Orique Sabrina B, Patty Christopher M, Sandidge Alisha, Camarena Emma, Newsom Rose
Author Affiliations: Advanced Practice Nurse (Ms Orique), Medication Safety Specialist (Dr Patty), Advanced Practice Nurse (Ms Sandidge), Advanced Practice Nurse (Dr Camarena), Director of Nursing Practice (Ms Newsom), Advance Nursing Practice Department, Kaweah Delta Medical Center, Visalia, California.
J Nurs Adm. 2017 Dec;47(12):616-622. doi: 10.1097/NNA.0000000000000556.
The aim of this article is to describe the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data to measure missed nursing care and construct a missed nursing care metric.
Missed nursing care varies widely within and between US hospitals. Missed nursing care can be measured utilizing the HCAHPS data.
This cross-sectional study used HCAHPS data to measure missed care.
This analysis includes HCAHPS data from 1125 acute care patients discharged between January 2014 and December 2014. A missed care index was computed by dividing the total number of missed care occurrences as reported by the patient into the total number of survey responses that did not indicate missed care. The computed missed care index for the organization was 0.6 with individual unit indices ranging from 0.2 to 1.4.
Our methods utilize existing data to quantify missed nursing care. Based on the assessment, nursing leaders can develop interventions to decrease the incidence of missed care. Further data should be gathered to validate the incidence of missed care from HCAHPS reports.
本文旨在描述如何利用医疗服务提供者与系统消费者评估（HCAHPS）数据来衡量护理缺失情况，并构建护理缺失指标。
美国医院内部及之间的护理缺失情况差异很大。可利用HCAHPS数据来衡量护理缺失情况。
这项横断面研究使用HCAHPS数据来衡量护理缺失情况。
该分析纳入了2014年1月至2014年12月期间出院的1125名急性病患者的HCAHPS数据。护理缺失指数的计算方法是，将患者报告的护理缺失总次数除以未表明存在护理缺失的调查回复总数。该机构计算出的护理缺失指数为0.6，各单位指数范围为0.2至1.4。
我们的方法利用现有数据来量化护理缺失情况。基于该评估，护理负责人可制定干预措施以降低护理缺失发生率。应收集更多数据以验证HCAHPS报告中护理缺失的发生率。
