Analysis For Application Of Nursing-Sensitive Quality Indicator In A 3 Tertiary General Hospitals In Xinjiang

Object:(1)Using nursing sensitive quality indicators to know the nursing quality status in a 3 Tertiary General Hospitals in Xinjiang in 2016;(2)Comparison of the sensitive indicator data between the hospital and the nation;(3)To explore the relationship between structural indicator and process indicator and patient outcomes.Methods: Cross-sectional survey was applied in this study.For this study,data was obtained from January to September in 2016 in a 3 Tertiary General Hospitals in Xinjiang.Linear regression was employed to explore the relationships between structural indicators and process indicators and patient outcomes.The structural indicator was nurse to patient ratio;the process indicator was nurses' job satisfaction;the seven patient outcomes variables included the incidence of intravenous medication errors,incidence of falls or fall out of bed,incidence of injury from a fall or fall out of bed after admission,incidence of high-risk patients with pressure ulcers and incidence of hospital-acquired pressure ulcers,incidence of unplanned extubation,Chinese hospital patient experience and satisfaction.Results:(1)The basic situation of nursing sensitive quality indicators were as follows: the nurse to patient ratio was 1:11.11;the score of nurse's job satisfaction was 90.507±6.058;incidence of intravenous medication error(‰)is 0.026±0.010;incidence of fall/drop of bed(‰)was 0.101±0.024;incidence of injury from inpatients fall/drop bed(%)was 38.675±7.964;incidence of high-risk patients with pressure ulcers(‰)was 4.247±1.496;incidence of pressure ulcers(‰)was 0.684±0.214;incidence of unplanned extubation(‰)was 1.580±0.522;the score of Chinese hospital patient experience and satisfaction was 97.704±5.385.(2)Compared with the national nursing quality indicators data,the nurse to patient ratio in a hospital was lower,then the incidence of fall/drop of bed and incidence of pressure ulcers were higher.(3)There was a positive correlation between nurse to patient ratio and nurses' job satisfaction(P<0.05).There was a negtive correlation between nurse to patient ratio and the incidence of intravenous medication errors,incidence of falls or fall out of bed,incidence of injury from a fall or fall out of bed after admission(P <0.05).There was no correlation between nurse to patient ratio and incidence of high-risk patients with pressure ulcers,incidence of hospital-acquired pressure ulcers,incidence of unplanned extubation,Chinese hospital patient experience and satisfaction(P>0.05).(4)There was a positive correlation between nurses' job satisfaction and Chinese hospital patient experience and satisfaction(P<0.05).There was no correlation between nurses' job satisfaction and incidence of intravenous medication errors,incidence of falls or fall out of bed,incidence of injury from a fall or fall out of bed after admission,incidence of high-risk patients with pressure ulcers,incidence of hospital-acquired pressure ulcers,incidence of unplanned extubation(P>0.05).Discussion:(1)The sensitivity of nursing quality indicators can be used to reflect the quality of nursing.(2)Nurse staffing can influence quality of nursing.The hospital nursing workforce equipped with insufficient at present,nursing managers should increase the number of nursing staff to improve the quality of nursing.(3)A higher score of nurses' job satisfaction was significantly associated with a higher score of hospital patient experience and satisfaction.