Strzalka A, Havens D S
Cardic Care Unit, University of North Carolina Memorial Hospital, Chapel Hill, USA.
J Nurs Care Qual. 1996 Jul;10(4):59-65. doi: 10.1097/00001786-199607000-00009.
As fiscal constraints and hospital downsizing become driving forces in the health care arena, nurse administrators are challenged to satisfy fluctuating staffing needs while ensuring high-quality care. Hospital in-house nurses and agency nurses are two solutions often used to supplement unit staffing. The article reports a study that examined the quality of care administered on one unit by unit-hired, float pool, and agency nurses through a comparison of the groups' documentation on nine clinical quality indicators. Findings suggested significant differences among the three groups on these indicators. Implications for nurse administrators are discussed.
随着财政限制和医院规模缩减成为医疗保健领域的驱动因素，护士管理人员面临着在确保高质量护理的同时满足波动的人员配置需求的挑战。医院内部护士和代理护士是常用于补充科室人员配置的两种解决方案。本文报道了一项研究，该研究通过比较三组护士在九项临床质量指标上的记录，考察了由科室雇佣护士、机动护士池护士和代理护士在一个科室提供的护理质量。研究结果表明，三组在这些指标上存在显著差异。文中还讨论了对护士管理人员的启示。
