工作量,护士轮流和患者死亡率:对医院级调节调解模型的测试
Health care management review
|November 29, 2023
概括
减少护士轮流和患者死亡率需要足够的护士人员和高质量的护理结构. 较高的护士工作量增加了营业额,这反过来增加了患者死亡率,但人员和护理结构可以缓冲这些影响.
科学领域:
- 医疗保健管理健康管理
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 医院的目标是同时提高患者护理和运营效率.
- 增加护士工作量可能会提高效率,但可能会对护士的保留产生负面影响.
- 护士流动率高是维持高质量的患者护理的关键问题.
研究的目的:
- 研究医院级护士工作量,护士轮流和患者死亡率之间的关系.
- 检查护士人员,人力资源管理和优质护理结构的调节作用.
- 测试基于工作需求-资源理论的模型,预测护士轮流和患者死亡率.
主要方法:
- 利用了来自156家美国医院的时间滞后数据.
- 采用统计建模来分析拟议的关系.
- 检查了特定的医院级因素的缓解作用.
主要成果:
- 较高的护士工作量与增加的护士流动量有显著的关联.
- 增加护士轮流与较高的患者死亡率有积极的相关性.
- 护士人员和质量护理结构发挥了重要的调节作用,缓冲了负面结果.
结论:
- 投资于足够的护士人员是减轻工作量对营业额的影响至关重要的.
- 实施强大的优质护理结构可以减少与护士流动相关的患者死亡率.
- 解决人员和护理质量的多方面的方法对于改善医院结果至关重要.
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