Collaboration in research: testing the PIPC model on clinical and nonclinical outcomes.

NursingConnections Pub Date : 1997-01-01
C A Lengacher, P R Mabe, D Heinemann, M L VanCott, K Kent, S Swymer
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Abstract

This outcomes research used a collaborative framework between a college of nursing and a medical center to test the effects of the Partners in Patient Care delivery model (PIPC) on clinical and nonclinical outcomes. An experimental pretest-postest design was used to compare selected nonclinical outcomes and clinical outcomes of care in two patient units. Results showed that there were significant differences between units in the nonclinical outcomes of nurse satisfaction, salary costs, supply costs, and productivity as measured by documentation time. In addition, there were significant differences in the clinical outcomes of care in terms of patient satisfaction. No significant differences were found in number of falls, medication errors, and intravenous infections; however, when ratios of these indicators were examined in relation to patient days, significant differences in the medication error ratio and the fall ratio were revealed. The results indicate that the PIPC delivery model did have positive effects on patient satisfaction and nurse satisfaction but that there were increased costs and increased time spent in documentation on the pilot unit.

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研究合作:在临床和非临床结果上测试PIPC模式。
这项结果研究使用护理学院和医疗中心之间的合作框架来测试合作伙伴在患者护理交付模式(PIPC)对临床和非临床结果的影响。采用实验前测后测设计来比较两个病人单位的选定的非临床结局和临床结局。结果显示,各单位在护士满意度、工资成本、供应成本和以记录时间衡量的生产率等非临床结果方面存在显著差异。此外,在患者满意度方面,护理的临床结果也存在显著差异。两组在跌倒次数、用药错误和静脉感染方面无显著差异;然而,当将这些指标的比率与患者天数进行比较时,发现用药错误率和跌倒率存在显著差异。结果表明,PIPC交付模式确实对患者满意度和护士满意度有积极影响,但在试点单位有增加的成本和增加的时间花费在文件。
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