文档介绍：重症监护病房注册护士的胜任能力及资质认证和病人安全的研究
史宇颖赵小燕钱多马晓煜
关于作者
Deborah Kendall-Gallagher: a postdoctoral research fellow at the Center for Health es and Policy Research, University of Pennsylvania School of Nursing,in Philadelphia. 是在费城的宾夕法尼亚大学健康政策研究中心的博士后的研究员。
Mary A. Blegen : a professor munity health systems and director of the Center for Patient Safety in the School of Nursing at the University of California, San Francisco. 是在旧金山的加州大学任社区健康系统的教授和病人健康中心主任。
背景
Adverse events relationship between petence and certification of caregivers and the safety of patients is a relatively new area of inquiry in nursing.
ICU病房中病人的不良事件很常见,国外学者研究发现病人的不良事件的发生和专业人员的知识技能水平相关。其中测量知识水平的一种方法是专业认证,一个护理单元认证的注册护士的比例,可以代表该组注册护士工作的能力。我们知道高水平且有专业资质能力的ICU护理人员能有效减少病人不良事件的发生,保障病人的安全。然而,研究护理人员专业能力认证和病人安全之间的联系属于比较新的领域。
不良事件包括用药错误、
病人跌倒、
皮肤破损、
中心导管感染、
血流感染、
尿路感染
目的
探索ICU病区护理资质认证人员所占的比例
和患者不良事件之间的关系
adverse events of ICU patients
specialty certification and clinical expertise of
ICU RN
方法
The relationship between the proportion of certified staff nurses in the unit and unit rates of occurrence of 6 adverse events.
医院内注册护士的比例与6个不良事件发生率之间的关系。
bination anizational and nursing characteristics associated with unit rates of adverse events.
护理组织编制和ICU病区内不良事件发生率之间联系的结合。
staffing护理人员 of adverse events不良事件的发生率anizational nursing characteristics护理编制的特点
48 adult ICUs from 29hospitals
29家医院的48个重症监护病房
Hierarchical linear modeling 分层线性模型的二级数据分析
(1) study associations at the lowest level of 。
(2) examine how variables from one level affect associations on another level. 研究一个层次的变量如何影响另一个层次。
(3) understand how variance attributed ponents of the model is partitioned between the unit and hospital 。
结果
评估各变量之间的相关关系
护士能力认证比例和不良事件的关系
评估各变量之间的线性关系结果
The total number of hours of nursing care per patient day was positively correlated with both central catheter infections and bloodstream infections. Nurse skill mix was correlated pos