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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/24772

 
Title :Effect of the Partnership Nursing Model on In-hospital Mortality in Japan
Authors :Higaonna, Miki
Morimoto, Takeshi
Authors affiliation :School of Health Sciences, Faculty of Medicine
Department of Clinical Epidemiology, Hyogo College of Medicine
Issue Date :2019
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :The partnership nursing model involves nurses working in pairs to provide care for patients. To explore the influence of this care-delivery model on patient outcomes, we examined in-hospital mortality data from Japanese university hospitals that have adopted the partnership nursing models (Partnership Nursing System® or Kanazawa University Hospital Interactive Nursing Development) and other nursing models. We also investigated the influence of implementing 1:7 nurse-to-patient ratio in partnership nursing (PN) hospitals and non-PN hospitals. This study involved 42 national medical university hospitals in Japan and utilized publicly available information such as hospital and governmental websites as well as the Japanese Diagnostic Procedure Combination database (which concerns various characteristics of hospitals), literature on nursing delivery models, nurse-to-patient ratio data, and in-hospital mortality trends focusing on the period between 2006 and 2014. We assessed these mortality trends within partnership nursing hospitals and non-partnership nursing hospitals using a linear regression model. The national university hospitals that employed the paired nursing delivery model (n=11) showed a non-significant trend in in-hospital mortality ( p=0.05) between 2006 and 2014; conversely, non-partnership-nursing hospitals (n=8) exhibited a significant declining trend in in-hospital mortality ( p=0.004) during this same period. In-hospital mortality trends differ between hospitals that implement the partnership nursing model and those that do not use this care-delivery model. While we were unable to adjust for patientsʼ and healthcare professionalsʼ background factors due to limitations of publicly available information, more rigorous future studies are suggested to further examine the association of the partnership nursing model on in-hospital mortality.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/24772
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.38 no.1-4 p.89 -97
Appears in Collections:Ryukyu Medical Journal

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