scholarly journals Hospital nurse staffing and patient outcomes in Chile

2021 ◽  
Vol 9 (11) ◽  
pp. e1501
Author(s):  
Motoi Miura ◽  
Tetsuya Tanimoto
Keyword(s):  
Patient Outcomes ◽  
Nurse Staffing ◽  
Hospital Nurse

scholarly journals HOSPITAL NURSE STAFFING AND PATIENT OUTCOMES

2018 ◽  
Vol 29 (3) ◽  
pp. 322-327 ◽  
Author(s):  
Linda H. Aiken ◽  
Consuelo Cerón ◽  
Marta Simonetti ◽  
Eileen T. Lake ◽  
Alejandra Galiano ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Nurse Staffing ◽  
Hospital Nurse

scholarly journals Chronic hospital nurse understaffing meets COVID-19: an observational study

2020 ◽  
pp. bmjqs-2020-011512 ◽  
Author(s):  
Karen B Lasater ◽  
Linda H Aiken ◽  
Douglas M Sloane ◽  
Rachel French ◽  
Brendan Martin ◽  
...  
Keyword(s):  
New York ◽  
Patient Outcomes ◽  
Nurse Staffing ◽  
Care Quality ◽  
Additional Patient ◽  
Hospital Nurses ◽  
The Public ◽  
Hospital Nurse ◽  
Local Evidence ◽  
Surgical Units

IntroductionEfforts to enact nurse staffing legislation often lack timely, local evidence about how specific policies could directly impact the public’s health. Despite numerous studies indicating better staffing is associated with more favourable patient outcomes, only one US state (California) sets patient-to-nurse staffing standards. To inform staffing legislation actively under consideration in two other US states (New York, Illinois), we sought to determine whether staffing varies across hospitals and the consequences for patient outcomes. Coincidentally, data collection occurred just prior to the COVID-19 outbreak; thus, these data also provide a real-time example of the public health implications of chronic hospital nurse understaffing.MethodsSurvey data from nurses and patients in 254 hospitals in New York and Illinois between December 2019 and February 2020 document associations of nurse staffing with care quality, patient experiences and nurse burnout.ResultsMean staffing in medical-surgical units varied from 3.3 to 9.7 patients per nurse, with the worst mean staffing in New York City. Over half the nurses in both states experienced high burnout. Half gave their hospitals unfavourable safety grades and two-thirds would not definitely recommend their hospitals. One-third of patients rated their hospitals less than excellent and would not definitely recommend it to others. After adjusting for confounding factors, each additional patient per nurse increased odds of nurses and per cent of patients giving unfavourable reports; ORs ranged from 1.15 to 1.52 for nurses on medical-surgical units and from 1.32 to 3.63 for nurses on intensive care units.ConclusionsHospital nurses were burned out and working in understaffed conditions in the weeks prior to the first wave of COVID-19 cases, posing risks to the public’s health. Such risks could be addressed by safe nurse staffing policies currently under consideration.

scholarly journals Hospital nurse staffing and patient outcomes in Chile: a multilevel cross-sectional study

2021 ◽  
Author(s):  
Linda H Aiken ◽  
Marta Simonetti ◽  
Douglas M Sloane ◽  
Consuelo Cerón ◽  
Paz Soto ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Nurse Staffing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Nurse

scholarly journals The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review

2021 ◽  
Author(s):  
Diane E. Twigg ◽  
Lisa Whitehead ◽  
Gemma Doleman ◽  
Sonia El‐Zaemey
Keyword(s):  
Systematic Review ◽  
Patient Outcomes ◽  
Nurse Staffing ◽  
The Impact

scholarly journals Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations*

2018 ◽  
Vol 46 (10) ◽  
pp. 1563-1569 ◽  
Author(s):  
Anica C. Law ◽  
Jennifer P. Stevens ◽  
Samuel Hohmann ◽  
Allan J. Walkey
Keyword(s):  
Patient Outcomes ◽  
Nurse Staffing

Association of Nursing Overtime, Nurse Staffing, and Unit Occupancy with Health Care–Associated Infections in the NICU

2017 ◽  
Vol 34 (10) ◽  
pp. 0996-1002 ◽  
Author(s):  
Régis Blais ◽  
Guy Lacroix ◽  
Michèle Cabot ◽  
Bruno Piedboeuf ◽  
Marc Beltempo
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Retrospective Cohort ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Nurse Staffing ◽  
Occupancy Rate ◽  
Staffing Ratio ◽  
Health Care Associated Infections ◽  
Occupancy Rates

Objective This study aims to assess the association of nursing overtime, nurse staffing, and unit occupancy with health care–associated infections (HCAIs) in the neonatal intensive care unit (NICU). Study Design A 2-year retrospective cohort study was conducted for 2,236 infants admitted in a Canadian tertiary care, 51-bed NICU. Daily administrative data were obtained from the database “Logibec” and combined to the patient outcomes database. Median values for the nursing overtime hours/total hours worked ratio, the available to recommended nurse staffing ratio, and the unit occupancy rate over 3-day periods before HCAI were compared with days that did not precede infections. Adjusted odds ratios (aOR) that control for the latter factors and unit risk factors were also computed. Results A total of 122 (5%) infants developed a HCAI. The odds of having HCAI were higher on days that were preceded by a high nursing overtime ratio (aOR, 1.70; 95% confidence interval [95% CI], 1.05–2.75, quartile [Q]4 vs. Q1). High unit occupancy rates were not associated with increased odds of infection (aOR, 0.85; 95% CI, 0.47–1.51, Q4 vs. Q1) nor were higher available/recommended nurse ratios (aOR, 1.16; 95% CI, 0.67–1.99, Q4 vs. Q1). Conclusion Nursing overtime is associated with higher odds of HCAI in the NICU.

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