中华护理杂志 ›› 2023, Vol. 58 ›› Issue (3): 366-373.DOI: 10.3761/j.issn.0254-1769.2023.03.015
杜美晨(
), 汪晖(
), 刘于, 曾铁英, 王颖, 李咪琪, 王颖
收稿日期:2022-03-28
出版日期:2023-02-10
发布日期:2023-02-14
通讯作者:
汪晖,E-mail:tjwhhlb@126.com作者简介:杜美晨:女,硕士,护师,E-mail:1807061790@qq.com
基金资助:
DU Meichen(
), WANG Hui(
), LIU Yu, ZENG Tieying, WANG Ying, LI Miqi, WANG Ying
Received:2022-03-28
Online:2023-02-10
Published:2023-02-14
摘要:
目的 对护理人力资源配置相关文献进行范围综述,明确护理人力资源配置评价指标的类别、内涵、评估工具或指标内容、适用场景、应用效果,以及国内外评价指标的差异。方法 以范围综述方法学为指导,系统检索中国知网、万方数据库、PubMed、CINAHL、Web of Science、国际指南协作网等国内外数据库和指南网。检索时限为2012年2月14日—2022年2月14日。对纳入文献进行汇总和分析。结果 纳入371篇文献,根据评价指标涉及的对象进行归类,各项评价指标累计出现632次,其中患者相关指标338次(53.48%),护士相关指标181次(28.64%),组织相关指标113次(17.88%)。出现频次排名前十的指标为公平性、死亡率、工作满意度、护理质量和患者安全、患者满意度、住院时间、感染、压力性损伤、跌倒和坠床及护理缺失。国外较关注感染、死亡率、住院时间和护理缺失等指标,国内更强调公平性和满意度。结论 目前国内护理人力资源配置评价指标体系有待完善,需继续规范评价指标的名称、内涵、评价方法和权重,建设一套指导性强、敏感度高的评价指标体系。
杜美晨, 汪晖, 刘于, 曾铁英, 王颖, 李咪琪, 王颖. 护理人力资源配置评价指标的范围综述[J]. 中华护理杂志, 2023, 58(3): 366-373.
DU Meichen, WANG Hui, LIU Yu, ZENG Tieying, WANG Ying, LI Miqi, WANG Ying. Indicators to evaluate nursing staff allocation:a scoping review[J]. Chinese Journal of Nursing, 2023, 58(3): 366-373.
| [1] |
Lu H, Hou LY, Zhou WJ, et al. Trends,composition and dis-tribution of nurse workforce in China:a secondary analysis of national data from 2003 to 2018[J]. BMJ Open, 2021, 11(10):e047348.
DOI URL |
| [2] |
Shin S, Oh SJ, Kim J, et al. Impact of nurse staffing on intent to leave,job satisfaction,and occupational injuries in Korean hospitals:a cross-sectional study[J]. Nurs Health Sci, 2020, 22(3):658-666.
DOI URL |
| [3] |
Saville CE, Griffiths P, Ball JE, et al. How many nurses do we need? A review and discussion of operational research techniques applied to nurse staffing[J]. Int J Nurs Stud, 2019, 97:7-13.
DOI PMID |
| [4] |
Han BR, Chen X, Li QP. Application of case mix index in the allocation of nursing human resources[J]. J Nurs Manag, 2018, 26(6):647-652.
DOI URL |
| [5] |
Arksey H, O’Malley L. Scoping studies:towards a methodolo-gical framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32.
DOI URL |
| [6] |
McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mor-tality,readmissions,and length of stay:a prospective study in a panel of hospitals[J]. Lancet, 2021, 397(10288):1905-1913.
DOI URL |
| [7] | Ross HI, Jones MC, Hendriksen BS, et al. Nurse staffing and outcomes for pulmonary lobectomy:cost and mortality trade-offs[J]. Heart Lung, 2021, 50(2):206-212. |
| [8] |
冯娅婷, 陈长英. 河南省三级甲等医院ICU护理人力资源配置对护理质量和患者结局的影响[J]. 中华护理杂志, 2021, 56(4):490-495.
DOI URL |
| Feng YT, Chen CY. The effects of ICU nursing human re-sources in tertiary hospitals in Henan on the quality of nursing and patient outcomes[J]. Chin J Nurs, 2021, 56(4):490-495. | |
| [9] |
Oppel EM, Young GJ. Nurse staffing patterns and patient ex-perience of care:an empirical analysis of US hospitals[J]. Health Serv Res, 2018, 53(3):1799-1818.
DOI URL |
| [10] |
Winter SG, Bartel AP, de Cordova PB, et al. The effect of data aggregation on estimations of nurse staffing and patient outcomes[J]. Health Serv Res, 2021, 56(6):1262-1270.
DOI PMID |
| [11] |
He JH, Staggs VS, Bergquist-Beringer S, et al. Nurse staffing and patient outcomes:a longitudinal study on trend and seasonality[J]. BMC Nurs, 2016, 15:60.
