Sue & Bill Gross School of Nursing, University of California, Irvine, Irvine, CA, USA.
Central Texas Veterans Health Care System, Temple, TX, USA.
Nurs Open. 2021 Nov;8(6):3688-3696. doi: 10.1002/nop2.910. Epub 2021 May 3.
Patients are harmed or die every year because of unsafe, inappropriate or inadequate healthcare delivery. Registered Nurses are a recognized patient safety strategy. However, variability in research findings indicate the relationship is not as simple as "more nurses=better outcomes." Hence, currently there exists no evidence-based frontline nursing care model. One emerging model is the Clinical Nurse Leader care model.
This Hybrid Type II Implementation-Effectiveness study will evaluate the effect of the care model on standardized quality and safety outcomes and identify implementation characteristics that are sufficient and necessary to achieve outcomes.
This study leverages a natural experiment in 66 clinical care units in nine hospitals across five states in the United States that have implemented the Clinical Nurse Leader care model.
Findings will elucidate Registered Nurse's mechanisms of action as organized into frontline models of care and link actions to improved care quality and safety.
每年都有患者因医疗保健服务不安全、不适当或不足而受到伤害或死亡。注册护士是公认的患者安全策略。然而，研究结果的变异性表明，这种关系并不像“护士越多=结果越好”那么简单。因此，目前没有基于证据的一线护理模式。一种新兴的模式是临床护士领导者护理模式。
这项混合类型 2 实施-有效性研究将评估该护理模式对标准化质量和安全结果的影响，并确定实现结果所需的充分和必要的实施特征。
本研究利用了美国五个州的 9 家医院的 66 个临床护理单元的自然实验，这些护理单元实施了临床护士领导者护理模式。
研究结果将阐明注册护士的作用机制，这些机制被组织成一线护理模式，并将这些行动与改善护理质量和安全联系起来。
