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Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries

International Journal of Nursing Sciences 2019年第3期6卷 239-246页

作者： Arshia Amiri Tytti Solankallio-Vahteri Sirpa Tuomi JAMK University of Applied Sciences JyväskyläFinland

Objectives: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and development (OECD).Methods: The number of practicing nurses' density per 1000 population and five surgical complications indicators including foreign body left in during procedure (FBL),postoperative pulmonary embolism (PPE) and deep vein thrombosis (DVT) after hip and knee replacement,postoperative sepsis after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were collected in crude rates per 100,000 hospital discharges for age group of 15 years old and over within 30 days after surgery based on surgical admission-related and all admission-related *** observations of 21 OECD countries were collected from OECD Health Statistics during 2010-2015 *** statistical technique of panel data analysis including unit root test,co-integration test and dynamic long-run analysis were used to estimate the possible relationship between our panel ***: There were significant relationships from nurse-staffing level to reducing FBL,PPE,DVT,PSA and PWD with long-run magnitudes of-2.91,-1.30,-1.69,-2.81 and-1.12 based on surgical admission method as well as-6.12,-14.57,-7.29,-1.41 and-0.88 based on all admission method,***: A higher proportion of nurses is associated with higher patient safety resulting from lower surgical complications and adverse clinical outcomes in OECD ***,we alert policy makers about the risk of underestimating the impact of nurses on improving patient safety as well as the quality of health care services in OECD countries.

关键词： Nursing staff Organization for Economic Co-Operation and development Panel data analysis Patient discharge Patient safety Perioperative complication Quality of health care

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Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries

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International Journal of Nursing Sciences 2020年第2期7卷 161-169页

作者： Arshia Amiri Katri Vehviläinen-Julkunen Tytti Solankallio-Vahteri Sirpa Tuomi School of Health and Social Studies JAMK University of Applied SciencesJyväskyläFinland Department of Nursing Science University of Eastern FinlandKuopioFinland

Objectives:To investigate the magnitude of effect nurse staffing had on decreasing the newborn mortality rates in member countries of Organisation for Economic Co-operation and development(OECD).Methods:The statistical technique of panel data analysis was applied to explore the possibility of association between the number of nurses'density per 1,000 population and infant,neonatal and perinatal mortality rates(IMR,NMR and PMR)per 1000 *** observations of 35 OECD countries were collected over the period of 2000 through ***:There were significant associations between nurse staffing and IMR,NMR and PMR i.e.a 1%increase in nurse-staffing level reduced IMR,NMR and PMR by 0.98%,0.97%and 0.96%,***,the role of nursing-related services in declining the average of newborn mortality rates were investigated at the highest level in Slovenia(-5.50),Sweden(-3.34),Iceland(-2.51),Czech Republic(-1.86),Japan(-1.64)and Finland(-1.64).Moreover,if the current relationship between nursestaffing level and newborn mortality rates are disturbed with nursing shortage(*** Slovak Republic and Israel),then it takes about 17 years for the mortality rates to reduce and restore back to the previous ***:A higher proportion of nurses'density per 1,000 population is associated with lower newborn mortality *** addition,the nursing-related services of Slovenia,Sweden,Iceland,Czech Republic,Japan and Finland with the highest impact on improving the health level of newborns would be good patterns for other developed countries in maternity and child health care.

关键词： Health manpower Infant mortality Nursing staff Organisation for Economic Co-operation and development Perinatal mortality

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