IR@PKUHSC  > 北京大学护理学院
学科主题护理学
Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals
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
2012-09-01
DOI10.1111/j.1547-5069.2012.01454.x
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
资助者CMB ; Ministry of Health, China ; U.S. National Institute of Nursing Research ; European Commission ; Walter Sermeus and Linda Aiken ; CMB ; Ministry of Health, China ; U.S. National Institute of Nursing Research ; European Commission ; Walter Sermeus and Linda Aiken
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
资助者CMB ; Ministry of Health, China ; U.S. National Institute of Nursing Research ; European Commission ; Walter Sermeus and Linda Aiken ; 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
引用统计
被引频次:26[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/400002259/68020
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.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
推荐引用方式
GB/T 7714
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.
APA Zhu, Xiao-wen.,You, Li-ming.,Zheng, Jing.,Liu, Ke.,Fang, Jin-bo.,...&Zhang, Li-feng.(2012).Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals.JOURNAL OF NURSING SCHOLARSHIP,44(3),266-273.
MLA Zhu, Xiao-wen,et al."Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals".JOURNAL OF NURSING SCHOLARSHIP 44.3(2012):266-273.
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