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Worldviews Evid Based Nurs ; 15(5): 353-360, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30129163


BACKGROUND: Conclusive evidence on the effect of nurse staffing ratios on nurse-sensitive outcomes (NSOs) has not yet been achieved worldwide. AIMS: To describe the relationship between nurse staffing and NSOs at a Magnet designated, university hospital a low-income country. METHODS: A 48-month prospective study assessed the relationship between nurse staffing and six patient outcomes or NSOs in medical-surgical units and critical care units (CCUs). Nurse staffing was measured by nursing hours per patient day (NHPPD) and skill mix, whereas NSOs were total falls and injury falls per 1,000 patient days, percent of surveyed patients with hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections, ventilator-associated pneumonia, and central line-associated bloodstream infections (CLABSI) per 1,000 central line days. RESULTS: The odds for total falls, injury falls, HAPI, and CLABSI in the medical-surgical units were higher with lower NHPPD ratios, OR = 4.67, p = .000; OR = 4.33, p = .001; OR = 3.77, p = .004 and OR = 2.61, p = .006, respectively. For the CCUs, lower rates of NHPPD increased the odds for total falls, OR = 6.25, p = .0007, HAPIs OR = 3.91, p = .001 and CLABSI, OR = 4.78, p = .000. Skill mix was associated with total falls, OR = 2.40, p = .005 and HAPIs OR = 2.07, p = .03 in the medical-surgical units but had no effect in any NSOs in the CCUs. LINKING EVIDENCE TO ACTION: Higher rates of nurses per patient were effective in improving some NSOs but not others. Skill mix had no effect on any of the six NSOs in the CCUs. As such, the results remain inconclusive as the benefits of the higher nurse to patient ratios in this low-income country warranting further multisite studies in different settings and countries.

Países em Desenvolvimento/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/normas , Admissão e Escalonamento de Pessoal/normas , Projetos de Pesquisa/tendências , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Áreas de Pobreza , Estudos Prospectivos
J Nurs Meas ; 23(2): 204-23, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26284836


BACKGROUND AND PURPOSE: Although patient satisfaction is an important indicator of the quality of care received in hospitals, no reliable and valid Arabic comprehensive inpatient satisfaction survey has been published. The purpose of this study was to evaluate the psychometric properties of an Arabic patient satisfaction survey. METHODS: A cross-sectional design was used where 1,339 randomly selected patients were interviewed by phone. The questionnaire was adopted and from the Hospital Consumer Assessment of Healthcare Providers and Systems survey, refined and tested over a 4-year period. RESULTS: Item-item correlations for the 22 items on the survey ranged from .52 to .92, and the Cronbach's alpha coefficient was .87. Construct and predictive validity were also adequate. CONCLUSION: The survey is recommended for use in hospitals in Lebanon and other Middle Eastern countries to facilitate benchmarking and quality improvement.

Pacientes Internados , Satisfação do Paciente , Psicometria , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Líbano , Masculino , Pessoa de Meia-Idade , Processo de Enfermagem , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem