VA 中的日夜：夜班人员配置、护士劳动力特征与住院时间之间的关系。
Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay.
机构信息
College of Nursing, Rutgers, The State University of New Jersey, 110 Paterson Street, New Brunswick, NJ, 08901.
出版信息
Res Nurs Health. 2014 Apr;37(2):90-7. doi: 10.1002/nur.21582. Epub 2014 Jan 9.
Abstract
In hospitals, nurses provide patient care around the clock, but the impact of night staff characteristics on patient outcomes is not well understood. The aim of this study was to examine the association between night nurse staffing and workforce characteristics and the length of stay (LOS) in 138 veterans affairs (VA) hospitals using panel data from 2002 through 2006. Staffing in hours per patient day was higher during the day than at night. The day nurse workforce had more educational preparation than the night workforce. Nurses' years of experience at the unit, facility, and VA level were greater at night. In multivariable analyses controlling for confounding variables, higher night staffing and a higher skill mix were associated with reduced LOS.
摘要
在医院，护士昼夜为病人提供护理，但夜间工作人员特征对病人结果的影响尚不清楚。本研究的目的是使用 2002 年至 2006 年期间的面板数据，研究 138 家退伍军人事务部（VA）医院夜间护士人员配备和劳动力特征与住院时间（LOS）之间的关系。每患者护理小时数在白天高于夜间。日间护士劳动力比夜间劳动力有更多的教育准备。护士在单位、设施和 VA 层面的工作经验在夜间更多。在控制混杂变量的多变量分析中，较高的夜间人员配备和较高的技能组合与缩短 LOS 相关。
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