'Care left undone' during nursing shifts: associations with workload and perceived quality of care
'Care left undone' during nursing shifts: associations with workload and perceived quality of care
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DOI：
10.1136/bmjqs-2012-001767
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发表时间：
2014-02-01
影响因子：
5.4
通讯作者：
Griffiths, Peter
中科院分区：
文献类型：
--
作者：
Ball, Jane E.;Murrells, Trevor;Griffiths, Peter
背景 有强有力的证据表明，医院护士配备水平较低与患者预后较差相关。一种假设的机制是由于时间压力而导致错过护理而遗漏了必要的护理。目的 研究英国国家卫生服务医院中护士未完成护理的性质和普遍性，并评估错过护理事件的次数是否与护士人员配备水平以及护士对护理质量和患者安全环境的评级有关。方法对 46 家普通急性国家卫生服务医院的 401 个普通内科/外科病房工作的 2917 名注册护士进行横断面调查结果 大多数护士 (86%) 报告称，由于上一班时间不够，一项或多项护理活动未能完成。最常未完成的是：安慰患者或与患者交谈（66%）、教育患者（52%）以及制定/更新护理计划（47%）。每个注册护士照顾的患者数量与错过护理的发生率显着相关”（p
Background There is strong evidence to show that lower nurse staffing levels in hospitals are associated with worse patient outcomes. One hypothesised mechanism is the omission of necessary nursing care caused by time pressuremissed care'.Aim To examine the nature and prevalence of care left undone by nurses in English National Health Service hospitals and to assess whether the number of missed care episodes is associated with nurse staffing levels and nurse ratings of the quality of nursing care and patient safety environment.Methods Cross-sectional survey of 2917 registered nurses working in 401 general medical/surgical wards in 46 general acute National Health Service hospitals in England.Results Most nurses (86%) reported that one or more care activity had been left undone due to lack of time on their last shift. Most frequently left undone were: comforting or talking with patients (66%), educating patients (52%) and developing/updating nursing care plans (47%). The number of patients per registered nurse was significantly associated with the incidence of missed care' (p