护士/助产士与病人的比例:范围综述。

Contemporary nurse Pub Date : 2024-04-01 Epub Date: 2024-02-26 DOI:10.1080/10376178.2024.2318361
Darcy Tait, Deborah Davis, Michael A Roche, Catherine Paterson
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引用次数: 0

摘要

背景:大量研究表明,护士或助产士的高工作量与患者的不良预后有关。轶事报道表明,强制比例模式可加强对患者的护理并提高护士的工作满意度。然而,这方面的重点研究十分有限:确定澳大利亚医疗保健领域护士/助产士与患者比例的主要结果、实施过程和研究需求:设计:范围综述:数据来源:CINAHL、Open Dissertations、Medline 和 Scopus。筛选了 289 篇文章,由两名审稿人根据标准对 53 篇全文文件进行独立评估,并由第三名审稿人使用 Covidence™ 解决冲突。本综述纳入了三项研究:研究侧重于护士(工作满意度、职业倦怠)、患者(死亡率、再入院率、住院时间)和系统(成本)的结果,有关实施过程的信息有限,没有助产方面的研究:结论:尽管澳大利亚的研究有限,但比例护理对患者、护士和医院都有好处。结论:尽管在澳大利亚的研究有限,但比例护理对患者、护士和医院都有好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurse/midwife-to-patient ratios: A scoping review.

Background: A significant body of work has linked high nurse or midwife workload to negative patient outcomes. Anecdotal reports suggest that mandated ratio models enhance patient care and improve nurse job satisfaction. However, there is limited focused research.

Objective: To identify key outcomes, implementation processes, and research needs regarding nurse/midwife-to-patient ratios in the Australian healthcare context.

Design: Scoping review.

Methods: Data sources were CINAHL, Open Dissertations, Medline, and Scopus. 289 articles screened, and 53 full text documents independently assessed against criteria by two reviewers and conflicts resolved by a third reviewer, using Covidence™. Three studies were included in this review.

Results: Studies focused on nurse (job satisfaction, burnout), patient (mortality, readmission, length of stay) and system (costs) outcomes with limited information on implementation processes and no midwifery research.

Conclusions: Ratios provide benefits for patients, nurses, and hospitals although there is limited research in Australia. Implementation was poorly reported..

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