[1]张可寅翟祎帆宋艳黄安乐徐亚红吴秀芹.ICU护士结构配置指标与护理结局质量指标相关性分析[J].中国卫生质量管理,2023,30(02):055-59.[doi:10.13912/j.cnki.chqm.2023.30.2.13 ]
　ZHANG Keyin,ZHAI Yifan,SONG Yan.Correlation Analysis between Structural Allocation Index among ICU Nurses and Nursing Outcome Quality Index[J].Chinese Health Quality Management,2023,30(02):055-59.[doi:10.13912/j.cnki.chqm.2023.30.2.13 ]
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ICU护士结构配置指标与护理结局质量指标相关性分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年02期
页码:
055-59
栏目:
护理质量
出版日期:
2023-02-15

文章信息/Info

Title:
Correlation Analysis between Structural Allocation Index among ICU Nurses and Nursing Outcome Quality Index
作者:
张可寅翟祎帆宋艳黄安乐徐亚红吴秀芹
南京中医药大学护理学院
Author(s):
ZHANG Keyin; ZHAI Yifan; SONG Yan
School of Nursing, Nanjing University of Chinese Medicine
关键词:
ICU; 护士; 质量指标; 结构指标; 结局指标; 护理质量
Keywords:
ICU;  Nurse;  Quality Index;  Structural Index;  Outcome Index; Nursing Quality
分类号:
R47
DOI:
10.13912/j.cnki.chqm.2023.30.2.13
文献标志码:
A
摘要:
目的分析ICU不同级别护士结构配置指标与护理结局质量指标的相关性，为ICU护理质量改进提供参考。方法选取ICU本科及以上学历护士占比、中级及以上职称护士占比、专科护士占比3项结构配置指标，导尿管非计划性拔管率、导尿管相关尿路感染（CAUTI)发生率、呼吸机相关性肺炎（VAP)发生率、气管插管非计划性拔管率等10项护理结局质量指标，回顾性收集某三甲医院综合ICU 2019年-2021年指标数据。使用STATA软件进行线性回归分析。结果 ICU专科护士占比每增加1%，VAP发生率下降0.066‰，CAUTI发生率下降0.384‰，护理安全不良事件发生例数下降0.041例/季度；ICU中级及以上职称护士占比每增加1%，CAUTI发生率下降0.530‰，护士职业暴露发生例数下降0.024例/季度；ICU本科及以上学历护士占比每增加1%，气管插管非计划性拔管率下降0.577‰，VAP发生率下降0.497‰，护理安全不良事件发生例数下降0.004例/季度。结论ICU本科及以上学历护士占比、中级及以上职称护士占比、专科护士占比对ICU护理结局质量指标有一定影响。建议从多角度（如护士能力、专业能级等）挖掘ICU不同级别护士结构配置指标，开展多中心研究，为ICU护士结构配置指标与护理结局质量指标的相关性提供更多证据。
Abstract:
ObjectiveTo analyze the correlation between the structural allocation index and nursing outcome quality index of nurses of different levels in ICU, and to provide reference for the improvement of nursing quality in ICU. MethodsThree structural configuration indexes, including the proportion of ICU nurses with bachelor's degree or above, the proportion of nurses with intermediate or above professional title, and the proportion of specialist nurses, and 10 nursing outcome quality indexes, including the rate of unplanned catheter extubation, the incidence of catheter-related urinary tract infection (CAUTI), the incidence of ventilator-associated pneumonia (VAP), and the rate of unplanned extubation of tracheal intubation, were selected. Comprehensive ICU index data from 2019 to 2021 of a tertiary hospital were retrospectively collected. STATA software was used for linear regression analysis. ResultsWhen the proportion of ICU nurses increased by 1%, the incidence of VAP decreased by 0.066‰, the incidence of CAUTI decreased by 0.384‰, and the incidence of adverse nursing safety events decreased by 0.041 cases per quarter. The incidence of CAUTI decreased by 0.530‰ and the number of occupational exposure cases decreased by 0.024 cases per quarter for every 1% increase in the proportion of nurses with intermediate or above titles in ICU. When the proportion of ICU nurses with bachelor degree or above increased by 1%, the unplanned extubation rate of tracheal intubation decreased by 0.577‰, the incidence of VAP decreased by 0.497‰, and the incidence of adverse nursing safety events decreased by 0.004 cases per quarter.Conclusion The proportion of nurses with bachelor degree or above in ICU, the proportion of nurses with intermediate or above professional title and the proportion of specialized nurses have certain influence on the quality index of ICU nursing outcome. It was suggested to explore the structural allocation indicators of nurses at different levels in ICU from multiple perspectives (such as nurse ability, professional level, etc.) and conduct a multi-center study to provide more evidence for the correlation between structural allocation indicators of nurses in ICU and nursing outcome quality indicators.

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更新日期/Last Update: 2023-02-15