Variations in nursing care quality across hospitals
Variations in nursing care quality across hospitals
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DOI：
10.1111/j.1365-2648.2009.05090.x
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发表时间：
2009-11-01
影响因子：
3.8
通讯作者：
Aiken, Linda H.
中科院分区：
文献类型：
--
作者：
Lucero, Robert J.;Lake, Eileen T.;Aiken, Linda H.
P>标题.各医院护理质量的差异。目的。本研究的目的是描述注册护士对未满足的护理需求的报告，并检查各医院护理质量的差异。背景。很大一部分注册护士报告称，由于缺乏时间来完成活动而未完成必要的护理活动。未完成的护理预计会对护理质量产生不利影响。然而，人们对不同医院护理质量的差异程度知之甚少。方法。2008 年，我们使用描述性和比较性统计数据对 1999 年注册护士（n = 10,184）的调查进行了二次分析。数据来自在急症护理医院工作的住院护士 (n = 168)。医院层面的护理质量衡量标准（即未满足的护理需求）是根据所有护士未满足的护理需求制定的。结果。在各医院中，报告未满足每项护理需求的注册护士比例存在很大差异。他们报告说，在上一班期间，七项必要的护理活动中有两项没有完成。在控制了护士的人口统计信息后，我们发现各医院的护理质量存在统计学上的显着差异。结论。各医院护理质量的差异似乎与护理环境质量的变化密切相关。了解未满足的护理需求的决定因素可以支持有关系统和人力资源管理的政策决策，以提高护士对其护理实践和护理环境的认识。
P>Title.Variations in nursing care quality across hospitals.Aims.The aim of the study was to describe Registered Nurses' reports of unmet nursing care needs and examine the variation of nursing care quality across hospitals.Background.Large proportions of Registered Nurses have reported leaving necessary care activities undone because they lacked the time to complete the activities. Nursing care left undone can be expected to adversely affect the quality of care. However, little is known about the degree of variation in the quality of nursing care across hospitals.Methods.In 2008, a secondary analysis of a 1999 survey of Registered Nurses (n = 10,184) was conducted using descriptive and comparative statistics. Data were derived from inpatient staff nurses working in acute care hospital settings (n = 168). A hospital-level measure (i.e. unmet nursing care needs) of the quality of nursing care was developed from care needs left undone among all nurses.Results.Across hospitals there was a wide range in the proportion of Registered Nurses who reported leaving each nursing care need undone. They reported leaving two of seven necessary nursing care activities undone during their last shift. After controlling for nurses' demographic information, we found statistically significant variations in the quality of nursing care across hospitals.Conclusion.Differences in nursing care quality across hospitals appear to be closely associated with variations in the quality of care environments. Understanding the determinants of unmet nursing care needs can support policy decisions on systems and human resources management to enhance nurses' awareness of their care practices and the care environment.