Nursing-related determinants of 30-day mortality for hospitalized patients.
Nursing-related determinants of 30-day mortality for hospitalized patients.
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发表时间：
2011-10
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通讯作者：
A. Tourangeau;Phyllis Giovannetti;Jack V. Tu;Marilyn Wood
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作者：
A. Tourangeau;Phyllis Giovannetti;Jack V. Tu;Marilyn Wood
本研究的目的是进一步了解护理相关的医院变量对住院患者30天死亡率的影响。使用回顾性设计来检验所提出的30天死亡率模型。样本包括加拿大安大略省的75家急诊医院。为了确定医院死亡率，纳入了46，941名从这些医院出院的患者，他们被诊断为急性心肌梗死、中风、肺炎或败血症。发展医院级护理预测变量，安大略注册护士医院特征调查的3,998个答复也包括在内。研究结果支持较低的30天死亡率和3个预测因素之间的关系：更丰富的注册护士技能组合，更多年的临床单位经验，并报告了更多的班次错过。这些研究结果可以用来预测医院的护理技能组合的变化和多年的RN经验对患者死亡率的影响。
The purpose of this study was to further our understanding of the effects of nursing-related hospital variables on 30-day mortality rates for hospitalized patients. A retrospective design was used to test the proposed 30-Day Mortality Model. The sample consisted of 75 acute-care hospitals in the province of Ontario, Canada. To develop hospital mortality rates, 46,941 patients discharged from these hospitals who had a most responsible diagnosis of acute myocardial infarction, stroke, pneumonia, or septicemia were included. To develop hospital-level nursing predictor variables, 3,998 responses to the Ontario Registered Nurse Survey of Hospital Characteristics were also included. The findings support a relationship between lower 30-day mortality and 3 predictors: a richer registered nurse skill mix, more years of experience on the clinical unit, and reported larger number of shifts missed. These findings can be used to predict the effects of hospital changes in nursing skill mix and years of RN experience on patient mortality.