School, Health Sciences, University of Southampton, Southampton, England.
Nurs Manag (Harrow). 2020 Jun 2;27(3):35-40. doi: 10.7748/nm.2020.e1904. Epub 2020 May 5.
Several high-profile inquiries and reports, including the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, by Sir Robert Francis QC, have identified that nurse staffing is an essential factor in patient safety and patient mortality rates. Since the Francis report, several policies and initiatives aimed at ensuring safe staffing in the NHS have been developed alongside guidance and evidence-based safe staffing tools, while the Care Quality Commission has been tasked with ensuring compliance with these policies. In 2015, the National Institute for Health Research (NIHR) Policy Research Programme commissioned research to examine the extent to which safe staffing policies have translated into practice locally in the NHS. This article summarises and examines the main findings of this research and suggests that, although policies have raised the profile of nurse staffing, nursing shortages have impeded their implementation.
几份备受瞩目的调查报告，包括 QC 大律师罗伯特·弗朗西斯爵士（Sir Robert Francis QC）所做的《米德尔塞克斯郡斯塔福德郡国民保健制度基金会信托公共调查报告》，都指出护士人员配备是患者安全和死亡率的一个重要因素。自弗朗西斯报告以来，已经制定了多项旨在确保国民保健制度中人员配备安全的政策和举措，同时还制定了相关指导意见和基于证据的安全人员配备工具，而英国国民保健制度质量和标准委员会（Care Quality Commission）则负责确保这些政策得到遵守。2015 年，英国国家卫生研究院（NIHR）政策研究计划委托开展了一项研究，以调查安全人员配备政策在多大程度上已在英国国民保健制度中得到落实。本文总结并探讨了这项研究的主要发现，表明尽管这些政策提高了护士人员配备的重要性，但护理人员短缺阻碍了政策的实施。
