2017年至2022年综合急症护理医院护士配备情况的趋势

Trends in general acute care hospital nurse staffing from 2017 to 2022.

作者信息

Fraher Erin P, Sullivan Connor, Pathak Shweta, Tapen Colleen

机构信息

Cecil G. Sheps Center for Health Services Research, UNC Chapel Hill, Chapel Hill, NC; Department of Family Medicine, UNC Chapel Hill, Chapel Hill, NC.

Cecil G. Sheps Center for Health Services Research, UNC Chapel Hill, Chapel Hill, NC.

出版信息

Nurs Outlook. 2025 Jul-Aug;73(4):102439. doi: 10.1016/j.outlook.2025.102439. Epub 2025 May 21.

DOI:10.1016/j.outlook.2025.102439

PMID:40403563

Abstract

BACKGROUND

The COVID-19 pandemic disrupted historical trends in the nursing workforce in the United States.

PURPOSE

This study investigated trends in the utilization of registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistive personnel in short-term general hospitals from 2017 to 2022.

METHODS

We used hierarchical linear modeling to investigate the effect of time, hospital characteristics, and geographic characteristics on RN staffing intensity between 2017 and 2022.

DISCUSSION

Relative to 2017, RN adjusted staffing intensity increased by 0.12 RNs per 1,000 patient days in 2020, (p < .01), but then decreased by 0.11 RNs in 2021 (p < .01), and further decreased by 0.27 RNs per 1,000 patient days in 2022 (p < .01). RN staffing intensity varied significantly by state (p < .05) and LPN full-time equivalents increased by 7% between 2021 and 2022.

CONCLUSION

Our findings suggest that average RN staffing intensity in hospitals decreased in 2021 and 2022, and these effects differed between states.

摘要

背景

新冠疫情扰乱了美国护理劳动力的历史趋势。

目的

本研究调查了2017年至2022年短期综合医院注册护士（RN）、执业护士（LPN）和护理辅助人员的使用趋势。

方法

我们使用分层线性模型研究2017年至2022年期间时间、医院特征和地理特征对RN人员配备强度的影响。

讨论

与2017年相比，2020年RN调整后的人员配备强度增加了每1000个患者日0.12名RN（p <.01），但在2021年下降了0.11名RN（p <.01），并在2022年进一步下降了每1000个患者日0.27名RN（p <.01）。RN人员配备强度因州而异（p <.05），LPN全职等效人数在2021年至2022年期间增加了7%。