On accumule de plus en plus de preuves confirmant le lien qui existe entre les variables des soins infirmiers (par ex., taux de dotation, compétence collective) et les résultats pour les patients, y compris la morbidité et la mortalité. Cet article présente les grands thèmes qui sont ressortis de cette recherche et les traduit en mesures concrètes pour les hauts dirigeants des soins de santé. Une intervention immédiate s'impose afin que les hôpitaux puissent recruter efficacement et garder du personnel infirmier, et pour fournir aux patients des soins de haute qualité qui réduise le risque au minimum.
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References
1.
Canadian Nursing Advisory Committee.Final Report of the Canadian Nursing Advisory Committee. Health Canada; 2002.
2.
KoehoornMLoweGRondeauKSchellenbergGWagarT. Canadian Policy Research Networks Discussion Paper: Creating High-Quality Healthcare Workplaces. Canadian Policy Research Networks Inc. January 2002.
3.
KovnerC. The impact of staffing and the organization of work on patient outcomes and healthcare workers in health organizations. The Joint Commission Journal September 2001: 458–68.
4.
ShamianJKerrMSSpence-LaschingerHThomsonD. A hospital-level analysis of the work environment and workforce health indicators for registered nurses in Ontario's acute care hospitals. Canadian Journal of Nursing Research2002; 33(4): 35–50.
5.
AikenLClarkeSSloaneD. Hospital restructuring: Does it adversely affect care and outcomes?Journal of Nursing Administration2000; 30(10): 457–65.
6.
AikenLClarkeSSloaneD. Hospital staffing, organization and quality of care: Cross-national findings. International Journal for Quality in Healthcare2002; 14(1): 5–13.
7.
AikenLClarkeS PSloaneDSochalskiJBusseRClarkeH. Nurses' report on hospital care in five countries. Health Affairs May/June 2001: 43–53.
8.
TourangeauAGiovanettiPTuJVWoodM. Nursing-related determinants of 30-day mortality for hospitalized patients. Canadian Journal of Nursing Research2002; 33(4): 71–88.
9.
American Nurses Association.Nursing facts: Nursing-sensitive quality indicators for acute care settings and ANA's safety and quality initiative. American Nurses Association Brochure; 1999.
10.
NeedlemanJBuerhausPMattkeSStewartMZelevinskyK. Nurse staffing and patient outcomes in hospitals. Final Report: US Department of Health and Human Services, Health Resources and Services Administration, contract no. 230-99-0021. February 28, 2001.
11.
AikenLClarkeS PSloaneDSochalskiJSilberJ. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA2002; 288(16): 1987–93.
12.
ClarkeSPAikenL. Failure to rescue. American Journal of Nursing2003; 103(1): 42–7.
13.
PronovostPDangEDormanTLipsettPGarrettEJenckesM. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Effective Clinical Practice2001; 4(5): 191–8.
14.
Blakeman-HodgeMAschSOlsonVKravitzRSauveMJ. Developing indicators of nursing quality to evaluate nurse staffing ratios. Journal of Nursing Administration2002; 32(6): 338–45.
15.
JacksonMChiarelloLGaynesRGerberdingJ. Nurse staffing and healthcare-associated infections: Proceedings from a working group meeting. Am J Infect Control2002; 30(4): 199–206.
16.
UnruhL. Licensed nurse staffing and adverse events in hospitals. Medical Care2003; 41(1): 142–52.
17.
Tarnow-MordiWOHauCWardenAShearerAJ. Hospital mortality in relation to staff workload: A four-year study in an adult intensive-care unit. Lancet2002; 356: 185–89.
18.
BlegenMVaughnTGoodeC. Nurse experience and education: Effect on quality of care. Journal of Nursing Administration2001; 31(1): 33–9.
19.
McGillis-HallLIrvine-DoranLBakerGRPinkGHSidaniSO'Brien-PallasL. A Summary Report of the Nursing Staff Mix Outcomes Study. Ontario Council of Teaching Hospitals and Canadian Health Services Research Foundation; September 2001.
20.
American Nurses Association.Principles for nurse staffing. The American Nurses Association; 1999.
21.
ClarkeSPRockettJLSloaneDAikenL. Organizational climate, staffing and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control2002; 30(4): 207–16.
22.
GreenglassEBurkeR. Stress and effects of hospital restructuring in nurses. Canadian Journal of Nursing Research2001; 33(2): 93–108.
23.
LundstromTPuglieseGBartleyJCoxJGuitherC. Organizational and environmental factors that affect worker health and safety and patient outcomes. Am J Infect Control2002; 30(2): 93–106.
24.
BaumannAO'Brien-PallasLArmstrong-StassenMBlytheJBourbonnaisRCameronS. Commitment and Care: The Benefits of a Healthy Workplace for Nurses, Their Patients and the System. Canadian Health Services Research Foundation and The Change Foundation; 2001.
25.
WatsonC. Understanding the factor that influence nurses' job satisfaction. Journal of Nursing Administration2002; 32(5): 229–31.
