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[Monitoring of nursing service context factors: first descriptive results of a cross-sectional Swiss study prior the introduction of SwissDRG]. Monitoring von Pflegekontextfaktoren – Erste deskriptive Studienresultate einer Querschnittserhebung der
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
[Monitoring of nursing service context factors: first descriptive results of a cross-sectional Swiss study prior the introduction of SwissDRG]. Monitoring von Pflegekontextfaktoren – Erste deskriptive Studienresultate einer Querschnittserhebung der schweizerischen DRG Begleitforschung Pflege vor Einführung der SwissDRG
Journal
Pflege
Volume
28
Number
2
Pages / Article-Number
93-107
Keywords
Akutspital, Diagnosis Related Groups, Mixed-Methods-Design, Monitoring, Pflege, acute-care hospital, diagnosis related groups, mixed methods design, nursing administration research, nursing service
Abstract
The adoption of DRG-based payment systems has narrowed hospitals' financial margins, necessitating streamlining and process optimization. The experience of other countries shows that this restructuring can influence context factors essential to the delivery of nursing care. As a result, nursing care quality and patient safety may be impacted.; The Sinergia Project aims to develop a monitoring model and related instruments to continuously monitor the impact of DRG-based reimbursement on central nursing service context factors.; The descriptive, quantitative results were collected within the framework of a study with a mixed methods design by means of an online survey in which nurses from five hospitals participated.; The results show that the nursing service context factors examined (nursing care complexity, quality of the work environment, management, moral distress and job satisfaction), have relevance in all practice areas as regards practice setting and nursing care delivery. Patterns can be recognized that are consistent with those found in the literature and which could be an indication of the relationships between the context factors above, as was hypothesized in the model.; The study has provided the participating hospitals with useful data upon which to base discussions on ensuring quality of nursing care and practice development, in addition to information important to the further development of the model and the instruments employed.
