Missed nursing care, nurse staffing levels and patient safety outcomes in low‐income country acute care settings: An observational study

2021 ◽  
Author(s):  
Ashagre Molla Assaye ◽  
Richard Wiechula ◽  
Timothy J. Schultz ◽  
Rebecca Feo
Keyword(s):  
Patient Safety ◽  
Observational Study ◽  
Acute Care ◽  
Nursing Care ◽  
Low Income ◽  
Nurse Staffing ◽  
Care Nurse ◽  
Low Income Country ◽  
Staffing Levels ◽  
Missed Nursing Care

Nurse Staffing Levels and Patient-Reported Missed Nursing Care

2015 ◽  
Vol 30 (4) ◽  
pp. 306-312 ◽  
Author(s):  
Beverly Waller Dabney ◽  
Beatrice J. Kalisch
Keyword(s):  
Nursing Care ◽  
Nurse Staffing ◽  
Staffing Levels ◽  
Patient Reported ◽  
Missed Nursing Care

scholarly journals Performance of the Safer Nursing Care Tool to measure nurse staffing requirements in acute hospitals: a multicentre observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035828
Author(s):  
Peter Griffiths ◽  
Christina Saville ◽  
Jane Ball ◽  
David Culliford ◽  
Natalie Pattison ◽  
...  
Keyword(s):  
Observational Study ◽  
Nursing Care ◽  
Nurse Staffing ◽  
Nursing Workload ◽  
Staffing Level ◽  
Surgical Specialty ◽  
Staffing Levels ◽  
Staffing Requirements ◽  
Staffing Adequacy ◽  
Adequate Staffing

ObjectivesThe best way to determine nurse staffing requirements on hospital wards is unclear. This study explores the precision of estimates of nurse staffing requirements made using the Safer Nursing Care Tool (SNCT) patient classification system for different sample sizes and investigates whether recommended staff levels correspond with professional judgements of adequate staffing.DesignObservational study linking datasets of staffing requirements (estimated using a tool) to professional judgements of adequate staffing. Multilevel logistic regression modelling.Setting81 medical/surgical units in four acute care hospitals.Participants22 364 unit days where staffing levels and SNCT ratings were linked to nurse reports of "enough staff for quality".Primary outcome measuresSNCT-estimated staffing requirements and nurses’ assessments of staffing adequacy.ResultsThe recommended minimum sample of 20 days allowed the required number to employ (the establishment) to be estimated with a mean precision (defined as half the width of the CI as a percentage of the mean) of 4.1%. For most units, much larger samples were required to estimate establishments within ±1 whole time equivalent staff member. When staffing was lower than that required according to the SNCT, for each hour per patient day of registered nurse staffing below the required staffing level, the odds of nurses reporting that there were enough staff to provide quality care were reduced by 11%. Correspondingly, the odds of nurses reporting that necessary nursing care was left undone were increased by 14%. No threshold indicating an optimal staffing level was observed. Surgical specialty, patient turnover and more single rooms were associated with lower odds of staffing adequacy.ConclusionsThe SNCT can provide reliable estimates of the number of nurses to employ on a unit, but larger samples than the recommended minimum are usually required. The SNCT provides a measure of nursing workload that correlates with professional judgements, but the recommended staffing levels may not be optimal. Some important sources of systematic variations in staffing requirements for some units are not accounted for. SNCT measurements are a potentially useful adjunct to professional judgement but cannot replace it.Trial registration numberISRCTN12307968.

Outcomes sensitive to critical care nurse staffing levels: A systematic review

2021 ◽  
pp. 103110
Author(s):  
Pamela J.L. Rae ◽  
Susie Pearce ◽  
P. Jane Greaves ◽  
Chiara Dall'Ora ◽  
Peter Griffiths ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Nurse Staffing ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Staffing Levels

Hospital and unit variables of missed nursing care in acute care hospitals: A cross‐sectional study

2021 ◽  
Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková
Keyword(s):  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Missed Nursing Care

Association between nurses' breaks, missed nursing care and patient safety in Korean hospitals

2019 ◽  
Vol 28 (8) ◽  
pp. 2266-2274 ◽  
Author(s):  
Ari Min ◽  
Yea Seul Yoon ◽  
Hye Chong Hong ◽  
Young Man Kim
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Missed Nursing Care

scholarly journals Do staffing levels predict missed nursing care?

2011 ◽  
Vol 23 (3) ◽  
pp. 302-308 ◽  
Author(s):  
B. J. Kalisch ◽  
D. Tschannen ◽  
K. H. Lee
Keyword(s):  
Nursing Care ◽  
Staffing Levels ◽  
Missed Nursing Care

Effects of increasing nurse staffing on missed nursing care

2015 ◽  
Vol 62 (2) ◽  
pp. 267-274 ◽  
Author(s):  
S.-H. Cho ◽  
Y.-S. Kim ◽  
K.N. Yeon ◽  
S.-J. You ◽  
I.D. Lee
Keyword(s):  
Nursing Care ◽  
Nurse Staffing ◽  
Missed Nursing Care
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