OUTCOMES OF PSYCHIATRIC NURSE LABOR USE

精神科护士劳动力使用的结果

• 批准号: 2248518
• 负责人: ELIZABETH I. MERWIN
• 金额: $ 8.27万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-07-01 至 1998-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2248518
• 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)开发解释如何 精神科医院做出人员配备决定以及这些决定是如何做出的 影响患者预后；b)评估和测试这些模型；以及c) 使用最好的工具来帮助进行政策分析。这项研究将：(1) 评估患者、医院和社区的影响 医院用人特点及护理人员配备 精神科护理劳动；(2)评估医院选择的效果 人员配置和技能组合水平对患者预后的影响；以及(3)比较 精神科护士对户籍人口的供给作用 护士。最后，本研究将评估古典音乐的贡献。 用经济学和组织理论来理解 精神病院的用工情况。 组织层面的评估将基于以下方面的次要数据 护理质量/MEDPAR文件(HCFA)，精神健康清单 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 资源档案和美国医院协会的年度调查 医院。患者的预后将通过AMA的数量来衡量 出院，住院时间，30天内再入院的百分比， 和护理费用。此外，还收集了供应品的主要数据 特色将被承接。这项调查将衡量当前 人口统计和就业特征、工作活动、工资、 职业模式、服务人群、工作满意度、对 护理质量，以及精神科护士支持人员的看法。 这项研究将为该行业提供有关供应的知识 精神科护士的特点；它将评估对 人员配置和技能组合水平选择的患者结果， 一家医院的劳动力。影响分析和模拟将 完成以评估基于范围更改参数值的效果 相关的政策决定。需要评估的政策问题包括： 不同类型专业人员和专业人员的替代效果 精神科护士的非专业劳动.变更的影响 患者住院时间、病例组合和治疗对护士产程的影响 不同技能组合的RNS对患者预后的影响 结果。