评估护士与患者比例立法以提高患者安全和护理质量:一种混合方法的政策研究研究
1College of Nursing, King Khalid University, Mahayil, Asir 61913, Saudi Arabia.
Applied nursing research : ANR
|July 31, 2025
概括
实施标准化护士与患者的比率显著提高了患者的安全性,并减少了医院再入院. 这项研究强调了约旦需要有规范的人员标准,以提高护理质量.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 全球问题是护士人力不足,特别是在资源较低的环境中.
- 高护士工作量与增加的感染率,再入院和不良事件相关.
- 约旦的医院面临员工短缺,护士迁移和监管监督的薄弱.
研究的目的:
- 评估标准化护士与患者比例对约旦患者治疗结果和护理质量的影响.
- 根据国际模型评估护士人员配置国家立法的可行性.
主要方法:
- 混合方法设计利用四家急症医院的行政数据 (2021-2024年).
- 对患者安全指标的定量分析:感染率,再入院,住院时间.
- 从与22名行政和临床利益相关者进行的半结构面试中获得的定性数据.
主要成果:
- 护士与病人比例为5:1或更少的单位显示出明显更好的结果.
- 在拥有足够人员的单位观察到55%较低的感染率和近50%较少的再接收.
- 利益相关者认为预算限制,移民和层次文化是障碍,但支持受监管的员工标准.
结论:
- 在约旦,将护士与患者的比例标准化,可以大大提高患者的安全和护理质量.
- 成功实施需要分阶段立法,动态敏度调整和对劳动力发展的投资.
- 采用受监管的人员配置模式是可行的,并得到了利益相关方的支持.
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