DOI URL |
| [12] |
Sandoval Garrido FA, Tamiya N, Kashiwagi M, et al. Relation-ship between structural characteristics and outcome quality indicators at health care facilities for the elderly requiring long-term care in Japan from a nationwide survey[J]. Geriatr Gerontol Int, 2014, 14(2):301-308.
DOI PMID |
| [13] |
Lake ET, Riman KA, Sloane DM. Improved work environments and staffing lead to less missed nursing care:a panel study[J]. J Nurs Manag, 2020, 28(8):2157-2165.
DOI URL |
| [14] |
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19:an observational study[J]. BMJ Qual Saf, 2021, 30(8):639-647.
DOI PMID |
| [15] |
Vahedian-Azimi A, Hajiesmaeili M, Kangasniemi M, et al. Effects of stress on critical care nurses:a national cross-sectional study[J]. J Intensive Care Med, 2019, 34(4):311-322.
DOI PMID |
| [16] |
Vedanthan R, Ray M, Fuster V, et al. Hypertension treatment rates and health care worker density[J]. Hypertension, 2019, 73 (3):594-601.
DOI PMID |
| [17] |
贾红影, 蒋秋焕, 刘纬华, 等. 河南省护理人力资源现状分析及配置公平性研究[J]. 中华护理杂志, 2020, 55(2):187-192.
DOI URL |
|
Jia HY, Jiang QH, Liu WH, et al. Study on the current status and equity of nursing human resources allocation in Henan Province[J]. Chin J Nurs, 2020, 55(2):187-192.
DOI URL |
|
| [18] |
Lasater KB, Aiken LH, Sloane D, et al. Patient outcomes and cost savings associated with hospital safe nurse staffing legislation:an observational study[J]. BMJ Open, 2021, 11(12):e052899.
DOI URL |
| [19] | 国家卫生健康委员会, 人力资源社会保障部, 财政部, 等. 关于加强公立医疗卫生机构绩效评价的指导意见[EB/OL]. (2015-12-21)[2022-06-26]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=d0be65b3c9464923b541890c-bfb4204f. |
| National Health Commission,Ministry of Human Resources and Social Security,Ministry of Finance, et al. Guidelines on strengthening performance evaluation of public medical and health institutions[EB/OL].(2015-12-21)[2022-06-26]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=d0-be65b3c9464923b541890cbfb4204f. | |
| [20] | 国家卫生健康委员会. 国家卫生健康委办公厅关于印发国家三级公立医院绩效考核操作手册(2022版)的通知[EB/OL]. (2022-04-02)[2022-06-27]. http://www.nhc.gov.cn/yzygj/ylyxjg/202204/d61b7201a56643d1a876e103340e5897.shtml. |
| National Health Commission. Notice of the General Office of the National Health and Health Commission on printing and distributing the operation manual for performance assessment of national tertiary public hospitals (2022 edition) [EB/OL]. (2022-04-02)[2022-06-27]. http://www.nhc.gov.cn/yzygj/ylyxjg/202204/d61b7201a56643d1a876e103340e5897.shtml. | |
| [21] | 国家卫生健康委员会. 国家卫生健康委办公厅关于印发药事管理和护理专业医疗质量控制指标(2020年版)的通知[EB/OL].(2020-08-05)[2022-06-26]. http://www.nhc.gov.cn/yzygj/s7657/202008/c39639a79f7d4a6b935f33f87c57e2dc.shtml. |
| National Health Commission. Notice of the General Office of the National Health Commission on printing and distributing the medical quality control indicators for pharmaceutical affairs management and nursing professionals (2020 edition)[EB/OL].(2020-08-05)[2022-06-26]. http://www.nhc.gov.cn/yzygj/s7657/202008/c39639a79f7d4a6b935f33f87c57e2dc.shtml. | |
| [22] | 蔡梦歆, 贠晖, 陈晶, 等. 基于流行病学调查和工时测定的急诊抢救室护理人力配置研究[J]. 中华急危重症护理杂志, 2022, 3(1):61-66. |
| Cai MX, Yun H, Chen J, et al. Research on the allocation of nursing manpower in emergency room based on epidemiolo-gical investigation and working hour determination[J]. Chin J Emerg Crit Care Nurs, 2022, 3(1):61-66. | |
| [23] | Hirose N, Morita K, Matsui H, et al. Dose-response association between nurse staffing and patient outcomes following major cancer surgeries using a nationwide inpatient database in Japan[J]. J Clin Nurs, 2021:1-12. |
| [24] |
Kim Y, Kim HY, Cho E. Association between the bed-to-nurse ratio and 30-day post-discharge mortality in patients under-going surgery:a cross-sectional analysis using Korean admi-nistrative data[J]. BMC Nurs, 2020, 19:17.
DOI URL |
| [25] | Peterson LJ, Bowblis JR, Jester DJ, et al. The relationship be-tween staffing levels and consumer complaints in nursing homes[J]. J Aging Soc Policy, 2021:1-13. |
| [26] |
Peršolja M. The effect of nurse staffing patterns on patient satis-faction and needs:a cross-sectional study[J]. J Nurs Manag, 2018, 26(7):858-865.
