Impact of nursing overtime on nurse-sensitive patient outcomes in New York hospitals, 1995-2000.
Impact of nursing overtime on nurse-sensitive patient outcomes in New York hospitals, 1995-2000.
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DOI：
10.1177/1527154406291132
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发表时间：
2006-05-01
期刊：
影响因子：
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通讯作者：
Needleman, Jack
中科院分区：
文献类型：
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作者：
Berney, Barbara;Needleman, Jack
在过去的几年里，护士和他们的拥护者对医院大量加班表示担忧，并声称这会破坏护理质量。本研究使用纽约州161家急性综合医院1995 ~ 2000年的人员配备和出院数据，采用多元回归分析加班与6种护士敏感型患者结局率和死亡率之间的关系。我们发现，在内科和外科患者中，加班与较低的死亡率有关，但并不认为这些发现是确定的。由于加班使用是偶发性的和单位特定的，这些问题的进一步研究，使用数据，检查不良事件的发生率，由单位在繁重的护士加班期间，建议。
During the past several years, nurses and their advocates have expressed concern about heavy use of overtime in hospitals and claimed that it undermines the quality of nursing care. Using staffing and discharge data covering 1995 to 2000 from 161 acute general hospitals in New York State, this study uses multi variate regression to analyze the relationship between overtime and the rates of six nurse-sensitive patient outcomes and mortality. We find an association of overtime with lower rates of mortality in medical and surgical patients but do not consider these findings definitive. Because overtime use is episodic and unit specific, further study of these issues using data that examines the occurrence of adverse events by unit during periods of heavy nurse overtime is recommended.