School of Nursing & Affiliated Member of Illawarra Health & Medical Research Institute (IHMRI), University of Wollongong, Wollongong, NSW, Australia.
Centre for Health Research Illawarra Shoalhaven Population, Innovation Campus, University of Wollongong, Wollongong, NSW, Australia.
Nurs Open. 2021 Sep;8(5):2262-2271. doi: 10.1002/nop2.828. Epub 2021 Mar 4.
To synthesize the available evidence on the relationship between the nursing practice environment in acute care hospitals and five selected nursing-sensitive patient outcomes (mortality, medication error, pressure injury, hospital-acquired infection and patient fall).
A quantitative systematic review of literature was conducted using the PRISMA reporting guidelines (PROSPERO: CRD42020143104).
A systematic review was undertaken up to October 2020 using: CINAHL, MEDLINE and Scopus. The review included studies exploring the relationship between the nursing practice environment in adult acute care settings and one of five selected patient outcomes using administrative data sources. Studies were published in English since 2000.
Ten studies were included. Seven studies reported that a favourable nursing practice environment reduced the likelihood of mortality in acute care hospitals, but estimates of the effect size varied. Evidence on the association between the nursing practice environment and medication administration error, pressure injury and hospital-acquired infection was mixed.
综合现有关于急性护理医院护理实践环境与五个选定的护理敏感患者结局（死亡率、用药错误、压疮、医院获得性感染和患者跌倒）之间关系的证据。
采用 PRISMA 报告准则（PROSPERO：CRD42020143104）对文献进行定量系统评价。
截至 2020 年 10 月，使用 CINAHL、MEDLINE 和 Scopus 进行了系统评价。该综述包括使用行政数据源探讨成人急性护理环境中的护理实践环境与五个选定的患者结局之一之间关系的研究。研究发表于 2000 年以来的英文期刊。
共纳入 10 项研究。有 7 项研究报告称，有利的护理实践环境降低了急性护理医院的死亡率，但估计的效果大小有所不同。关于护理实践环境与药物管理错误、压疮和医院获得性感染之间关联的证据存在差异。
