意大利护士的离开意图,护士工作量和住院患者死亡率:一项描述性和回归性研究
Gianluca Catania1, Milko Zanini1, Marzia A Cremona2
1Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy.
Health policy (Amsterdam, Netherlands)
|March 9, 2024
概括
打算离开工作的护士和高的护士-病人工作量显著增加了意大利住院患者的死亡风险. 解决护士福祉问题对于改善患者护理和安全至关重要.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 较高的护士与患者比率与患者和护士不良结果有关.
- 护士的倦怠和离开的意图是医疗保健中的重大问题.
研究的目的:
- 调查护士离开意图和护士-病人工作负载对意大利住院患者死亡率的影响.
- 确定意大利医疗保健系统中影响患者死亡率的因素.
主要方法:
- 进行了一项多中心描述和回归研究.
- 数据包括来自意大利15家医院的37494名患者 (50岁以上) 和1046名护士的临床信息.
- 分析的变量:护士-病人工作量,离开的意图,工作满意度和感知到的护理质量.
主要成果:
- 护士离开的意图增加10%与住院患者死亡率增加14%有关 (OR 1.14).
- 护士-病人工作量增加1个单位与住院患者死亡率增加3.4%相关 (OR 1.03).
- 这项研究是第一个报告出离开意图和患者死亡率之间存在重大联系的研究.
结论:
- 护士离开的意图和增加的工作量是意大利医院患者死亡率的重要预测因素.
- 实施强有力的人力资源政策,领导和治理对于护士福祉和患者安全至关重要.
- 提高护士福利对于提高护理护理的质量和安全至关重要.
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