School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 5 Dongdansantiao, Beijing 100710, China.
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 5 Dongdansantiao, Beijing 100710, China.
Appl Nurs Res. 2022 Oct;67:151431. doi: 10.1016/j.apnr.2021.151431. Epub 2021 Apr 6.
There are disparities of in-hospital non-clinical nursing care delivered by the nursing assistant under different management models in China. This study aimed to identify the best management model of the nursing assistant from the patient perspective.
This is a cross-sectional study. The inpatient satisfaction with in-hospital non-clinical nursing care delivered by the nursing assistant under different management models was measured and analyzed based on a national inpatient survey Likert the 5-point scale questionnaire conducted in 144 public tertiary hospitals across 31 provinces of China. The study conducted univariate analysis and binary Logistic regression analysis to examine which management model of the nursing assistant and any other key determinants would lead to a positive satisfaction rating by the inpatient who experienced non-clinical nursing care.
The overall satisfaction rating of 6211 inpatients received non-clinical nursing care was 4.73 out of 5, among which 96.09% of the responded inpatients had a positive satisfaction rating. By controlling of the other variables, the likelihood of having a positive inpatient satisfaction rating of non-clinical nursing care delivered by the nursing assistant under the direct commercial company management model, the self-employed model, the commercial company and hospital joint management model accounted for only 14.8%, 20.3% and 35.7% of the nursing assistant under the direct hospital management model.
The direct hospital management model of the nursing assistant might be the best one to deliver the non-clinical nursing care that mostly satisfied the inpatient of Chinese public hospitals.
在中国，不同管理模式下护理助理提供的住院非临床护理存在差异。本研究旨在从患者角度确定护理助理的最佳管理模式。
这是一项横断面研究。基于全国住院患者调查李克特 5 点量表问卷，对中国 31 个省 144 家公立三级医院的住院患者对不同管理模式下护理助理提供的住院非临床护理的满意度进行了测量和分析。本研究进行了单因素分析和二元逻辑回归分析，以检验哪种护理助理管理模式以及任何其他关键决定因素会导致接受非临床护理的住院患者产生积极的满意度评价。
接受非临床护理的 6211 名住院患者的总体满意度评分为 5 分制的 4.73 分，其中 96.09%的受访者对非临床护理的满意度评价为积极。在控制其他变量的情况下，直接由商业公司管理模式、自营模式、商业公司和医院联合管理模式下的护理助理提供的非临床护理获得住院患者积极满意度评价的可能性分别仅占直接由医院管理模式下的护理助理的 14.8%、20.3%和 35.7%。
直接由医院管理的护理助理模式可能是为中国公立医院住院患者提供最满意非临床护理的最佳模式。
