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首页> 外文期刊>Journal of Health Services Research & Policy >Effect of the hospital nursing environment on patient mortality: a systematic review
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Effect of the hospital nursing environment on patient mortality: a systematic review

机译：医院护理环境对患者死亡率的影响：系统评价

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Objective: Research has examined the ect of the structure of health systems on health outcomes, but notnhow outcomes are acted by the nursing environments in hospitals. Our objective was to gather, criticallynappraise and synthesize all relevant primary research on the ect of the nursing environment on patientnmortality.nMethods: Five electronic bibliographic databases were searched from their beginning through to May/Junen2001, and Medline and CINAHL were updated to March 2004, using pre-determined search strategies andninclusion criteria. Studies were included if they met pre-determined criteria, reporting primary data bothnon a hospital environment and patient mortality. Methodological rigour was appraised using accepted criterianfor the evaluation of research protocols, including case-mix adjustment.nResults:This paper focuses on 27 identi￠ed studies that investigated the impact of one ormore attributes ofnthe nursing environment on patient mortality. Nineteen studies found an association between one or morenunfavourable attributes and higher mortality. There was considerable variability in attribute and outcomenmeasures, settings and research quality across studies.This precluded statistical pooling of results.nConclusions: On balance, current evidence indicates that social and environmental attributes of hospitalnnursing practice have an ect on the outcomes of care. Before optimal practice settings can be designed,nfurther research of greater rigour is needed to provide a better understanding of the mechanisms that linknthe nursing environment to patient outcomes.
机译：目的：研究已经检查了卫生系统的结构对健康结果的影响，但是，结果却没有受到医院护理环境的影响。我们的目标是收集，批判性地评估和综合有关护理环境对患者死亡率的影响的所有相关的主要研究。n方法：从开始至5月/ 2001年6月，检索了五个电子书目数据库，并将Medline和CINAHL更新到3月。 2004年，使用预定的搜索策略和纳入标准。如果研究符合预定标准，则报告包括非医院环境和患者死亡率的主要数据。方法：使用公认的标准对方法的严谨性进行评估，以评估研究方案，包括病例混合调整。结果：本文重点关注27项已确定的研究，这些研究调查了护理环境的一个或多个属性对患者死亡率的影响。 19项研究发现一个或多个不利属性与较高死亡率之间存在关联。跨研究，属性和结果的措施，设置和研究质量存在很大差异。因此，无法汇总结果。n结论：总的来说，目前的证据表明，医院护理实践的社会和环境属性对护理的结果有影响。在设计最佳实践设置之前，需要进行更严格的进一步研究，以更好地理解将护理环境与患者预后联系起来的机制。

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