Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
School of Nursing, Columbia University, New York, New York, USA.
J Nurs Manag. 2022 Mar;30(2):447-454. doi: 10.1111/jonm.13501. Epub 2021 Nov 26.
This study aimed to illustrate the relationship between nurse staffing and missed care, and how missed care affects quality of care and adverse events in Thai hospitals.
Quality and safety are major priorities for health care system. Nurse staffing and missed care are associated with low quality of care and adverse events. However, examination of this relationship is limited in Thailand.
This cross-sectional study collected data from 1188 nurses in five university hospitals across Thailand. The participants completed questionnaires that assessed the patient-to-nurse ratio, adequacy of staffing, missed care, quality of care and adverse events. Logistic regression models were used to estimate associations.
Higher patient-to-nurse ratio, poor staffing and lack of resource adequacy were significantly associated with higher odds of reporting missed care. Higher nurse-reported missed care was significantly associated with higher odds of adverse events and poor quality of care.
Poor nurse staffing was associated with missed care, and missed care was associated with adverse events and lower quality of care in Thai university hospitals.
Improving nurse staffing and assuring adequate resources are recommended to reduce missed care and adverse events and increase quality of care.
本研究旨在阐明护士人力配置与护理遗漏之间的关系，以及护理遗漏如何影响泰国医院的护理质量和不良事件。
质量和安全是医疗保健系统的主要重点。护士人力配置和护理遗漏与护理质量低和不良事件有关。然而，在泰国，对这种关系的检查是有限的。
这项横断面研究从泰国五所大学医院的 1188 名护士中收集数据。参与者完成了评估患者与护士比例、人员配备充足性、护理遗漏、护理质量和不良事件的问卷。使用逻辑回归模型来估计关联。
较高的患者与护士比例、较差的人员配备和缺乏资源充足性与报告护理遗漏的更高几率显著相关。较高的护士报告的护理遗漏与不良事件和较低的护理质量的更高几率显著相关。
泰国大学医院的护理人员配备不佳与护理遗漏有关，而护理遗漏与不良事件和较低的护理质量有关。
建议改善护士人力配置并确保充足的资源，以减少护理遗漏、不良事件并提高护理质量。
