Changes in Patient Care Experiences and the Nurse Work Environment: A Longitudinal Study of U.S. Hospitals.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI:10.1177/10775587241282403

Kathleen E Fitzpatrick Rosenbaum, Karen B Lasater, Matthew D McHugh, Eileen T Lake

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引用次数: 0

Abstract

Addressing patient experience is a priority in the health care system. Hospital Consumer Assessment of Providers and Systems (HCAHPS) survey results incentivize hospitals to elevate patient experience, a factor in patient-centered care. Although hospital nursing resources have been positively associated with better HCAHPS ratings, it is unknown how changes in nursing resources are associated with changes in HCAHPS ratings over time. This two-period longitudinal study ranked the associations between changes in nurse staffing, skill mix, nurse education, and work environment on HCAHPS ratings and found that changes in the work environment had the strongest associations (β = 2.29; p < .001) with improved HCAHPS ratings. Our findings provide hospital administrators with empirical evidence that may help make informed decisions on how to best invest limited resources to improve HCAHPS ratings, including the potential utility of improving the work environment through enhancing Nursing Quality of Care and Nurse Participation in Hospital Affairs.

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病人护理体验和护士工作环境的变化：美国医院纵向研究》。

解决患者体验问题是医疗保健系统的当务之急。医院服务提供者和系统消费者评估（HCAHPS）调查结果激励医院提升患者体验，这也是以患者为中心的护理的一个因素。尽管医院护理资源与 HCAHPS 评分的提高呈正相关，但护理资源的变化与 HCAHPS 评分随时间推移的变化之间的关系尚不清楚。这项为期两期的纵向研究对护士人员配备、技能组合、护士教育和工作环境的变化与 HCAHPS 评级之间的关联进行了排序，发现工作环境的变化与 HCAHPS 评级的关联性最强（β = 2.29；p.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464