护士人员配置的持续故事：历史与新出现的挑战

The Continuing Saga of Nurse Staffing: Historical and Emerging Challenges.

作者信息

Blouin Ann Scott, Podjasek Kara

机构信息

Author Affiliations: President (Dr Blouin), PSQ Advisory, Ltd, LaGrange, Illinois; Former Executive Vice President (Dr Blouin), Customer Relations, The Joint Commission; Nurse Clinician (Ms Podjasek), Prentice Women's Hospital and Maternity Center, Northwestern Memorial Hospital, Chicago, Illinois; and Former Nurse Intern (Ms Podjasek), The Joint Commission, Oakbrook Terrace, Illinois.

出版信息

J Nurs Adm. 2019 Apr;49(4):221-227. doi: 10.1097/NNA.0000000000000741.

DOI:10.1097/NNA.0000000000000741

PMID:30882611

Abstract

Registered nurses are the backbone of America's health systems, providing care and support to patients across the lifespan. Appropriate nurse staffing is critical to ensure safe and effective care for patients. Nurse staffing is a complex topic; nurse administrators find themselves facing escalating challenges to meet staffing needs. These challenges can be attributed to a variety of factors, both historical and new. This article examines the current factors contributing to nursing shortages, nurse staffing challenges, and the implications of inappropriate staffing on both financial and patient outcomes.

摘要

注册护士是美国医疗系统的支柱，为各年龄段的患者提供护理和支持。适当的护士配备对于确保为患者提供安全有效的护理至关重要。护士配备是一个复杂的话题；护士管理人员发现自己在满足人员配备需求方面面临着不断升级的挑战。这些挑战可归因于多种因素，既有历史因素，也有新出现的因素。本文探讨了导致护理短缺的当前因素、护士配备方面的挑战，以及人员配备不当对财务和患者结局的影响。