DOI URL |
| [27] |
Liu X, Zheng J, Liu K, et al. Associations of nurse education level and nurse staffing with patient experiences of hospital care:a cross sectional study in China[J]. Res Nurs Health, 2020, 43(1):103-113.
DOI PMID |
| [28] |
曹亚雨, 刘惠蓉, 彭玉娇, 等. 肾移植受者手术决策参与满意度的调查研究[J]. 中华护理杂志, 2021, 56(9):1340-1346.
DOI URL |
| Cao YY, Liu HR, Peng YJ, et al. Current status and influen-cing factors of participating satisfaction with surgical treat-ment decision-making in patients with renal transplantation[J]. Chin J Nurs, 2021, 56(9):1340-1346. | |
| [29] | Wrold Health Organization. Positive practice environments cam-paign[EB/OL].(2010-04-08)[2021-12-21]. https://www.who.int/workforcealliance/about/initiatives/ppe/en/. |
| [30] |
Shin S, Park JH, Bae SH. Nurse staffing and nurse outcomes:a systematic review and Meta-analysis[J]. Nurs Outlook, 2018, 66(3):273-282.
DOI URL |
| [31] |
Sloane DM, Smith HL, McHugh MD, et al. Effect of changes in hospital nursing resources on improvements in patient safety and quality of care:a panel study[J]. Med Care, 2018, 56(12):1001-1008.
DOI URL |
| [32] |
Aiken LH, Sloane DM, Ball J, et al. Patient satisfaction with hospital care and nurses in England:an observational study[J]. BMJ Open, 2018, 8(1):e019189.
DOI URL |
| [33] |
Griffiths P, Recio-Saucedo A, Dall’Ora C, et al. The association between nurse staffing and omissions in nursing care:a systematic review[J]. J Adv Nurs, 2018, 74(7):1474-1487.
DOI PMID |
| [34] | 张曼, 蔡春凤. 基于CiteSpace的护理缺失相关研究热点的可视化分析[J]. 解放军护理杂志, 2021, 38(8):46-49. |
| Zhang M, Cai CF. Visualization analysis of nursing care defi-ciency research hotspots based on CiteSpace[J]. Nurs J Chin PLA, 2021, 38(8):46-49. | |
| [35] |
GBD Healthcare Access and Quality Collaborators. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational lo-cations:a systematic analysis from the Global Burden of Disease Study 2016[J]. Lancet, 2018, 391(10136):2236-2271.
DOI URL |
| [36] | 徐婷婷, 杨若愚. 国内外卫生资源配置研究进展[J]. 中国公共卫生管理, 2019, 35(1):56-59,67. |
| Xu TT, Yang RY. Research process on health resource allo-cation at home and abroad[J]. Chin J Public Heal Manag, 2019, 35(1):56-59,67. | |
| [37] | 雷志勤, 史晓川, 雷亚明. 基于精准化的大型公立医院成本管控实践研究[J]. 中国医院管理, 2021, 41(6):46-48. |
| Lei ZQ, Shi XC, Lei YM. Research on the practice of cost control in large-scale public hospitals based on precision[J]. Chin Hosp Manag, 2021, 41(6):46-48. | |
| [38] | 国务院. 国务院办公厅关于加强三级公立医院绩效考核工作的意见[EB/OL].(2019-01-30)[2022-06-28]. http://www.nhc.gov.cn/yzygj/s7653/201901/5da6e59268b04e659574e3006c3b66-15.shtml. |
| State Council. Opinions of the General Office of State Coun-cil on strengthening the performance evaluation of tertiary public hospitals[EB/OL].(2019-01-30)[2022-06-28]. http://www.nhc.gov.cn/yzygj/s7653/201901/5da6e59268b04e659574e3006c3-b6615.shtml. | |
| [39] | 国家卫生健康委员会. 国家卫生健康委办公厅关于印发《三级医院评审标准(2020年版)实施细则》的通知[EB/OL].(2021-10-21)[2022-06-28]. http://www.nhc.gov.cn/yzygj/s7657/202110/b9fceda937184f259ecae7ece8522d24.shtml. |
| National Health Commission. Notice of the General Office of the National Health Commission on printing and distributing the “implementation rules for the evaluation standards of tertiary hospitals(2020 edition)”[EB/OL].(2021-10-21)[2022-06-28]. http://www.nhc.gov.cn/yzygj/s7657/202110/b9fceda9371-84f259ecae7ece8522d24.shtml. | |
| [40] | 黄欢欢, 赵庆华, 陈治宇, 等. 中美两国医院评审中患者安全评价指标内容比较与思考[J]. 中国医院, 2022, 26(2):29-32. |
| Huang HH, Zhao QH, Chen ZY, et al. Comparison and refle-ction on the content of patient safety evaluation indicators in hospital evaluation in China and the United States[J]. Chin Hosp, 2022, 26(2):29-32. |
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