Nurse staffing and patient falls on acute care hospital units
Nurse staffing and patient falls on acute care hospital units
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DOI：
10.1016/j.outlook.2003.11.006
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发表时间：
2004-01-01
期刊：
影响因子：
4.3
通讯作者：
Moore, J
中科院分区：
文献类型：
--
作者：
Dunton, N;Gajewski, B;Moore, J
从20世纪80年代开始，医疗保健融资的变化导致急性护理医院的护士人数和技能水平下降。研究表明，减少护士人手已经危及病人安全的某些方面。本研究评估四种类型急症室的护理人员配置与病人跌倒率之间的关系。该协会估计使用广义线性混合模型的数据，2002年从1751家医院单位在国家护理质量指标数据库。较高的跌倒率与每个病人每天的护理时间较少和注册护士的比例较低有关，尽管这种关系因单位类型而异。小医院的跌倒率也更高。关于单位类型和护士人员配置的不同方面的信息，以及先进的统计建模，导致了对护士人员配置和福尔斯之间关系的更准确理解。
Changes in health care financing, beginning in the 1980's, resulted in reduced nurse staffing and skill levels in acute care hospitals. Research has shown that reduced nurse staffing has endangered some aspects of patient safety. This study estimated the relationship between three aspects of nurse staffing and the patient fall rate for four types of acute care units. The association was estimated using a generalized linear mixed model with data for 2002 from 1751 hospital units in the National Database of Nursing Quality Indicators. Higher fall rates were associated with fewer nursing hours per patient day and a lower percentage of registered nurses, although the relationship varied by unit type. Smaller hospitals also had higher fall rates. Information on unit type and different aspects of nurse staffing, with advanced statistical modeling, resulted in a more precise understanding of the relationship between nurse staffing and falls.