患者护理体验和护士工作环境的变化：美国医院的纵向研究。
Changes in Patient Care Experiences and the Nurse Work Environment: A Longitudinal Study of U.S. Hospitals.
机构信息
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, USA.
Yale University, New Haven, CT, USA.
出版信息
Med Care Res Rev. 2024 Dec;81(6):444-454. doi: 10.1177/10775587241282403. Epub 2024 Oct 2.
Addressing patient experience is a priority in the health care system. Hospital Consumer Assessment of Providers and Systems (HCAHPS) survey results incentivize hospitals to elevate patient experience, a factor in patient-centered care. Although hospital nursing resources have been positively associated with better HCAHPS ratings, it is unknown how changes in nursing resources are associated with changes in HCAHPS ratings over time. This two-period longitudinal study ranked the associations between changes in nurse staffing, skill mix, nurse education, and work environment on HCAHPS ratings and found that changes in the work environment had the strongest associations (β = 2.29; < .001) with improved HCAHPS ratings. Our findings provide hospital administrators with empirical evidence that may help make informed decisions on how to best invest limited resources to improve HCAHPS ratings, including the potential utility of improving the work environment through enhancing Nursing Quality of Care and Nurse Participation in Hospital Affairs.
关注患者体验是医疗保健系统的优先事项。医院患者评估提供者和系统（HCAHPS）调查结果激励医院提升患者体验，这是以患者为中心的护理的一个因素。尽管医院护理资源与更好的 HCAHPS 评分呈正相关，但尚不清楚护理资源的变化如何与 HCAHPS 评分随时间的变化相关。这项两期纵向研究对护士人员配备、技能组合、护士教育和工作环境的变化与 HCAHPS 评分之间的关联进行了排名，发现工作环境的变化与 HCAHPS 评分的改善（β=2.29；<0.001）关联最强。我们的研究结果为医院管理人员提供了可能有助于做出明智决策的经验证据，以确定如何最好地利用有限的资源来提高 HCAHPS 评分，包括通过提高护理质量和护士参与医院事务来改善工作环境的潜在效用。
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