New Jersey Collaborating Center for Nursing, Rutgers, the State University of New Jersey, Newark (Dr de Cordova); Department of Adult Health and Nursing Systems, Virginia Commonwealth University, Richmond (Dr Jones); Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia (Ms Riman and Dr McHugh); and Department of Health Policy and Administration, The Pennsylvania State University, University Park (Dr Rogowski).
J Nurs Care Qual. 2020 Oct/Dec;35(4):323-328. doi: 10.1097/NCQ.0000000000000479.
Evidence suggests that Magnet and non-Magnet hospitals differ with respect to quality of care.
Our study examined registered nurse (RN) staffing over time in Magnet and non-Magnet hospitals using unit-level, publicly available data in New Jersey.
A secondary analysis of longitudinal RN staffing data was conducted using mandated, publicly reported data of 64 hospitals representing 12 nursing specialties across 8 years (2008-2015). Staffing ratios were trended over time to compare RN staffing changes in Magnet and non-Magnet hospitals.
Staffing was comparable in Magnet and non-Magnet hospitals for 9 of 12 specialties. On average, from 2008 until 2015, RN staffing slightly increased, with a greater percent increase in Magnet hospitals (6.9%) than in non-Magnet hospitals (4.7%).
Over 8 years in New Jersey, RN staffing improved in Magnet and non-Magnet hospitals. Although there was a slight increase for Magnet hospitals, there was no meaningful difference in staffing for all 12 specialties.
有证据表明,磁铁和非磁铁医院在医疗质量方面存在差异。
本研究使用新泽西州的单位级、公开可用的数据,考察了磁铁和非磁铁医院的注册护士(RN)人员配备随时间的变化情况。
对 8 年(2008-2015 年)期间 64 家医院的 12 个护理专业的强制性、公开报告数据进行了纵向 RN 人员配备数据的二次分析。对人员配备比例进行了趋势分析,以比较磁铁和非磁铁医院的 RN 人员配备变化情况。
在 12 个专业中有 9 个专业的磁铁和非磁铁医院的人员配备情况相当。平均而言,从 2008 年到 2015 年,注册护士的人员配备略有增加,磁铁医院的增幅(6.9%)高于非磁铁医院(4.7%)。
在新泽西州的 8 年中,磁铁和非磁铁医院的注册护士人员配备都有所改善。尽管磁铁医院的人员配备略有增加,但所有 12 个专业的人员配备并没有明显差异。