Baernholdt Marianne, Jennings Bonnie Mowinski, Lewis Erica Jeané
School of Nursing and Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22908 , USA.
J Nurs Care Qual. 2013 Oct-Dec;28(4):352-9. doi: 10.1097/NCQ.0b013e31829fad73.
Knowledge is limited about quality of care (QOC) in rural hospitals, including the smallest hospitals, critical access hospitals. Staff nurses from 7 critical access hospitals identified items important for QOC across 4 levels of care: patients, microsystems, organizations, and environments. Several items were unique to critical access hospitals. Most QOC items were at the microsystem level, yet few of these items are routinely measured. These findings offer beginning evidence about how to advance QOC evaluations in rural hospitals.
关于农村医院(包括最小的医院、临界接入医院)的医疗质量(QOC),我们所知有限。来自7家临界接入医院的注册护士确定了在四个护理层面(患者、微观系统、组织和环境)中对医疗质量至关重要的项目。有几个项目是临界接入医院所特有的。大多数医疗质量项目处于微观系统层面,但这些项目中很少有进行常规测量的。这些发现为如何推进农村医院的医疗质量评估提供了初步证据。