A longitudinal examination of the association between nurse staffing levels, the practice environment and nurse-sensitive patient outcomes in hospitals

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A longitudinal examination of the association between nurse staffing levels, the practice environment and nurse-sensitive patient outcomes in hospitals

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作者：Janita P. C. Chau ; Suzanne H. S. Lo ; K. C. Choi…
关键词：Health facility environment ; Health manpower ; Nursing staff ; hospital ; Nursing service ; hospital ; Quality indicators
刊名：BMC Health Services Research
出版年：2015
出版时间：December 2015
年：2015
卷：15
期：1
全文大小：473 KB
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作者单位：Janita P. C. Chau (1)
Suzanne H. S. Lo (1)
K. C. Choi (1)
Eric L. S. Chan (2)
Matthew D. McHugh (3)
Danny W. K. Tong (4)
Angela M. L. Kwok (5)
W. Y. Ip (1)
Iris F. K. Lee (1)
Diana T. F. Lee (1)

1. The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Shatin, NT, Hong Kong
2. Department of Health Sciences, Caritas Bianchi College of Careers, Caritas Institute of Higher Education, 18 Chui Ling Road, Tseung Kwan O, NT, Hong Kong
3. School of Nursing; Center for Health Outcomes and Policy Research, University of Pennsylvania, Room 379, Fagin Hall, 418 Curie Blvd., Philadelphia, Pennsylvania, 19104-4217, United States
4. Infectious Disease Centre, Princess Margaret Hospital, Hospital Authority, Kowloon, Hong Kong
5. Department of Medicine and Therapeutics, Prince of Wales Hospital, Hospital Authority, NT, Hong Kong
刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
出版者：BioMed Central
ISSN：1472-6963

文摘

Background The level of patient safety and outcomes accomplished depends on the quality of care provided. Previous studies found that nurse-to-patient ratio, practice environment, and nursing education were significant predictors of patient outcomes. However, the outcomes measured in previous studies were mainly inpatient mortality and failure-to-rescue rates. Few nurse-sensitive patient outcomes have been measured that quantify nurses’ contribution to patient care. Selecting appropriate outcomes that reflect the clinically relevant effect of nursing care is important. Moreover previous studies were largely cross-sectional and retrospective. These research designs are limited in their ability to explain the casual links between the variables examined. This study is aimed at determining the associations among staffing levels, skill mix of baccalaureate-prepared registered nurses, and practice environment on nurse-sensitive outcomes for medical and surgical patients in public hospitals in Hong Kong.