医院护理资源特征与护士和患者结局之间的关系。
The association between hospital nursing resource profiles and nurse and patient outcomes.
机构信息
Jessie M. Scott Endowed Term Chair in Nursing and Health Policy, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
出版信息
J Nurs Manag. 2022 Apr;30(3):836-845. doi: 10.1111/jonm.13553. Epub 2022 Feb 17.
AIMS
To identify and describe profiles of nursing resources and compare nurse and patient outcomes among the identified nursing resource profiles.
BACKGROUND
Research linking nurse education, staffing, and the work environment treats these nursing resources as separate variables. Individual hospitals exhibit distinct profiles of these resources.
METHODS
This cross-sectional secondary analysis used 2006 data from 692 hospitals in four states. Latent class mixture modelling was used to identify resource profiles. Regression models estimated the associations among the profiles and outcomes.
RESULTS
Three profiles were identified (better, mixed and poor) according to their nursing resource levels. Hospitals with poor profiles were disproportionately mid-sized, for-profit, and had lower technology capability. Nurse job outcomes, patient mortality and care experiences were significantly improved in hospitals with better resource profiles.
CONCLUSIONS
Hospitals exhibit distinct profiles of nursing resources that reflect investments into nursing. Nurse and patient outcomes and patients' experiences are improved in hospitals with better nursing resource profiles. This finding is consistent with the literature that has examined these resources independently.
IMPLICATIONS FOR NURSING MANAGEMENT
Nurse managers can identify their nursing resource profile and the associated outcomes. Our results show the advantages of improving one's hospital nursing resource profile, motivating managers to make an informed decision regarding investments in nursing resources.
目的
确定和描述护理资源的特征，并比较不同护理资源特征下的护士和患者结局。
背景
将护士教育、人员配备和工作环境联系起来的研究将这些护理资源视为单独的变量。个别医院表现出不同的护理资源特征。
方法
本横断面二次分析使用了来自四个州的 692 家医院的 2006 年数据。潜在类别混合模型用于确定资源特征。回归模型估计了这些特征与结局之间的关联。
结果
根据护理资源水平，确定了三种特征（较好、混合和较差）。较差特征的医院多为中等规模、营利性和技术能力较低。具有较好资源特征的医院的护士工作结局、患者死亡率和护理体验显著改善。
结论
医院表现出独特的护理资源特征，反映了对护理的投资。具有较好护理资源特征的医院的护士和患者结局以及患者体验得到改善。这一发现与单独研究这些资源的文献一致。
对护理管理的意义
护理管理人员可以确定其护理资源特征和相关结局。我们的结果表明，改善医院护理资源特征具有优势，这激励管理人员在护理资源投资方面做出明智的决策。
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