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首页> 外文期刊>Journal of advanced nursing >Variations in nursing care quality across hospitals.
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Variations in nursing care quality across hospitals.

机译：各地医院护理质量的差异。

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TITLE: Variations in nursing care quality across hospitals. AIMS: The aim of the study was to describe Registered Nurses' reports of unmet nursing care needs and examine the variation of nursing care quality across hospitals. BACKGROUND: Large proportions of Registered Nurses have reported leaving necessary care activities undone because they lacked the time to complete the activities. Nursing care left undone can be expected to adversely affect the quality of care. However, little is known about the degree of variation in the quality of nursing care across hospitals. METHODS: In 2008, a secondary analysis of a 1999 survey of Registered Nurses (n = 10,184) was conducted using descriptive and comparative statistics. Data were derived from inpatient staff nurses working in acute care hospital settings (n = 168). A hospital-level measure (i.e. unmet nursing care needs) of the quality of nursing care was developed from care needs left undone among all nurses. RESULTS: Across hospitals there was a wide range in the proportion of Registered Nurses who reported leaving each nursing care need undone. They reported leaving two of seven necessary nursing care activities undone during their last shift. After controlling for nurses' demographic information, we found statistically significant variations in the quality of nursing care across hospitals. CONCLUSION: Differences in nursing care quality across hospitals appear to be closely associated with variations in the quality of care environments. Understanding the determinants of unmet nursing care needs can support policy decisions on systems and human resources management to enhance nurses' awareness of their care practices and the care environment.
机译：标题：各地医院护理质量的差异。目的：该研究的目的是描述未满足护理需求的注册护士报告，并检查各医院护理质量的差异。背景：由于缺乏时间来完成必要的护理活动，因此大部分注册护士报告未进行必要的护理活动。护理护理如果不做，可能会对护理质量产生不利影响。但是，关于各医院护理质量的变化程度知之甚少。方法：2008年，使用描述性和比较性统计数据对1999年的注册护士调查（n = 10,184）进行了二次分析。数据来自在急诊医院（n = 168）工作的住院护士。从所有护士中遗留下来的护理需求中，制定了一种医院级的护理质量衡量标准（即未满足的护理需求）。结果：在各医院中，报告放弃每种护理需要的注册护士比例很大。他们报告说，在上一次轮班期间，七项必要的护理活动中有两项未完成。在控制了护士的人口统计信息后，我们发现了各医院护理质量的统计差异。结论：各地医院护理质量的差异似乎与护理环境质量的变化密切相关。了解未满足护理需求的决定因素可以支持有关系统和人力资源管理的政策决策，以增强护士对其护理实践和护理环境的认识。

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