Comparing an All-RN Unit to a Mixed-Skill Unit at a Hospital.

Szczegóły
Abstrakt

Tytuł:: Comparing an All-RN Unit to a Mixed-Skill Unit at a Hospital.
Autorzy:: Dzikowicz DJ; Author Affiliations: Doctoral (PhD) Candidate, School of Nursing, and Registered Nurse (Mr Dzikowicz); Nurse Manager and Nurse Retention Officer (Ms Schmitt); Advanced Practice Registered Nurse & Nurse Educator (Ms Gastle); Nurse Manager (Ms Skermont); and Associate Professor and Director of Clinical Nursing Research Center (Dr Carey), University of Rochester Medical Center, New York.
Schmitt LA
Gastle K
Skermont A
Carey MG
Źródło:: The Journal of nursing administration [J Nurs Adm] 2020 Dec; Vol. 50 (12), pp. e14-e22.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Billerica, Mass., Contemporary Publishing Associates]
MeSH Terms:: Patient Satisfaction*
Nurses/*statistics & numerical data
Nursing Staff, Hospital/*organization & administration
Accidental Falls/prevention & control ; Accidental Falls/statistics & numerical data ; Hospitals ; Humans ; Nurses/standards ; Nursing Assistants ; Patient Readmission/statistics & numerical data ; Prospective Studies
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Entry Date(s):: Date Created: 20201112 Date Completed: 20201123 Latest Revision: 20210209
Update Code:: 20240105
DOI:: 10.1097/NNA.0000000000000954
PMID:: 33181604
: Czasopismo naukowe

Objective: The aim of this study was to assess the differences in patient complications as well as patient and staff satisfaction between a mixed-skill unit and an all-registered nurse (RN) unit.
Background: It is recognized that nursing care delivered by RNs results in better outcomes; however, more evidence is needed to support a change to an all-RN unit.
Methods: A mixed unit with RNs and unlicensed assistive personnel was compared with an all-RN unit. Each unit had similar resources. Patient complications and patient and staff satisfaction were measured. Patient complications were reported in terms of 1,000 patient days over the study period to minimize noise fluctuations; t test and χ compared means and frequencies, respectively.
Results: The all-RN unit had a lower prevalence of patient complications. Patients reported better pain management, and nurse explanation, and reported higher satisfaction on the all-RN unit.
Conclusions: An all-RN unit provided superior outcomes compared with a mixed-skill unit without additional costs.

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