GÜVENLİ İSTİHDAMIN ÖNEMİ

Year 2008, Volume: 11 Issue: 3, 106 - 112, 19.02.2010

Hatice Ulusoy

Abstract

Yapılan araştırmalarda, güvenli hemşire istihdamının sağlık hizmetlerinin ve hemşirelik
bakımının kalitesini belirleyen önemli faktörlerden birisi olduğu kanıtlanmıştır. Güvenli istihdam,
hasta bakım gereksinimlerinin ve güvenli çalışma koşullarının sağlanmasına olanak sağlayacak
uygun sayı ve nitelikte hemşirenin her zaman mevcut olması şeklinde tanımlanmaktadır.
Hastanelerde güvenli hemşire istihdamı sağlanması durumunda; mortalite oranları düşmekte,
hastanede kalış süreleri kısalmakta, hasta ve hemşire memnuniyeti artmakta, hastalara verilen
bakım ve hizmetin kalitesinde iyileşme görülmekte, istenmeyen olayların meydana gelme riski ve
sıklığı azalmakta, tüm bunların sonucunda maliyet azalmaktadır. Bu makalede güvenli hemşire
istihdamının önemi ve yararları tartışılacaktır.

Keywords

Güvenli istihdam, hemşirelik

References

• American Nurses Association (1999). Principles for nurse staffing. http://www.nursingworld.org/ readroom/stffprnc.htm (erişim tarihi: 20 Nisan 2006).
• American Federation of Teachers (1995). Definition of “safe staffing”. http://www.aft.org/topics/healthcarestaffing/definition.ht m (erişim tarihi: 20 Nisan 2006).
• Aiken LH, Sloane DM, Lake ET et al. (1999). Organization and outcomes of inpatient AIDS care. Medical Care 37(8): 760-772.
• Aiken LH, Clarke SP, Sloane DM et al. (2002a). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association 288(16): 1987- 93. Aiken LH, Clarke SP, Sloane DM (2002b). Hospital staffing, organization, and quality of care: cross-national findings. International Journal for Quality in Health Care 14(1):5-13.
• Amaravadi RK, Dimick JB, Pronovost PJ et al. (2000). ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive care medicine 26(12): 1857-62
• Armstrong F (2006). Safe staffing saves lives. Australian Nursing Journal 13(10): 22
• Buchan J (2005). A certain ratio? The policy implications of minimum staffing ratios in nursing. Journal of Health Services Research & Policy 10(4): 239-46.
• Clarke SP, Aiken LH (2006). More nursing, fewer deaths. Quality and Safety in Health Care 15: 2-3.
• Hurst K (2002). Selecting and applying methods for estimating the size and mix of nursing teams International Council of Nurses, Nurse: Patient ratios. http://www.icn.ch/matters_rnptratio.htm (erişim tarihi: 15 Nisan 2006).
• ICN (2006). International Nurses Day Information and Action Tool Kit. www.icn.ch/indkit2006.pdf (erişim tarihi: 10.05. 2006).
• Needleman J, Buerhaus P, Mattke S et al. (2002). Nurse staffing levels and the quality of care in hospitals. New England Journal of Medicine 346(22): 1715-1722.
• Needleman J, Buerhaus P, Stewart M et al. (2006). Nurse staffing in hospitals: is there a business case for quality? Health Affairs 25 (1): 204-11.
• Oulton JA (2006) Safe staffing - a shared responsibility. International Nursing Review 53 (1): 11.
• Rafferty AM, Clark SP, Coles J et al. (2007). Outcomes of variation in hospital nurse staffing in English hospitals: Crosssectional analysis of survey data and discharge records. International Journal of Nursing Studies 44: 175–82.
• Rothberg MB, Abraham I, Lindenauer PK et al. (2005). Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care 43(8): 785-91.
• Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü (2004). 80. Yılda Tedavi Hizmetleri (1923-2003) Ankara. http://www.sabem.saglik.gov.tr/kaynaklar/2009.pdf erişim tarihi: 25 Nisan 2006).
• Sasichay-Akkadechanunt T, Scalzi CC, Jawad AF (2003). The relationship between nurse staffing and patient outcomes. Journal of Nursing Administration 33(9): 478–85.
• Seago JA, Williamson A, Atwood C (2006). Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Journal of Nursing Administration 36(1): 13-21.
• Sheward L, Hunt J, Hagen S et al. (2005). The relationship between UK hospital nurse staffing and emotional exhaustion and job dissatisfaction. Journal of Nursing Management 13(1): 51-60.
• Sullivan EJ, Decker PJ (2001). Effective Leadership and Management in Nursing, 5th ed. USA. Prentice Hall.
• Tourangeau AE, Cranley LA, Jeffs L (2006). Impact of nursing on hospital patient mortality: a focused review and related policy implications. Quality & Safety in Health Care 15(1): 4-8.
• Vahey DC, Aiken LH, Sloane DM et al. (2004). Nurse burnout and patient satisfaction. Medical Care 42(2 Suppl) II57-66
• Ward C (2005). Registered Nurse Safe Staffing Act of 2005: Part I, Medsurg. Nursing 14(5): 338-40
• Yang KP (2003). Relationships between nurse staffing and patient outcomes. Journal of Nursing Research 11(3): 149-158.