Relationships between Nurse Staffing and Patient Outcomes__臺灣人文及社會科學引文索引資料庫

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	Relationships between Nurse Staffing and Patient Outcomes
書刊名：	The Journal of Nursing Research
作者：	楊克平
作者(外文)：	Yang, Ke-ping
出版日期：	2003
卷期：	11:3
頁次：	頁149-158
主題關鍵詞：	護理人力配置；病患結果；病患之負向結果發生率；Nurse staffing；Patient outcomes；Adverse patient outcome occurrences
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:4 共同引用:8 點閱:33

　　　　　許多研究曾顯示護理實務或作業上的改變會影響護理人員與組織結果，然對其顧客，病患結果的影響卻鮮少探究，致未能充份瞭解其間之關係或影響力。本研究之目的在檢視護理人力配置之相關變項，如各護理單位之平均護理時數、護理師與平均病患數之比、工作量與各級護理師之組合比等對病患結果之影響。而病患結果則以跌倒、壓瘡、呼吸道感染、泌尿道感染及病患或家屬之抱怨率等五種負向結果為評量指標。本研究以回溯性 (retrospective) 方式，針對臺灣地區某1394床之醫學中心的21個內外科住院病患2000年之護理品質監測記錄、病患記錄、病患分類系統資料及護理人員配置等資料分析。護理人力配置變項與結果變項間之相關性在控制病患嚴重度(patient acuity)後，以多變項分析(multivariate analysis)處理資料。病患嚴重度與護理時數則以病患分類系統電腦資料庫中擷取。研究結果顯示護理人員的工作量是院內感染的最佳預測指標；而平均護理時數則是五項病患負向結果的最好預測因子。此外，N3佔各級護理師比率較多的單位，其病患之負向結果發生率亦較低。N3或以上層級之護理師人力組合比 (staffing mix) 在維護病患的利益上佔了舉足輕重的角色。本研究結果提供了病患結果 (outcome) 與組織結構 (structure) 有關的實證資料，更突顯了護理人力配置在護理實務品質上的重要性。

以文找文

　　　　　Nursing studies have shown that nursing care delivery changes affect staff and organizational outcomes, but the effects on client outcomes have not been studied sufficiently. The purpose of this study was thus to examine the effect of nurse staffing variables- daily average hours of care, ratio of RNs to average patient census, workload, and skill mix- on patient outcomes as measured by five adverse occurrences. The adverse patient occurrences included unit rates of patient falls, pressure ulcers, respiratory and urinary tract infections, and patient/family complaints. Variables were measured retrospectively using consistently available data from each month of fiscal year 2000 from 21 medical-surgical nursing care units in a 1394-bed medical center in Taiwan. Data were analyzed by descriptive and multivariate inferential statistics while controlling for patient acuity level. Results showed that workload of nurses is the most powerful predictor of nosocomial infections and hours of care best predicted the five adverse patient outcome indices. Lower adverse outcome rates were more consistently related to a higher proportion of N3 level of RNs. Patients could fare better when N3s play a significant role in the staffing mix. The findings provide further empirical support for the context of implications that patient outcomes are correlated to organizational structure. It obviously illustrates the relationships between nurse staffing and the quality of nursing practice.

