OUTCOMES OF PSYCHIATRIC NURSE LABOR USE

精神科护士劳动力使用的结果

• 批准号: 3475850
• 负责人: ELIZABETH I. MERWIN
• 金额: $ 3.49万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-04-01 至 1993-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3475850
• 关键词: emergency care; employment /unemployment; health care cost /financing; health care facility information system; health care model; health care quality; hospital analysis; hospital length of stay; hospital organization /administration; hospital patient care; hospital personnel; hospital utilization; human subject; job satisfaction; mental health facility; model design /development; nurses; nursing care quality; patient /disease registry; psychiatric nursing

The purpose of this project is: a) to develop models that explain how psychiatric hospitals make staffing decisions and how those decisions affect patient outcomes; b) to estimate and test those models; and c) to use the best ones to aid in policy analysis. The study will: (1) evaluate the influence of patient, hospital, and community characteristics, and nurse supply on a hospital's employment of psychiatric nursing labor; (2) evaluate the effect of a hospital's choice of staffing and skill-mix levels on patient outcomes; and (3) compare the supply function of psychiatric nurses with the population of registered nurses. Finally, the study will evaluate the contribution of classical economic and organizational theories to the understanding of the psychiatric hospital's use of labor. An organization level evaluation will be based on secondary data from the Quality of Care/Medpar file (HCFA), an Inventory of Mental Health Organizations (NIMH), a Client Sample Survey of Mental Health Organizations (NIMH), Medicare Cost Report data (HCFA), the Area Resources File, and the American Hospital Association's Annual Survey of Hospitals. Patient outcomes will be measured by number of AMA discharges, length of stay, percentage of readmissions within 30 days, and cost of care. In addition, a primary data collection of supply characteristics will be undertaken. This survey will measure current demographic and employment characteristics, work activities, salary, career patterns, populations served, job satisfaction, perceptions of quality of care, and perceptions of support staff of psychiatric nurses. This study will provide knowledge to the industry on the supply characteristics of psychiatric nurses; it will evaluate the effect on patient outcomes of the selection of the staffing and skill-mix levels, of a hospital's labor force. Impact analyses and simulations will be done to evaluate the effect of changing parameter values based on a range of related policy decisions. Policy issues to be evaluated include: effect of substitution of different types of professional and non-professional labor for psychiatric nurses; effect of changes in patient length of stay, case-mix, and treatments on nurse labor use and outcomes; and effect of different skill-mix levels of RNs on patient outcomes.

该项目的目的是：a）开发模型，解释如何 精神病医院做出人员配置决定， 影响患者结果; B）估计和测试这些模型;以及c） 用最好的来帮助政策分析。 本研究将：（1） 评估患者、医院和社区的影响 特点及护士供给对医院聘用的影响 精神科护理劳动;（2）评价医院选择的效果 的人员配置和技能组合水平对病人的结果;（3）比较 精神科护士对户籍人口的供给功能 护士 最后，本研究将评估经典的贡献， 经济和组织理论的理解， 精神病医院使用劳动力 组织一级的评估将基于来自 护理质量/Medpar文件（HCFA），心理健康清单 组织（NIMH），心理健康的客户抽样调查 组织（NIMH），医疗保险成本报告数据（HCFA），区域 美国医院协会的年度调查， 医院的 将通过AMA数量衡量患者结局 出院，住院时间，30天内再入院的百分比， 和护理费用。 此外，供应的主要数据收集 将有特色。 这项调查将衡量目前 人口和就业特征、工作活动、工资、 职业模式，服务人群，工作满意度， 护理质量和对精神科护士支持人员的看法。 这项研究将为业界提供有关供应的知识， 精神科护士的特点;它将评估对 选择人员配备和技能组合水平的患者结果， 医院的劳动力。 影响分析和模拟将 用于评估基于范围更改参数值的效果 相关的政策决定。 有待评价的政策问题包括： 不同类型专业人员替代的影响， 精神科护士的非专业劳动; 患者住院时间、病例组合和对护士劳动力使用的治疗， 结果;以及不同技能组合水平的RN对患者的影响 结果。