护理人力资源配置评价指标的范围综述  

Indicators to evaluate nursing staff allocation:a scoping review

作　　者：杜美晨 汪晖 刘于 曾铁英 王颖[1] 李咪琪 王颖 DU Meichen;WANG Hui;LIU Yu;ZENG Tieying;WANG Ying;LI Miqi;WANG Ying

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,武汉市430030

出　　处：《中华护理杂志》2023年第3期366-373,共8页Chinese Journal of Nursing

基　　金：中国卫生人才培养项目护理研究子项目(2021-HLYJ-010)。

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。Objective The scope of the literature related to nursing staff allocation was reviewed,so as to clarify the evaluation categories,connotations,applicable scenarios,application effects,evaluation tools,and contents of nursing staff allocation,as well as the differences between domestic and overseas evaluation indicators.Methods Guided by the methodological framework of the scope review,we systematically searched domestic and foreign databases and guideline libraries such as CNKI,Wanfang,PubMed,CINAHL,Web of Science,and International Guideline Collaboration Network.The search period was from February 14,2012 to February 14,2022.The included studies were summarized and analyzed.Results 371 papers were included.The indicators appeared 632 times in total,including 338 patient-related indicators,181 nurse-related indicators and 113 organization-related indicators.The top 10 indicators of occurrence frequency were equity,mortality,job satisfaction,quality of care and patient safety evaluation,patient satisfaction,hospital stay,infection,pressure injury,falls and bed fall,and the lack of nursing care.Foreign countries pay more attention to indicators such as infection,mortality,length of stay,readmission rate,and the lack of nursing care,while more emphasis were on fairness and satisfaction in our country.Conclusion At present,the construction of indicators underlying nursing staff allocation needs to be improved.It is necessary to standardize the names,connotations,evaluation methods and weights of indicators,and to build a set of indicator systems with strong guidance and high sensitivity.

关 键 词：护士 护理人力资源 评价指标 范围综述 护理管理研究 

分 类 号：R47[医药卫生—护理学]