以文找文

期刊論文
1.	Blegen, M. A.、Goode, J. C.、Reed, L.(1998)。Nurse staffing and patient outcomes。Nursing Research，47(1)，43-50。
2.	Yin, J.-C. T.、Yang, K.-P. A.(2002)。Nursing Turnover in Taiwan: A Meta-analysis of Related Factors。International Journal of Nursing Studies，39(6)，573-581。
3.	Yang, K. P.、Simms, L. M.、Yin, J. C.(1999)。Factors influencing nursing-sensitive outcomes in Taiwanese nursing homes。Online Journal of Issues in Nursing，1999(Aug.)，1-23。
4.	Safford, B. J.、Schlotfeldt, R. M.(1960)。Nursing service staffing and quality of nursing care。Nursing Research，9(3)，149-154。
5.	Blegen, M. A.、Vaughn, T.(1998)。A multisite study of nurse staffing and patient occurrences。Nursing Economics，16(4)，196-203。
6.	Kovner, C.、Gergen, P. J.(1998)。Nurse staffing levels and adverse events following surgery in U.S. hospitals。Image: The Journal of Nursing Scholarship，30(4)，315-321。
7.	楊克平(19980400)。反思護理診斷--論護理敏感之病患結果分類。護理雜誌，45(2)，40-46。延伸查詢
8.	Akien, L. H.、Clarke, S. P.、Sloane, D. M.(2000)。Hospital restructuring: Does it adversely affect care and outcomes?。Journal of Nursing Administration，30(10)，457-465。
9.	Anderson, L.(1997)。The role and resources required for the introduction of generic ward assistants using GRASP systems workload methodology: A quantitative study。Journal of Nursing Management，5(1)，11-17。
10.	Anderson, R. A.、Su, H. F.、Hsieh, P. C.、Allred, C. A.、Owensby, S.、Joiner-Rogers, G.(1999)。Case mix Adjustment in Nursing Systems Research: The Case of Resident Outcomes in Nursing Homes。Research in Nursing & Health，22，271-283。
11.	Buerhaus, P. I.、Needleman, J.(2000)。Policy implications of research on nurse staffing and quality of patient care。Policy Politics and Nursing Practice，1(1)，5-15。
12.	Edwardson, S. R.、Giovannetti, P. B.(1994)。Nursing workload measurement systems。Annual Review of Nursing Research，12，95-123。
13.	Flood, S. D.、Diers, D.(1988)。Nurse staffing, patient outcome and cost。Nursing Management，19(5)，34-43。
14.	Grillo-Peck, A. M.、Risner, P. B.(1995)。The effect of a partnership model on quality and length of stay。Nursing Economics，13(6)，367-374。
15.	Hodge, D.(2000)。Nurses fight for patient safety。Tennessee Nurse，63(2)，14-15。
16.	Hunt, J.、Hagen, S.(1998)。Nurse to patient ratios and patient outcomes。Nursing Times，94(45)，63-66。
17.	Jackson, M.、Chiarello, L. A.、Gaynes, R. P.、Gerberding, J. L.(2002)。Nurse staffing and health care-associated infections: Proceedings from a working group meeting。American Journal of Infection Control，30(4)，199-206。
18.	Jones, K. R.(1993)。Outcomes analysis: Methods and issues。Nursing Economics，11(3)，145-152。
19.	Lichtig, L. K.、Knauf, R. A.、Milholland, D. K.(1999)。Some impacts of nursing on acute care hospital outcomes。Journal of Nursing Administration，29(2)，25-33。
20.	Mark, B. A.、Burleson, D. L.(1995)。Measurement of patient outcomes: Data availability and consistency across hospitals。Journal of Nursing Administration，25(4)，52-59。
21.	McCloskey, J. M.(1998)。Nurse staffing and patient outcomes。Nursing Outlook，46(5)，199-200。
22.	Minnick, A.、Pabst, M. K.(1998)。Improving the ability to detect the impact of labor on patient outcomes。Journal of Nursing Administration，28(12)，17-21。
23.	Nuikka, M. L.、Paunonen, M.、Hanninen, O.、Lansinies, E.(2001)。The nurses' workload in care situations: Experience before and through the nursing career。Journal of Advanced Nursing，33(3)，406-415。
24.	Porell, F.、Caro, F. G.、Silva, A.、Monan, M.(1998)。A longitudinal analysis of nursing home outcomes。Health Services Research，33(4)，835-865。
25.	Reed, L.、Blegen, M. A.、Goode, C.(1998)。Adverse patient occurrences as a measure of nursing care quality。Journal of Nursing Administration，28(5)，62-69。
26.	Saver, C.(2001)。New study finds strong link between patient outcomes and nurse staffing。Nursing Spectrum，5(10)。
27.	Shortell, S. M.、Zimmerman, J. E.、Rousseau, D. M.、Gillies, R. R.、Wagner, D. P.、Draper, E. A.、Knaus, W. A.、Duffy, J.(1994)。The performance of intensive care units: Does good management make a difference?。Medical Care，3(5)，508-525。
28.	Smith, A. P.(2002)。Evidence of our instincts: An interview with Linda H. Aiken。Nursing Economics，20(2)，58-61。
29.	楊克平(1997)。臺灣某醫學中心護理過程品質之評價。榮總護理，14(1)，62-73。延伸查詢

圖書
1.	American Nurses Association(2000)。Nurse staffing and patient outcomes in the inpatient hospital setting。Nurse staffing and patient outcomes in the inpatient hospital setting。Washington, DC。
2.	Aydelott, M. K.、Tener, M. E.(1960)。An investigation of the relation between nursing activity and patient welfare。An investigation of the relation between nursing activity and patient welfare。Iowa City, IA。
3.	Iezzoni, L. I.、Iezzoni, Lisa I.(1997)。Risk adjustment for measuring health care outcomes。Risk adjustment for measuring health care outcomes。Ann Arbor, MI。
4.	Murphy, E. C.(1993)。Cost-driven downsizing in hospitals: Implications for mortality。Cost-driven downsizing in hospitals: Implications for mortality。Amherst, NY。

其他
1.	American Nurses Association(2000)。Nursing-sensitive Quality Indicators for Acute Care Settings and ANA's Safety & Quality Initiative，沒有紀錄。
2.	Health Resources and Services Administration(2001)。HHS study links patient outcomes and nurse staffing，沒有紀錄。

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	中部某醫學中心護理人員給藥錯誤現況及其相關因素探討
2.	住院病人對護理服務重視程度與滿意度之相關性探討--以桃園二所地區教學醫院為例
3.	護理人力對病患結果影響之文獻探討
4.	臨床路徑護理活動工時之分析--以一般外科為例
5.	臺灣護理詞彙標準之現況與發展
6.	長期照護機構住民功能性評估之研究
7.	病人安全與護理
8.	護理品質指標之建構
9.	降低化學治療外滲的發生率
10.	病患結果在臨床護理上之分類與應用
11.	病患結果評量之概念與相關議題
12.	病患對護理人員處理病室紅燈滿意度及相關因素之探討
13.	臺灣地區長期照護病患之身心社會功能與其影響因素之探討
14.	反思護理診斷--論護理敏感之病患結果分類
15.	臺灣某醫學中心護理過程品質之評價

無相關博士論文

無相關書籍

無相關著作

無相關點閱

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