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医院护士的教育水平和手术患者的死亡率
Linda H Aiken1, Sean P Clarke, Robyn B Cheung
1Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia 19104-6096, USA. laiken@nursing.upenn.edu
JAMA
|September 25, 2003
概括
有学士学位的注册护士 (RN) 的比例较高与更好的患者结果有关. 医院中BSN准备的RN增加与手术患者死亡率降低和救援失败的情况减少有关.
科学领域:
- 医疗保健质量研究研究
- 护理教育对护理教育的影响.
- 患者安全结果的结果.
背景情况:
- 虽然护士人员已知会影响医院护理质量,但注册护士 (RN) 教育背景对患者结果的具体影响仍未得到充分研究.
- 本研究调查了医院RN的教育组成和患者的结果之间的关联.
研究的目的:
- 确定具有学士学位或高等教育的医院RN的比例是否与风险调整后的死亡率有关.
- 检查RN教育水平与手术患者未能救援 (FTR) 率之间的关系.
主要方法:
- 从168家宾夕法尼亚州医院 (1998-1999年) 的232,342名手术患者的截面分析.
- 数据链接的行政,调查和患者结果,包括护士教育组成和人员配置水平.
- 风险调整后的死亡率和入院后30天内的FTR是主要的结果指标,与护士教育水平进行分析.
主要成果:
- 拥有学士学位的RN的百分比在各医院之间差异很大 (0%-77%).
- 拥有学士学位的RN增加10%与30天死亡风险减少5%有关 (OR,0.95;95%CI,0.91-0.99).
- 同样,BSN准备的RN增加10%与救援失败的几率下降5%相关 (OR,0.95;95%CI,0.91-0.99).
结论:
- 拥有高学年准备注册护士比例较高的医院显示,手术患者死亡率较低.
- 增加的BSN受过教育的RN与手术患者的失败救援率降低有关.
- 这些发现强调了护士教育水平在实现更好的患者安全和临床结果方面的重要性.
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