9%. Trends were similar in AHA hospitals.
CONCLUSIONS
Hospitals have steadily increased total nurse staffing levels by increasing RN staffing. Use of temporary RNs in hospitals plummeted from mid-2008. There were no apparent changes in staffing levels due to the recession and/or CMS rule change.
目的
本研究旨在考察护士人员配备水平和护理人员构成的近期趋势。
背景
最近医院护士人员配备的趋势尚未得到很好的描述，并且尚不清楚 2007 年至 2012 年经济衰退和 2008 年医疗保险和医疗补助服务中心（CMS）规则变更的影响。
方法
对来自国家护理质量指标数据库（NDNQI）的单位水平数据和来自美国医院协会（AHA）年度调查的医院水平数据进行了纵向研究。
结果
从 2004 年到 2011 年，NDNQI 医院普通护理病房的每位患者每天的总护理时间增加了 11.5%，注册护士（RN）每天每位患者的时间增加了 22.9%。AHA 医院的趋势相似。
结论
医院通过增加注册护士的人员配备，稳步提高了总护士人员配备水平。医院临时注册护士的使用从 2008 年年中开始大幅下降。经济衰退和/或 CMS 规则变更并未导致人员配备水平发生明显变化。
Zotero 插件