医院护士人员变化和Covid-19死亡:一个横截面研究
Karen B Lasater1, Matthew D McHugh1, Linda H Aiken1
1Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States of America; The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States of America.
足够的医院护理资源,包括人员比例和BSN准备的注册护士 (RN),显著降低了COVID-19患者的死亡率. 提高这些资源可以防止数千人死亡,并提高未来的流行病准备.
科学领域:
- 医疗保健管理的管理
- 护理资源 护理资源
- 公共卫生紧急情况 公共卫生紧急情况
背景情况:
- 在各个医院中,COVID-19死亡率差异很大.
- 导致在医院减少可预防死亡的因素仍然不清楚.
研究的目的:
- 评估疫情前和疫情期间的护理资源是否影响了COVID-19死亡率.
- 通过优化护士人员和资格来估计潜在的死亡,从而避免死亡.
主要方法:
- 对87,936名医疗保险受益者进行了横截面研究,这些受益者因COVID-19住院治疗.
- 分析了疫情前和疫情期间的医院护理资源 (人员,BSN比例,工作环境,磁铁状态).
- 使用后勤回归来预测住院和30天死亡率.
主要成果:
- 拥有更好的护理资源的医院显示COVID-19死亡率明显降低.
- 增加的护士工作量 (患者与RN比率) 与更高的死亡率相关.
- 更高比例的BSN合格RN,更好的工作环境和磁铁识别提供了保护性好处.
结论:
- 适当的RN人员,BSN合格的护士和积极的工作环境可以提高COVID-19患者的生存率.
- 加强护理资源对于更好的患者结果和医院为未来的健康危机做好准备至关重要.
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