北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学护理学院  > 期刊论文
学科主题: 护理学
题名:
Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals
作者: Zhu, Xiao-wen1; You, Li-ming1; Zheng, Jing1; Liu, Ke1; Fang, Jin-bo2; Hou, Shu-xiao3; Lu, Min-min4; Lv, Ai-li5; Ma, Wei-guang6; Wang, Hong-hong7; Wu, Zi-jing8; Zhang, Li-feng1
关键词: Patient outcomes ; nurse staffing ; quality of care
刊名: JOURNAL OF NURSING SCHOLARSHIP
发表日期: 2012-09-01
DOI: 10.1111/j.1547-5069.2012.01454.x
卷: 44, 期:3, 页:266-273
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]: CARE ; COUNTRIES
英文摘要:

Purpose: The purpose of this study is to examine the relationship between nurse staffing and patient outcomes in hospitals in mainland China. Methods: The study was conducted in 181 hospitals across all of the eight economic zones in mainland China using a four-stage sampling design. Two instruments, the China Nurse Survey and the patient satisfaction measurement from the Hospital Consumer Assessment of Healthcare Providers and Systems, were employed in data collection. In this article, 7,802 nurse surveys and 5,430 patient surveys from 600 medical and surgical units were analyzed. Results: The adjusted joint effects of nurse staffing on patient outcomes from logistic regression analyses showed that more nursing staff per patient had statistically significant positive effects on all necessary nursing care, nurses reports of quality of care, their confidence on patients self-care ability on discharge from the hospital, patient adverse events, as well as patients report of satisfaction. When the nurse-to-patient ratio (total number of nurses on all shifts on the unit divided by total number of patients who stay on the unit) increased to the 0.5<0.6 category, most patient outcomes were significantly improved, considering hospital and patient factors and nurse skill mix in the logistic regression models. Conclusions: The findings provide evidence on how inadequate nurse staffing might result in missed but needed nursing care and negative patient outcomes, while better staffing levels could be an effective strategy for improving patient outcomes. Clinical Relevance: We recommend that the nurse-to-patient ratio on medical and surgical units in Chinese hospitals be increased to at least 0.50.6 so as to secure patient safety and the quality of health services. Journal of Nursing Scholarship, 2011; XX:X, XXXXXX. (c) 2011 Sigma Theta Tau International.

语种: 英语
所属项目编号: R01NR004513 ; RN4CAST
项目资助者: CMB ; Ministry of Health, China ; U.S. National Institute of Nursing Research ; European Commission ; Walter Sermeus and Linda Aiken
WOS记录号: WOS:000308208700009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68020
Appears in Collections:北京大学护理学院_期刊论文

Files in This Item:

There are no files associated with this item.


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.Fudan Univ, Sch Nursing, Shanghai 200433, Peoples R China
4.Cent S Univ, Sch Nursing, Changsha, Hunan, Peoples R China
5.Sun Yat Sen Univ, Sch Nursing, Guangzhou 510089, Guangdong, Peoples R China
6.Sichuan Univ, W China Sch Nursing, Chengdu 610064, Peoples R China
7.Xi An Jiao Tong Univ, Dept Nursing, Xian 710049, Peoples R China
8.Peking Union Med Coll, Sch Nursing, Beijing 100021, Peoples R China

Recommended Citation:
Zhu, Xiao-wen,You, Li-ming,Zheng, Jing,et al. Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals[J]. JOURNAL OF NURSING SCHOLARSHIP,2012,44(3):266-273.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Zhu, Xiao-wen]'s Articles
[You, Li-ming]'s Articles
[Zheng, Jing]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Zhu, Xiao-wen]‘s Articles
[You, Li-ming]‘s Articles
[Zheng, Jing]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace