Hospital Magnet Status, Unit Work Environment, and Pressure Ulcers

2015 ◽  
Vol 47 (6) ◽  
pp. 565-573 ◽  
Author(s):  
Chenjuan Ma ◽  
Shin Hye Park
2011 ◽  
Vol 47 (3pt1) ◽  
pp. 1179-1200 ◽  
Author(s):  
Helena Temkin-Greener ◽  
Shubing Cai ◽  
Nan Tracy Zheng ◽  
Hongwei Zhao ◽  
Dana B. Mukamel

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 84-84
Author(s):  
Seonhwa Choi ◽  
Eunhee Cho ◽  
Eunkyo Kim ◽  
Kyoungeun Lee ◽  
Soo Jung Chang

Abstract This study examined the effect of registered nurse (RN) staffing level, work environment, and education on adverse events experienced by residents in nursing homes. A cross-sectional study was conducted with 216 RNs working in nursing homes who were selected using random stratified sampling by location and bed size. Self-reported questionnaires regarding staffing level, work environment, education level, adverse events, and nurse characteristics were administered. Data from the National Health Insurance Service were used to describe nursing home characteristics. Both multiple and multinomial logistic regressions were used to control for the characteristics of nurses and nursing homes, and investigate the effects of nursing staffing level (number of older adults assigned to a nurse), work environment (Practice Environment Scale of the Nursing Working Index), and level of nursing education on the adverse events experienced by residents. An increase of one resident per RN was significantly associated with a higher incidence of pressure ulcers (OR= 1.019, 95% CI=1.004-1.035). Poor work environment increased the incidence of adverse events such as pressure ulcers (OR= 3.732, 95% CI=1.155-12.056) and sepsis (OR=3.871, 95%CI=1.086-13.800). Compared to RNs with a baccalaureate or higher, RNs with diplomas reported increased incidence rates of pressure ulcers (OR=2.772, 95%CI= 1.173-6.549). RN staffing, work environment, and education level affect the incidence of pressure ulcers, and the work environment affects the incidence of sepsis among residents in nursing homes. Policy-wise, improving the level of nurse staffing, nursing work environment, and nursing education will improve health outcomes of residents.


2009 ◽  
Vol 24 (2) ◽  
pp. 243-248 ◽  
Author(s):  
Mohamad Alameddine ◽  
Katie N. Dainty ◽  
Raisa Deber ◽  
William J. (Bill) Sibbald

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seonhwa Choi ◽  
Eunhee Cho ◽  
Eunkyo Kim ◽  
Kyongeun Lee ◽  
Soo Jung Chang

AbstractThis study examined the effects of nurse staffing levels, work environment, and education levels on adverse events in nursing homes. A cross-sectional study was conducted involving 216 nurses working in 62 nursing homes in South Korea, using self-reported questionnaires and data from the National Health Insurance Service of South Korea. A logistic regression model was used to investigate the effects of nurse staffing levels, work environment, and nursing education levels on the adverse events experienced by residents. An increase of one resident per nurse was significantly associated with a higher incidence of medication error, pressure ulcers and urinary tract infections. A poor work environment increased the incidence of adverse events. Compared to nurses with a bachelor’s degree or higher, those with diplomas reported increased incidence rates of pressure ulcers. Improving the health outcomes of residents in nursing homes requires efforts that strengthen the nursing workforce in terms of numbers and educational level, and which improve their work environment at institutional and policy levels.


Sign in / Sign up

Export Citation Format

Share Document