Cassard S D, Weisman C S, Gordon D L, Wong R
Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.
Health Serv Res. 1994 Oct;29(4):415-33.
Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes.
Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through November 1990.
A case series of eligible patients discharged from four self-managed nursing units (n = 140) are compared with patients from four matched traditionally managed units (n = 138) on postdischarge outcomes: perceived health status, perceived functional status, needs for care, unmet needs for care, unplanned health care visits, and readmissions to the hospital within 31 days of discharge.
Patients were interviewed by telephone at approximately two weeks postdischarge, and data from hospital records were merged with interview data.
Bivariate and multiple logistic regression analyses showed no significant effects (either positive or negative) of self-managed units on the postdischarge outcomes studied.
Self-managed nursing units, previously shown to improve nurses' work satisfaction and retention, have no impact on patient postdischarge outcomes.
将从自我管理护理单元出院的患者与从传统管理单元出院的患者在出院后结局方面进行比较。
1990年8月至11月期间，从一家医院三个临床区域的八个护理单元出院的患者收集了原始数据。
将四个自我管理护理单元（n = 140）出院的符合条件患者的病例系列与四个匹配的传统管理单元（n = 138）出院的患者在出院后结局方面进行比较：感知健康状况、感知功能状况、护理需求、未满足的护理需求、非计划的医疗保健就诊以及出院后31天内再次入院情况。
在出院后约两周通过电话对患者进行访谈，并将医院记录中的数据与访谈数据合并。
双变量和多元逻辑回归分析表明，自我管理单元对所研究的出院后结局没有显著影响（无论是正面还是负面）。
先前已证明自我管理护理单元可提高护士的工作满意度和留职率，但对患者出院后结局没有影响。
