Pratt R, Burr G, Leelarthaepin B, Blizard P, Walsh S
Aust J Adv Nurs. 1993 Mar-May;10(3):27-39.
This paper presents empirical evidence from a study that compared the quality and costs of patient care provided by two staffing regimes in an acute medical and an acute surgical ward in one hospital. As assessed by patient outcomes, there were few significant differences in either ward in the quality of care provided by all registered nursing staff and staff that was comprised of 80% registered nurses and 20% enrolled nurses. In the acute medical ward the all-registered nursing staff was more expensive per day and per hour for patient care adjusted for patient dependency; in the acute surgical ward the registered-enrolled nurse staff mix was more costly. The study found that nurses in both wards were confronted by continuously high workloads. Registered nurses reported that working with enrolled nurses (who were inexperienced in acute medical and surgical nursing) exacerbated their workload and, to a lesser extent, made their work more stressful. Large scale, long term studies are necessary to clarify the issues of cost effectiveness of RN-EN mix and workloads.
本文展示了一项研究的实证证据，该研究比较了一家医院的急性内科病房和急性外科病房中两种人员配置制度下提供的患者护理质量和成本。根据患者的治疗结果评估，在所有注册护士以及由80%注册护士和20%登记护士组成的员工所提供的护理质量方面，两个病房几乎没有显著差异。在急性内科病房，按患者护理需求调整后，全注册护士配置下的患者护理每天和每小时的成本更高；在急性外科病房，注册护士与登记护士混合配置的成本更高。研究发现，两个病房的护士都面临持续的高工作量。注册护士报告称，与登记护士（他们在急性内科和外科护理方面缺乏经验）一起工作加剧了他们的工作量，并且在较小程度上使他们的工作压力更大。需要进行大规模、长期的研究来阐明注册护士与登记护士混合配置的成本效益和工作量问题。
