Nursing skill mix and outcomes: a Singapore perspective
Nursing skill mix and outcomes: a Singapore perspective
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DOI：
10.1111/j.1466-7657.2007.00518.x
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发表时间：
2007-03-01
影响因子：
4.1
通讯作者：
Nelson, S.
中科院分区：
文献类型：
--
作者：
Ayre, T. C.;Gerdtz, M. F.;Nelson, S.
目的：总结关键证据护理技能组合在急性护理医院和他们的局限性，并确定在目前的文献中的差距相对于一个-维斯于新加坡的nursing workworld.Background：护理技能组合已被理论上是一个因素，影响病人，护士和组织的结果。虽然有越来越多的文献阐明护理技能组合和积极的结果之间的关联，证据还没有提供确定最佳配置的坚定方向。此外，护理劳动力的特点的差异也使得它很难适用于从一个医疗环境的调查结果到another.Conclusions：在审查的关键证据，从美国和加拿大，本文强调了三个关键的差距，在护理技能组合的文献检查时，在新加坡的护理劳动力。有关本地和外国护士之间的接口，专业教育的影响，以及工作角色和分布可能对护理质量的影响的问题需要进一步研究。这些知识应该提供一个强大的证据基础，告知国家政策的技能组合和最大限度地提高护理资源，以实现最佳效果。
Aim: To summarize key evidence on nursing skill mix in acute care hospitals and their limitations; and identify the gaps in current literature vis-a-vis Singapore's nursing workforce.Background: Nursing skill mix has been theorized to be a factor influencing patient, nurse and organizational outcomes. While there is a growing body of literature explicating associations between nursing skill mix and positive outcomes, the evidence does not as yet provide firm directions in determining the best configuration. In addition, differences in nursing workforce characteristics also make it difficult to apply findings from one healthcare setting to another.Conclusions: In reviewing key evidence from the United States of America and Canada, this paper highlights three critical gaps in the nursing skill mix literature when examined in the context of Singapore's nursing workforce. Issues related to the interface between local and foreign nurses, the impact of speciality education, and the possible effects that work roles and distribution may have on quality of care need to be further examined. This knowledge should provide a robust evidence base with which to inform national policy on skill mix and maximize nursing resources in order to achieve optimal outcomes.