韩国长期护理医院的注册护士人员配置与住院患者结局
Registered Nurse Staffing and Inpatient Outcomes in Korean Long-Term Care Hospitals.
作者信息
Shin Sujin, Yoon Jung Min, Moon Eun-Ju, Lee Mi-Ji, Park Jin-Hwa
机构信息
College of Nursing, Ewha Womans University, Seoul 03760, Republic of Korea.
College of Nursing, Daegu Catholic University, Daegu 42472, Republic of Korea.
出版信息
Healthcare (Basel). 2024 Dec 11;12(24):2509. doi: 10.3390/healthcare12242509.
BACKGROUND/OBJECTIVES: There is a relative lack of specific research on registered nurse (RN) staffing in long-term care hospitals in the Republic of Korea. This study investigated the association between RN staffing levels and inpatient outcomes in long-term care hospitals in the Republic of Korea.
METHODS
Nationwide data of long-term care hospitals from the Health Insurance Review and Assessment Services website were used to analyze the association between registered nurse staffing levels and 7 inpatient outcome indicators.
RESULTS
The results indicated that in long-term care hospitals with higher RN staffing levels, there was an improvement in moderate-to-severe pain, activities of daily living enhancement, lower prevalence of indwelling catheters, reduction in the incidence of pressure ulcers, improvement in existing pressure ulcers, and increased rate of return to the community. Similar results were observed in analyses conducted according to disease classification groups.
CONCLUSIONS
These findings suggest that increasing RN staffing levels can enhance patient safety and improve treatment outcomes. Furthermore, this study provided important foundational data for developing policies to optimize RN staffing in long-term care hospitals in the Republic of Korea.
背景/目的：韩国长期护理医院中关于注册护士（RN）人员配备的具体研究相对较少。本研究调查了韩国长期护理医院中注册护士人员配备水平与住院患者结局之间的关联。
方法
利用健康保险审查与评估服务网站上的全国长期护理医院数据，分析注册护士人员配备水平与7项住院患者结局指标之间的关联。
结果
结果表明，在注册护士人员配备水平较高的长期护理医院中，中重度疼痛有所改善，日常生活活动能力增强，留置导管的患病率降低，压疮发生率降低，现有压疮情况改善，以及社区回归率提高。在按疾病分类组进行的分析中也观察到了类似结果。
结论
这些发现表明，提高注册护士人员配备水平可增强患者安全并改善治疗结局。此外，本研究为制定优化韩国长期护理医院注册护士人员配备的政策提供了重要的基础数据。
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