OUTCOMES OF PSYCHIATRIC NURSE LABOR USE

精神科护士劳动力使用的结果

• 批准号: 2392926
• 负责人: ELIZABETH I. MERWIN
• 金额: $ 10.08万
• 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: 1993-07-01 至 1999-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2392926
• 关键词: behavioral /social science research tag; emergency care; employment /unemployment; health care cost /financing; health care facility information system; health care model; health care policy; 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.

这个项目的目的是：a)开发模型来解释如何

项目成果

Psychiatric nursing outcome research: the state of the science.

精神科护理结果研究：科学现状。

• DOI: 10.1016/s0883-9417(95)80055-7
• 发表时间: 1995
• 期刊: Archives of psychiatric nursing.
• 作者: Merwin,E;Mauck,A
• 通讯作者: Mauck,A

An organizational and economic framework for restructuring psychiatric nurse labor use.

重组精神科护士劳动力使用的组织和经济框架。

• DOI: 10.3109/01612849609079828
• 发表时间: 1996
• 期刊: Issues in mental health nursing
• 影响因子: 2.1
• 作者: Merwin,EI

Alternative statistical methods to use with survival data.

用于生存数据的替代统计方法。

• DOI: 10.1097/00006199-199611000-00008
• 发表时间: 1996
• 期刊: Nursing research
• 影响因子: 2.5
• 作者: Holt,F;Merwin,E;Stern,S
• 通讯作者: Stern,S