THE IMPACT OF NURSING GRADE ON THE QUALITY AND OUTCOME OF NURSING-CARE

被引：13

作者：

CARRHILL, RA

DIXON, P

GRIFFITHS, M

HIGGINS, M

MCCAUGHAN, D

RICE, N

WRIGHT, K

机构：

[1] Centre for Health Economics, University of York

[2] Centre for Health Economics, University of York

来源：

HEALTH ECONOMICS | 1995年 / 4卷 / 01期

关键词：

NURSING; SKILL MIX; QUALITY OF CARE; MULTILEVEL MODELING;

D O I：

10.1002/hec.4730040106

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

The large industry which has grown up around the estimation of nursing requirements for a ward or for a hospital takes little account of variations in nursing skill; meanwhile nursing researchers tend to concentrate on the appropriate organisation of the nursing process to deliver best quality care. This paper, drawing on a Department of Health funded study, analyses the relation between skill mix of a group of nurses and the quality of care provided. Detailed data was collected on 15 wards at 7 sites on both the quality and outcome of care delivered by nurses of different grades, which allowed for analysis at several levels from a specific nurse-patient interaction to the shift sessions. The analysis shows a strong grade effect at the lowest level which is 'diluted' at each succeeding level of aggregation; there is also a strong ward effect at each of the lower levels of aggregation. The conclusion is simple; you pay for quality care.

引用

页码：57 / 72

页数：16

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