Changes in Patient Care Experiences and the Nurse Work Environment: A Longitudinal Study of U.S. Hospitals.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Medical Care Research and Review Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI:10.1177/10775587241282403
Kathleen E Fitzpatrick Rosenbaum, Karen B Lasater, Matthew D McHugh, Eileen T Lake
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Abstract

Addressing patient experience is a priority in the health care system. Hospital Consumer Assessment of Providers and Systems (HCAHPS) survey results incentivize hospitals to elevate patient experience, a factor in patient-centered care. Although hospital nursing resources have been positively associated with better HCAHPS ratings, it is unknown how changes in nursing resources are associated with changes in HCAHPS ratings over time. This two-period longitudinal study ranked the associations between changes in nurse staffing, skill mix, nurse education, and work environment on HCAHPS ratings and found that changes in the work environment had the strongest associations (β = 2.29; p < .001) with improved HCAHPS ratings. Our findings provide hospital administrators with empirical evidence that may help make informed decisions on how to best invest limited resources to improve HCAHPS ratings, including the potential utility of improving the work environment through enhancing Nursing Quality of Care and Nurse Participation in Hospital Affairs.

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病人护理体验和护士工作环境的变化:美国医院纵向研究》。
解决患者体验问题是医疗保健系统的当务之急。医院服务提供者和系统消费者评估(HCAHPS)调查结果激励医院提升患者体验,这也是以患者为中心的护理的一个因素。尽管医院护理资源与 HCAHPS 评分的提高呈正相关,但护理资源的变化与 HCAHPS 评分随时间推移的变化之间的关系尚不清楚。这项为期两期的纵向研究对护士人员配备、技能组合、护士教育和工作环境的变化与 HCAHPS 评级之间的关联进行了排序,发现工作环境的变化与 HCAHPS 评级的关联性最强(β = 2.29;p.
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来源期刊
Medical Care Research and Review
Medical Care Research and Review 医学-卫生保健
CiteScore
6.00
自引率
4.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, economics, and the financing of health and medical care systems. MCRR also includes original empirical and theoretical research and trends to enable policy makers to make informed decisions, as well as to identify health care trends. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 25 days
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