护士感知到的患者不良事件取决于护理工作量。
Nurse-Perceived Patient Adverse Events depend on Nursing Workload.
作者信息
Kang Jeong-Hee, Kim Chul-Woung, Lee Sang-Yi
机构信息
Department of Nursing Science, Youngdong University, Youngdong, Korea.
Department of Preventive Medicine, College of Medicine, Chungnam National University, Research Institute for Medical Sciences, Daejeon, Korea.
出版信息
Osong Public Health Res Perspect. 2016 Feb;7(1):56-62. doi: 10.1016/j.phrp.2015.10.015. Epub 2016 Jan 8.
OBJECTIVES
The purpose of this study was to investigate the correlation between nursing workload and nurse-perceived patient adverse events.
METHODS
A total of 1,816 nurses working in general inpatient units of 23 tertiary general hospitals in South Korea were surveyed, and collected data were analyzed through multilevel logistic regression analysis.
RESULTS
Among variables related to nursing workload, the non-nursing task experience had an influence on all four types of patient adverse events. Nurses with non-nursing tasks experienced patient adverse events-falls [odds ratio (OR) = 1.31], nosocomial infections (OR = 1.23), pressure sores (OR = 1.16), and medication errors (OR = 1.23)-more often than occasionally. In addition, when the bed to nurse ratio was higher, nurses experienced cases of pressure sores more often (OR = 1.35). By contrast, nurses who said the nursing workforce is sufficient were less likely than others to experience cases of pressure sores (OR = 0.78). Hospitals with a relatively high proportion of nurses who perceived the nursing workforce to be sufficient showed a low rate of medication error (OR = 0.28).
CONCLUSION
The study suggested that the high level of nursing workload in South Korea increases the possibility of patient adverse events.
目的
本研究旨在调查护理工作量与护士感知到的患者不良事件之间的相关性。
方法
对韩国23家三级综合医院普通住院科室的1816名护士进行了调查，并通过多水平逻辑回归分析对收集到的数据进行了分析。
结果
在与护理工作量相关的变量中，非护理任务经历对所有四种类型的患者不良事件都有影响。经历过非护理任务的护士比偶尔经历的护士更常发生患者不良事件——跌倒（比值比[OR]=1.31）、医院感染（OR=1.23）、压疮（OR=1.16）和用药错误（OR=1.23）。此外，病床与护士比例越高，护士发生压疮的情况越频繁（OR=1.35）。相比之下，认为护理人力充足的护士发生压疮的可能性低于其他人（OR=0.78）。认为护理人力充足的护士比例相对较高的医院用药错误发生率较低（OR=0.28）。
结论
该研究表明，韩国较高的护理工作量增加了患者不良事件发生的可能性。
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