Caron Isabelle, Gélinas Céline, Boileau Johanne, Frunchak Valerie, Casey Ann, Hurst Keith
Nursing, CIUSSS West-Central-Montréal, Jewish General Hospital, Montréal, QC, Canada.
Ingram School of Nursing, McGill University, Montréal, QC, Canada.
J Nurs Manag. 2021 Sep;29(6):1801-1808. doi: 10.1111/jonm.13300. Epub 2021 Mar 28.
Initial testing of England's Safer Nursing Care Tool for adult in-patient acute care wards in a university-affiliated Canadian hospital.
Safe-nursing staffing decisions have significant impacts on patients' safety and quality of care. The Safer Nursing Care Tool was developed in England to provide managers with a validated formula for making appropriate nursing staffing decisions. The tool has been widely used and studied in the UK but has yet to be tested in a Canadian context.
Ten high service quality acute care wards from a university-affiliated Canadian hospital tested the use of the Safer Nursing Care Tool. Service quality, patients' dependency/acuity and staff activity data were benchmarked against information collected in 726 comparable UK wards.
Higher bed occupancy and patient dependency/acuity mix were found in the 10 Canadian wards compared to their UK counterparts. Overall staff activity was comparable between UK and Canadian wards.
The Safer Nursing Care Tool can be applied in this Canadian hospital, and further testing in other hospitals and specialties is required.
The Safer Nursing Care Tool is a valid staffing tool to use that, when combined with professional judgement, can help managers to properly establish nursing staff in acute care wards.
在加拿大一所大学附属医院的成人急性病住院病房对英格兰的《更安全护理工具》进行初步测试。
安全的护理人员配置决策对患者安全和护理质量有重大影响。《更安全护理工具》是在英格兰开发的，为管理人员提供一个经过验证的公式，用于做出适当的护理人员配置决策。该工具在英国已被广泛使用和研究，但尚未在加拿大进行测试。
加拿大一所大学附属医院的10个高服务质量急性病病房对《更安全护理工具》的使用进行了测试。将服务质量、患者依赖程度/病情严重程度和工作人员活动数据与在726个英国同类病房收集的信息进行了基准对比。
与英国病房相比，这10个加拿大病房的床位占用率更高，患者依赖程度/病情严重程度组合也更高。英国和加拿大病房的总体工作人员活动情况相当。
《更安全护理工具》可应用于这家加拿大医院，还需要在其他医院和专科进行进一步测试。
《更安全护理工具》是一种有效的人员配置工具，与专业判断相结合时，可帮助管理人员在急性病病房合理配备护理人员。
