新生儿重症监护病房注册护士配备与护理质量的关系

IF 1.6 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2025-08-19 DOI:10.1111/jjns.70022

Mio Ozawa

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引用次数: 0

摘要

目的研究基于Donabedian模型的新生儿重症监护病房疼痛管理质量指标（皮肤穿刺疼痛评估率和非药物镇痛措施执行率）与护理人员配置的关系。方法采用线性混合模型对2017 - 2023年在“疼痛护理改善数据库”（©广岛大学）中登记的23家机构的101项评估数据集进行分析。结果新生儿疼痛评估的实施率与监护病房护士人数增加（r = 0.28, p = 0.0075）、新生儿重症监护护士持证比例（r = 0.32, p = 0.0011）呈显著正相关。在成长中的护理单位中，皮肤穿刺时的疼痛评估率与护士与床位的比例和疼痛管理系统的实施显著相关。非药物镇痛措施的执行率与病区持证护士比例及疼痛管理制度的建立有显著相关。结论提高护理人员配备水平和建立健全的疼痛管理系统有助于提高疼痛管理质量，这是护理质量的一个重要方面。

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Relationship between the certified nurse staffing in neonatal intensive care units and nursing quality

Aim

This study examines the relationship between the quality indicators of pain management (pain assessment rate during skin puncture and the implementation rate of non-pharmacological pain relief measures) and nurse staffing in neonatal intensive care units based on the Donabedian model.

Methods

Datasets from 23 facilities, covering 101 assessments registered in the “Pain Care Improvement Database” (©Hiroshima University) between 2017 and 2023, were analyzed using a linear mixed model.

Results

The implementation rate of pain assessment correlates significantly and positively with growing care unit nurse staffing (r = 0.28, p = 0.0075) and the proportion of certified neonatal intensive care nurses (r = 0.32, p = 0.0011). The pain assessment rate during skin puncture was significantly associated with the nurse-to-bed ratio in growing care units and the implementation of a pain management system. The implementation rate of non-pharmacological pain relief measures was significantly associated with the proportion of certified nurses among ward staff and the establishment of a pain management system.

Conclusion

The findings suggest that enhancing nurse staffing levels and establishing robust pain management systems may contribute to improving the quality of pain management, a critical aspect of nursing care quality.

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.