Measurement of nursing practice models using multiattribute utility theory: relationship to patient and organizational outcomes.
Measurement of nursing practice models using multiattribute utility theory: relationship to patient and organizational outcomes.
复制标题
使用多属性效用理论测量护理实践模型：与患者和组织结果的关系。
DOI：
10.1097/00019514-200401000-00004
复制
发表时间：
2004
影响因子：
1.2
通讯作者：
Suwannaroop,Nantawon
中科院分区：
文献类型：
--
作者：
Anthony,MaryK;Brennan,PatriciaFlatley;O'Brien,Ralph;Suwannaroop,Nantawon
劳动力短缺对卫生保健环境中的管理人员提出了挑战，要求他们检查现有的提供护理的模式。尽管护理提供的特点对医院护理的成败有重要影响，但所有实践模式的共同因素尚未确定，也没有设计评估护理对患者和组织结果的影响的衡量策略。本研究的目的是测试护理实践的测量模型，该模型是利用多属性效用理论开发的。由专家护士管理者确定的所有护理实践模式共有的24个因素被数学地表述为一个多维综合指数，该指数代表了护理单位的实践模式接近专业理想的程度。该指数在3家医院的28个内科外科护理单元工作的298名注册护士中进行了测试。该模型通过两种方式进行评估：首先，将综合指数得分与护理单位的实践模式、患者和组织结果的定性评估进行比较。其次，以相同的方式对模型中的各个因素进行评估。虽然综合指数没有得到充分的验证，但有证据表明个别因素与结果之间的关系是强有力的。具体地说，解决卫生保健团队成员之间相互作用的因素通常与结果有关。
Workforce shortages are challenging administrators in the health care environments to examine existing models of providing care. Although characteristics of nursing care delivery contribute in important ways to the success or failure of hospital care, factors common to all practice models have not been identified nor have measurement strategies been designed that assess the impact of care on patient and organizational outcomes. The purpose of this study was to test a measurement model of nursing practice that was developed using multiattribute utility theory. A total of 24 factors identified by expert nurse administrators as being common to all nursing practice models were mathematically formulated into a multidimensional composite index that represented the degree to which a practice model on a nursing unit approached the professional ideal. The index was tested with 298 registered nurses working on 28 medical surgical nursing units in 3 hospitals. The model was evaluated in 2 ways: first by comparing the composite index scores to a qualitative appraisal of the nursing unit's practice model and patient and organizational outcomes. Secondly, individual factors in the model were evaluated in the same manner. While the composite index was not fully validated, there is strength in the evidence of the relationship between individual factors and outcomes. Specifically, factors that addressed interactions among health care team members were most often related to outcomes.