NURSE STAFFING AND QUALITY OF HOSPITAL PATIENT CARE

护士人员配置和医院患者护理质量

• 批准号: 2805768
• 负责人: Lynn Y. Unruh
• 金额: $ 3.22万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-04-01 至 1999-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2805768
• 关键词: behavioral /social science research tag; clinical research; health care quality; health care service evaluation; health services research tag; hospital organization /administration; hospital patient care; human data; human mortality; nosocomial infections; nursing care quality; relapse /recurrence

The aim of this research is to assess the recent changes in hospital nursing staff and their impact on the quality of patient care. Whether nursing staff levels and mix have declined, and if so, whether this has negatively impacted on the quality of patient care is a concern of practitioners and patients alike. Prior research has been controversial and inconclusive. This study assesses: 1 ) the recent changes in hospital nursing staff; 2) the structural relationship between nurse staffing and the quality of patient care; 3) the structural relationship between other hospital characteristics and restructuring actions on the one hand, and the quality of patient care on the other hand; and 4) the impact of the recent nursing staff changes on the quality of patient care. Research hypotheses are that from 1992-1996: a) the ratios of all categories of nursing personnel to patient load, of licensed to unlicensed nursing personnel, and of full to part time nursing personnel have declined; b) higher levels and mix of nursing staff are associated with lower patient mortality, readmission, and nosocomial infection rates; c) hospital restructuring overall is associated with higher mortality, readmission, and nosocomial infection rates; and d) the reductions in the level and mix of nursing staff from 1992-1996 described above are associated with increases in patient mortality, readmission, and nosocomial infection rates. A panel data set from patient and hospital records in all Pennsylvania hospitals is utilized in a descriptive model and a fixed or random effects linear regression model to test the hypotheses.

这项研究的目的是评估医院最近的变化 护理人员及其对病人护理质量的影响。是否 护理人员的水平和组合已经下降，如果是这样，这是否已经 对病人护理质量产生负面影响的一个问题是 从业者和患者一样。之前的研究一直备受争议 而且没有定论。这项研究评估：1)最近发生的变化 医院护理人员；2)护士与护士之间的结构关系 人员配备和病人护理质量；3)结构关系 医院的其他特点和重组行动之间的关系 一方面，另一方面是病人护理的质量；以及4) 近期护理人员变动对病人质量的影响 关心。研究假设是从1992-1996年：a)所有 护理人员类别至病人负荷量，持证至 无证护理人员和专职至兼职护理人员 有所下降；b)护理人员的级别和组合较高 患者死亡率、再入院率和医院感染较低 比率；c)医院整体重组与较高的 死亡率、再入院和医院感染率；以及d) 1992-1996年减少护理人员的水平和组合 上述因素与患者死亡率的增加有关， 再入院和医院感染率。来自的面板数据集 宾夕法尼亚州所有医院的患者和医院记录都得到了利用 在描述性模型和固定或随机效应的线性回归中 模型来检验假设。