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An Integrative Literature Review of Patient Turnover in Inpatient Hospital Settings

机译：住院医院环境中患者流失的综合文献综述

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摘要

High patient turnover can result in fragmentation of nursing care. It can also increase nursing workload and thus impede the ability of nurses to provide safe and high-quality care. We reviewed 20 studies that examined patient turnover in relation to nursing workload, staffing, and patient outcomes as well as interventions in inpatient hospital settings. The studies consistently addressed the importance of accounting for patient turnover when estimating nurse staffing needs. They also showed that patient turnover varied by time, day, and unit type. Researchers found that higher patient turnover was associated with adverse events; however, further research on this topic is needed because evidence on the effect of patient turnover on patient outcomes is not yet strong and conclusive. We suggest that researchers and administrators need to pay more attention to patterns and levels of patient turnover and implement managerial strategies to reduce nursing workload and improve patient outcomes.
机译：较高的患者离职率可能导致护理服务分散。它还会增加护理工作量，从而阻碍护士提供安全优质护理的能力。我们回顾了20项研究，这些研究检查了与护理工作量，人员配备，患者结局以及住院医院干预相关的患者离职率。这些研究始终强调了在估计护士人员配备需求时考虑患者流失的重要性。他们还显示，患者的流动率随时间，日期和单位类型而异。研究人员发现，较高的患者离职率与不良事件有关。但是，由于有关患者更替对患者预后的影响的证据尚无定论，因此需要对此进行进一步研究。我们建议研究人员和管理人员需要更加关注患者离职的方式和水平，并实施管理策略以减少护理工作量并改善患者预后。

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