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首页> 外文期刊>Journal of Hospital Administration >Nurse staffing, patient turnover and safety climate and their association with in-patient falls and injurious falls on medical acute care units: a cross-sectional study
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Nurse staffing, patient turnover and safety climate and their association with in-patient falls and injurious falls on medical acute care units: a cross-sectional study

机译：一项横断面研究：护士人员配备，患者离职和安全气氛以及与急性医疗单位住院倒下和伤害倒下的关系

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Objective: Falls and related injuries remain a considerable health risk for in-patients. Numerous studies link falls with nurse staffing levels, but the results are inconsistent. The purpose of this study was to explore the associations between fall prevalence and injurious falls on medical wards and three unit-level system factors: daily nurse staffing, patient turnover, and safety climate.Methods: Using a cross-sectional design, we conducted a secondary data analysis of data from the Patient Safety and Falls Project. Five medical units in a Swiss university hospital were included, resulting in a data set of 949 days, with daily measures of nurse staffing, patient turnover and falls. The safety climate was measured using a subscale of the Safety Attitudes Questionnaire and analyzed at the unit level including data from 154 nurses. Robust multivariate logistic regression was used to explore nurse staffing, patient turnover, and safety climate’s associations with in-patient falls and fall injuries.Results: After controlling for patient age, length of stay and nursing fulltime equivalents, registered nurse experience showed a significant negative relationship with falls (OR = .83, p < .0001). Patient turnover and safety climate were not significantly associated to falls or fall injuries.Conclusions: By linking nurse staffing variables to in-patient falls and fall injuries, the current study’s findings partly confirm those of previous research. Further investigation will be necessary to isolate key factors influencing the association at the unit level between safety climate and in-patient falls.
机译：目的：跌倒及相关伤害仍然对住院患者构成相当大的健康风险。许多研究都与护士的人员配备水平有关，但结果并不一致。这项研究的目的是探讨医疗病房的跌倒患病率和伤害跌倒与三个单位级别的系统因素之间的关联：日常护士人员配备，患者离职率和安全气候。方法：采用横断面设计，我们进行了对来自患者安全与跌倒项目的数据进行二次数据分析。包括瑞士大学医院中的五个医疗单位，得出的数据集为949天，其中包括护士人员配备，患者离职和跌倒的每日数据。使用“安全态度问卷”的分量表对安全气候进行了测量，并在单位级别进行了分析，包括来自154位护士的数据。稳健的多元Logistic回归用于探讨护士人员配备，患者离职率以及安全气氛与住院摔倒和摔伤的关系。结果：在控制患者年龄，住院时间和护理全职当量后，注册护士的经验显示出显着的负面影响与跌倒的关系（OR = .83，p <.0001）。患者的离职率和安全气氛与跌倒或跌倒受伤没有显着相关。结论：通过将护士人员配置变量与住院患者跌倒和跌倒受伤联系起来，当前研究的发现部分证实了先前的研究。有必要进行进一步调查，以找出影响安全气候和住院病人跌倒之间单位关联的关键因素。

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