Eglseer Doris, Hödl Manuela, Lohrmann Christa
Medical University of Graz, Institute of Nursing Science, Graz, Austria.
J Nurs Care Qual. 2019 Jan/Mar;34(1):E8-E14. doi: 10.1097/NCQ.0000000000000307.
Investigations on the quality of nursing care relating to various care problems are rare.
This study assessed the (1) fulfillment of structural indicators, (2) application of nursing interventions as process indicators, and (3) prevalence rate as outcome indicators with regard to various care problems.
A cross-sectional multicenter study was conducted in 30 Austrian hospitals with 2878 patients.
The highest number of structural quality indicators was fulfilled for pressure ulcers, falls, restraints, and pain. In malnutrition and urinary incontinence, a lack of structural indicators was observed. Most interventions were offered to patients with pressure ulcers or those who had experienced a fall. The lowest frequency of nursing interventions was seen in malnourished and incontinent persons.
There is a need for the national adaptation of guidelines for malnutrition and urinary incontinence. This may increase the frequency of evidence-based nursing interventions.
针对各类护理问题的护理质量调查较为少见。
本研究评估了（1）结构指标的达成情况，（2）作为过程指标的护理干预措施的应用情况，以及（3）针对各类护理问题作为结果指标的患病率。
在奥地利的30家医院对2878名患者进行了一项横断面多中心研究。
在压疮、跌倒、约束和疼痛方面，达成的结构质量指标数量最多。在营养不良和尿失禁方面，观察到结构指标缺失。大多数干预措施提供给了患有压疮或有跌倒经历的患者。在营养不良和失禁患者中，护理干预的频率最低。
需要在全国范围内调整营养不良和尿失禁的指南。这可能会增加循证护理干预的频率。
