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学科主题护理学
Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe
You, Li-ming1; Aiken, Linda H.2; Sloane, Douglas M.2; Liu, Ke1; He, Guo-ping3; Hu, Yan4; Jiang, Xiao-lian5; Li, Xiao-han6; Li, Xiao-mei7; Liu, Hua-ping8; Shang, Shao-mei9; Kutney-Lee, Ann2; Sermeus, Walter10
关键词NursIng In chIna Hospital Nursing Outcomes Patient Satisfaction
刊名INTERNATIONAL JOURNAL OF NURSING STUDIES
2013-02-01
DOI10.1016/j.ijnurstu.2012.05.003
50期:2页:154-161
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Nursing
研究领域[WOS]Nursing
关键词[WOS]UNITED-STATES ; PRACTICE ENVIRONMENT ; WORK ENVIRONMENTS ; HEALTH SYSTEM ; EDUCATION
英文摘要

Background: This study provides a comprehensive evaluation of nurse resources in Chinese hospitals and the link between nurse resources and nurse and patient outcomes.

Methods: Survey data were used from 9688 nurses and 5786 patients in 181 Chinese hospitals to estimate associations between nurse workforce characteristics and nurse and patient outcomes in China. Nurse and patient assessments in China were compared with a similar study in Europe.

Results: Thirty-eight percent of nurses in China had high burnout and 45% were dissatisfied with their jobs. Substantial percentages of nurses described their work environment and the quality of care on their unit as poor or fair (61% and 29%, respectively) and graded their hospital low on patient safety (36%). These outcomes tend to be somewhat poorer in China than in Europe, though fewer nurses in China gave their hospitals poor safety grades.

Nurses in Chinese hospitals with better work environments and higher nurse-assessed safety grades had lower odds of high burnout and job dissatisfaction (ORs ranged from 0.56 to 0.75) and of reporting poor or fair quality patient care (ORs ranged from 0.54 to 0.74), and patients in such hospitals were more likely to rate their hospital highly, to be satisfied with nursing communications, and to recommend their hospitals (significant ORs ranged from 1.24 to 1.40). Higher patient-to-nurse ratios were associated with poorer nurse outcomes (each additional patient per nurse increases both burnout and dissatisfaction by a factor of 1.04) and higher likelihoods of nurses reporting poor or fair quality of care (OR = 1.05), but were unrelated to patient outcomes. Higher percentages of baccalaureate nurses were strongly related to better patient outcomes, with each 10% increase in the percent of baccalaureate nurses increasing patient satisfaction, high ratings, and willingness to recommend their hospital by factors ranging from 1.11 to 1.13.

Interpretation: Nursing is important in quality and safety of hospital care and in patients′ perceptions of their care. Improving quality of hospital work environments and expanding the number of baccalaureate-prepared nurses hold promise for improving hospital outcomes in China. (C) 2012 Elsevier Ltd. All rights reserved.

语种英语
WOS记录号WOS:000315177100003
项目编号223468
资助机构China Medical Board (CMB) ; European Union
引用统计
被引频次:78[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54359
专题北京大学护理学院
作者单位1.China Med Univ, Sch Nursing, Shenyang, Peoples R China
2.Peking Univ, Sch Nursing, Beijing 100871, Peoples R China
3.Catholic Univ Louvain, B-3000 Louvain, Belgium
4.Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
5.Cent S Univ, Sch Nursing, Changsha, Hunan, Peoples R China
6.Fudan Univ, Sch Nursing, Shanghai 200433, Peoples R China
7.Sun Yat Sen Univ, Sch Nursing, Guangzhou 510275, Guangdong, Peoples R China
8.Sichuan Univ, W China Sch Nursing, Chengdu 610064, Peoples R China
9.Xi An Jiao Tong Univ, Dept Nursing, Xian 710049, Peoples R China
10.Peking Union Med Coll, Sch Nursing, Beijing 100021, Peoples R China
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GB/T 7714
You, Li-ming,Aiken, Linda H.,Sloane, Douglas M.,et al. Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe[J]. INTERNATIONAL JOURNAL OF NURSING STUDIES,2013,50(2):154-161.
APA You, Li-ming.,Aiken, Linda H..,Sloane, Douglas M..,Liu, Ke.,He, Guo-ping.,...&Sermeus, Walter.(2013).Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe.INTERNATIONAL JOURNAL OF NURSING STUDIES,50(2),154-161.
MLA You, Li-ming,et al."Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe".INTERNATIONAL JOURNAL OF NURSING STUDIES 50.2(2013):154-161.
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