Thériault Marianne, Dubois Carl-Ardy, Borgès da Silva Roxane, Prud'homme Alexandre
Faculty of Nursing University of Montreal Montreal Quebec Canada.
Public Health Research Institute University of Montreal Montreal Quebec Canada.
Nurs Open. 2019 Jun 17;6(3):1218-1229. doi: 10.1002/nop2.321. eCollection 2019 Jul.
To identify nurse staffing groups in acute care facilities.
This retrospective descriptive study used a configurational approach.
Data from a two-month target period from January-March 2016 were collected for 40 facilities in four different hospitals in one of the largest regions of Quebec. Multiple factorial analysis and hierarchical ascendant classification were used to generate a limited number of nurse staffing groups.
RESULTS/FINDINGS: Four distinct nurse staffing groups emerged from this study. The least resourced model relied mainly on less qualified personnel and agency staff. The moderately resourced basic model was assessed as average across all staffing dimensions, but employed less overtime, relying mostly on auxiliary nurses. The moderately resourced professional group, also moderate in most variables, involved more overtime and fewer less qualified personnel. The most resourced group maximized highly qualified personnel and minimized instability in the nursing team.
This study covered multiple staffing groups with widely varying characteristics. Most groups entailed risks for quality of care at one or more levels. Few care units approached the theoretical staffing ideal.
确定急症护理机构中的护士人员配置分组。
这项回顾性描述性研究采用了构型法。
收集了魁北克最大地区之一的四家不同医院的40个机构在2016年1月至3月这两个月目标期间的数据。使用多因素分析和层次上升分类法来生成数量有限的护士人员配置分组。
结果/发现：本研究产生了四个不同的护士人员配置分组。资源最少的模式主要依赖资质较低的人员和代理员工。资源适中的基本模式在所有人员配置维度上被评估为平均水平，但加班较少，主要依靠辅助护士。资源适中的专业组在大多数变量上也处于中等水平，加班较多，资质较低的人员较少。资源最充足的组最大限度地增加了高素质人员，并使护理团队的不稳定性最小化。
本研究涵盖了多个具有广泛不同特征的人员配置分组。大多数分组在一个或多个层面上存在护理质量风险。很少有护理单元接近理论上的人员配置理想状态。
