利用现有数据审查护士人员配备比例和护理质量指标的有效性。
Efficacy of Using Available Data to Examine Nurse Staffing Ratios and Quality of Care Metrics.
作者信息
Carlisle Byron, Perera Anjali, Stutzman Sonja E, Brown-Cleere Shelley, Parwaiz Aatika, Olson DaiWai M
出版信息
J Neurosci Nurs. 2020 Apr;52(2):78-83. doi: 10.1097/JNN.0000000000000499.
BACKGROUND
Nurse staffing ratios impact both the quality and safety of care on a particular unit. Most hospitals have access to a large volume of nurse-sensitive outcomes. We hypothesized that these data could be used to explore the impact of changing the nurse-to-patient ratio on patient-reported outcomes, nurse satisfaction scores, and quality of care metrics.
METHODS
Retrospective data from hospital resources (eg, Press Ganey reports) were linked to daily staffing records (eg, assignment sheets) in a pre-post study. Before September 2017, the nurse-to-patient ratio was 1:1.75 (pre); afterward, the ratio was reduced to 1:1.5 (post).
RESULTS
Press Ganey National Database of Nursing Quality Indicators scores were improved, staffing turnover rates were reduced, and falls were linked to periods of high nurse-to-patient ratios.
CONCLUSION
This study shows the efficacy of using readily available metrics to explore for associations between nurse staffing and nurse-sensitive outcomes at the nursing care unit level. This provides a unique perspective to optimize staffing ratios based on personalized (unit-level) metrics.
背景
护士人员配置比例会影响特定科室的护理质量和安全。大多数医院都能获取大量与护士相关的结果数据。我们假设这些数据可用于探究改变护患比 对患者报告的结果、护士满意度得分及护理质量指标的影响。
方法
在一项前后对照研究中，将来自医院资源（如Press Ganey报告）的回顾性数据与每日人员配置记录（如排班表）相联系。2017年9月之前，护患比为1:1.75（前）；之后，该比例降至1:1.5（后）。
结果
Press Ganey全国护理质量指标数据库得分提高，人员流动率降低，跌倒与高护患比时期相关。
结论
本研究显示了使用现成指标来探究护理单元层面护士人员配置与护士相关结果之间关联的有效性。这为基于个性化（单元层面）指标优化人员配置比例提供了独特视角。
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