Bragge Peter, Delafosse Veronica, Kellner Paul, Cong-Lem Ngo, Tsering Diki, Giummarra Melita J, Lannin Natasha A, Andrew Nadine, Reeder Sandra
Monash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.
Department of Neurosciences, Faculty of Medicine Nursing and Health Sciences Monash University, Melbourne, Victoria, Australia.
BMJ Open. 2025 Jan 7;15(1):e091942. doi: 10.1136/bmjopen-2024-091942.
This review aimed to investigate the relationship between staff experience and patient health and experience outcomes in hospital inpatient settings.
Systematic review of reviews.
Searches were performed in Medline (OVID), CINAHL and Google Scholar using key terms from relevant review articles. The search was conducted on 28 August 2023. Inclusion criteria were systematic or narrative reviews in English from 2020 onwards, focusing on inpatients in hospital and related tertiary care facilities, examining the relationship between staff experience and patient outcomes. A review of reviews approach was used, with broad definitions for staff experience (eg, hospital culture, stress and burnout) and patient outcomes (eg, adverse events and patient experience). Independent screening and quality appraisal were conducted by two researchers. An evidence map of links between staff experience and patient outcomes was created. The methodological quality of systematic reviews was assessed using the AMSTAR 2 tool and narrative reviews with the SANRA tool.
From 2365 citations, 21 reviews (18 systematic, 3 narrative) were included. Review quality ranged from moderate to high. Mapping revealed 66 associations between staff experience and patient outcomes. Common associations included burnout, stress and fatigue with adverse events (six reviews); communication with patient satisfaction (four reviews) and teamwork with patient satisfaction (four reviews).
Staff burnout, teamwork and communication practices directly impact adverse events and patient satisfaction. These findings guide hospital managers and clinicians in improving health service policies and practices. Further research is needed to strengthen the evidence base.
本综述旨在研究医院住院环境中工作人员经验与患者健康及体验结果之间的关系。
对综述进行系统评价。
使用相关综述文章中的关键词在Medline（OVID）、CINAHL和谷歌学术中进行检索。检索于2023年8月28日进行。纳入标准为2020年起的英文系统综述或叙述性综述，重点关注医院及相关三级护理机构的住院患者，研究工作人员经验与患者结果之间的关系。采用综述的综述方法，对工作人员经验（如医院文化、压力和倦怠）和患者结果（如不良事件和患者体验）进行宽泛定义。由两名研究人员进行独立筛选和质量评估。绘制了工作人员经验与患者结果之间联系的证据图。使用AMSTAR 2工具评估系统综述的方法学质量，使用SANRA工具评估叙述性综述的质量。
从2365篇文献中，纳入了21篇综述（18篇系统综述，3篇叙述性综述）。综述质量从中等到高不等。图谱显示工作人员经验与患者结果之间有66种关联。常见关联包括倦怠、压力和疲劳与不良事件（6篇综述）；沟通与患者满意度（4篇综述）以及团队合作与患者满意度（4篇综述）。
工作人员的倦怠、团队合作和沟通实践直接影响不良事件和患者满意度。这些发现为医院管理人员和临床医生改进卫生服务政策和实践提供了指导。需要进一步研究以加强证据基础。
