配额护理对患者安全的影响:系统性审查
Izabella Uchmanowicz1, Magdalena Lisiak1,2, Marta Wleklik1,2
1Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland.
概括
护理护理的配给 (RONC) 对患者的安全产生了负面影响,增加了像跌倒和药物错误等风险. 医疗保健组织必须解决护士工作量和人员配置问题,以防止护理配额化并改善结果.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 护理实践 护理实践
背景情况:
- 护理护理的配给 (RONC) 是一个重要的医疗保健问题,与患者的不良结果有关.
- 了解RONC与患者安全之间的关系对于质量改善至关重要.
研究的目的:
- 系统地调查护理护理的配给与患者安全之间的关联.
- 综合关于限制护理服务如何影响患者结果的证据.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 进行了全面的电子数据库搜索,以确定相关研究.
- 数据提取和质量评估由两位独立审查员进行.
主要成果:
- 15项研究符合纳入标准,证实了RONC与患者安全之间的相关性.
- 观察到一个反向的关系:护理护理的配额增加导致更高的跌倒率,药物错误,压力,感染和再入院.
- 护士的工作量,人员水平和经验被确定为与RONC相关的因素.
结论:
- 护理护理的配给严重影响了患者的安全结果.
- 医疗机构必须实施预防RONC的策略,重点是改善人员配置,管理工作量和加强沟通.
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