Nantsupawat Apiradee, Nantsupawat Raymoul, Kulnaviktikul Wipada, McHugh Matthew D
Department of Nursing Administration, Chiang Mai University, ChiangMai, Thailand.
Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Nurs Health Sci. 2015 Mar;17(1):112-118. doi: 10.1111/nhs.12140. Epub 2014 Apr 4.
A growing body of research has shown an association between nurse staffing levels and a range of nurse outcomes. There is little empirical research evaluating this relationship in Thailand. This study evaluated the influence of nurse staffing levels on outcomes among nurses. A cross-sectional survey design was conducted at 92 community hospitals using a stratified random sampling design across Thailand during May and July 2012. Questionnaires included items focusing on nurse staffing levels; job dissatisfaction and emotional exhaustion, both related to nurse retention; and needlestick and sharps injuries. The study sample comprised 1412 registered nurses who provided direct patient care. The findings showed that each additional patient per nurse was associated with an additional 5% of nurses reporting dissatisfaction in their job; 8% of nurses reporting high emotional exhaustion, and 4% of nurses reporting needlestick and sharps injuries. This study provides evidence of how nurse staffing levels result in nurse outcomes. Nurses are significant healthcare providers that directly affect quality of care and patient safety in hospitals. Improvement of nurse staffing levels holds promise for improving nurse outcomes in Thailand.
越来越多的研究表明护士配备水平与一系列护士相关结果之间存在关联。在泰国，很少有实证研究评估这种关系。本研究评估了护士配备水平对护士相关结果的影响。2012年5月至7月期间，在泰国各地采用分层随机抽样设计，对92家社区医院进行了横断面调查。问卷包括关注护士配备水平的项目；与护士留用相关的工作不满和情绪耗竭；以及针刺伤和锐器伤。研究样本包括1412名提供直接患者护理的注册护士。研究结果表明，每位护士护理的患者每增加一名，报告工作不满的护士就会增加5%；报告高度情绪耗竭的护士增加8%，报告针刺伤和锐器伤的护士增加4%。本研究提供了证据，证明护士配备水平如何导致护士相关结果。护士是直接影响医院护理质量和患者安全的重要医疗服务提供者。提高护士配备水平有望改善泰国的护士相关结果。
