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首页> 外文期刊>BMC Health Services Research >Nurse staffing, direct nursing care hours and patient mortality in Taiwan: the longitudinal analysis of hospital nurse staffing and patient outcome study
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Nurse staffing, direct nursing care hours and patient mortality in Taiwan: the longitudinal analysis of hospital nurse staffing and patient outcome study

机译：台湾的护士人员配备，直接护理时间和患者死亡率：医院护士人员配备和患者结果研究的纵向分析

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Background Studies over the past decades have shown an association between nurse staffing and patient outcomes, however, most of these studies were conducted in the West. Accordingly, the purpose of this study aimed to provide an overview of the research/evidence base which has clarified the relationship between nurse staffing and patient mortality of acute care hospital wards under a universal health insurance system and attempted to provide explanations for some of the phenomena that are unique in Taiwan. Methods Through stratified random sampling, a total of 108 wards selected from 32 hospitals in Taiwan were collected over a consecutive seven month period. The mixed effect logit model was used to explore the relationship between nurse staffing and patient mortality. Results The medians of direct-nursing-care-hour, and nurse manpower were 2.52 h, and 378 persons, respectively. The OR for death between the long direct-nursing-care-hour (> median) group and the short direct-nursing-care-hour (≦median) group was 0.393 (95% CI = [0.245, 0.617]). The OR for death between the high (> median) and the low (≦median) nurse manpower groups was 0.589 (95% CI = [0.381, 0.911]). Conclusions Findings from this study demonstrate an association of nurse staffing and patient mortality and are consistent with findings from similar studies. These findings have policy implications for strengthening the nursing profession, nurse staffing, and the hospital quality associated with nursing. Additional research is necessary to demonstrate adequate nurse staffing ratios of different wards in Taiwan.
机译：过去几十年的背景研究表明，护士人员配备与患者预后之间存在关联，但是，大多数研究是在西方进行的。因此，本研究旨在提供研究/证据基础的概述，该基础阐明了在全民健康保险制度下护士人员配置与急诊医院病房患者死亡率之间的关系，并试图为某些现象提供解释在台湾是独一无二的方法通过分层随机抽样，连续七个月从台湾32家医院中选出108个病房。混合效应logit模型用于探讨护士人员配备与患者死亡率之间的关系。结果直接护理小时数和护理人员中位数分别为2.52 h和378人。长期直接护理时间（>中位数）组与短期直接护理时间（≤中值）组之间的死亡OR值为0.393（95％CI = [0.245，0.617]）。高（>中位数）和低（≤中位数）护士人数组之间的死亡OR值为0.589（95％CI = [0.381，0.911]）。结论这项研究的结果表明护士人数与患者死亡率之间存在关联，并且与类似研究的结果一致。这些发现对加强护理职业，护士人员配备以及与护理相关的医院质量具有政策意义。为了证明台湾不同病区有足够的护士配备率，有必要进行进一步的研究。

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