Hospital work environment, nurse staffing and missed care in Chile: A cross‐sectional observational study

2021 ◽  
Author(s):  
Marta Simonetti ◽  
Consuelo Cerón ◽  
Alejandra Galiano ◽  
Eileen T. Lake ◽  
Linda H. Aiken
Keyword(s):  
Observational Study ◽  
Work Environment ◽  
Nurse Staffing ◽  
Cross Sectional ◽  
Hospital Work ◽  
Missed Care

scholarly journals Association of the Nurse Work Environment, Collective Efficacy, and Missed Care

2017 ◽  
Vol 40 (6) ◽  
pp. 779-798 ◽  
Author(s):  
Jessica G. Smith ◽  
Karen H. Morin ◽  
Leigh E. Wallace ◽  
Eileen T. Lake
Keyword(s):  
Work Environment ◽  
Collective Efficacy ◽  
Hospital Staff ◽  
Work Environments ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Quality Patient Care ◽  
Hospital Staff Nurses ◽  
Nurse Work Environment ◽  
Missed Care

Missed nursing care is a significant threat to quality patient care. Promoting collective efficacy within nurse work environments could decrease missed care. The purpose was to understand how missed care is associated with nurse work environments and collective efficacy of hospital staff nurses. A cross-sectional, convenience sample was obtained through online surveys from registered nurses working at five southwestern U.S. hospitals. Descriptive, correlational, regression, and path analyses were conducted ( N = 233). The percentage of nurses who reported that at least one care activity was missed frequently or always was 94%. Mouth care (36.0% of nurses) and ambulation (35.3%) were missed frequently or always. Nurse work environments and collective efficacy were moderately, positively correlated. Nurse work environments and collective efficacy were associated with less missed care (χ2 = 10.714, p = .0054). Fostering collective efficacy in the nurse work environment could reduce missed care and improve patient outcomes.

scholarly journals Burnout and Stress Among Nurses in a University Tertiary Hospital

2010 ◽  
Vol 18 (6) ◽  
pp. 1084-1091 ◽  
Author(s):  
Vera Regina Lorenz ◽  
Maria Cecília Cardoso Benatti ◽  
Marcos Oliveira Sabino
Keyword(s):  
Work Environment ◽  
Maslach Burnout Inventory ◽  
Tertiary Hospital ◽  
Correlational Study ◽  
Cross Sectional ◽  
Hospital Work ◽  
Stress Inventory

This cross-sectional, analytical and correlational study investigated the existence of Burnout based on a sample of 149 nurses of a university tertiary hospital from October to December 2008 and correlate Burnout with stressors in the hospital work environment. The Maslach Burnout Inventory, the Nurses’ Stress Inventory and a questionnaire to characterize the subjects were applied. The results indicated the presence of Burnout in 7.3% of nurses (quartile) and 10.22% (tercile), and also a correlation among the inventories’ domains. Vulnerability to this type of illness among nurses was increased by stress experienced in the work environment.

scholarly journals Effects of Nurse Staffing, Work Environment, Education on Adverse Events in Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 84-84
Author(s):  
Seonhwa Choi ◽  
Eunhee Cho ◽  
Eunkyo Kim ◽  
Kyoungeun Lee ◽  
Soo Jung Chang
Keyword(s):  
Nursing Education ◽  
Nursing Homes ◽  
Adverse Events ◽  
Work Environment ◽  
Pressure Ulcers ◽  
Nurse Staffing ◽  
Education Level ◽  
Staffing Level ◽  
Cross Sectional ◽  
Environment Education

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.

scholarly journals Matching Registered Nurse Services With Changing Care Demands in Psychiatric Hospitals: Protocol for a Multicenter Observational Study (MatchRN Psychiatry Study)

10.2196/26700 ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. e26700
Author(s):  
Beatrice Gehri ◽  
Stefanie Bachnick ◽  
René Schwendimann ◽  
Michael Simon
Keyword(s):  
Quality Of Care ◽  
Observational Study ◽  
Work Environment ◽  
Mixed Models ◽  
Nurse Staffing ◽  
Symptom Burden ◽  
Psychiatric Hospitals ◽  
Multicenter Observational Study ◽  
Nurse Outcomes

Background The quality of care is often poorly assessed in mental health settings, and accurate evaluation requires the monitoring and comparison of not only the outcomes but also the structures and processes. The resulting data allow hospital administrators to compare their patient outcome data against those reported nationally. As Swiss psychiatric hospitals are planned and coordinated at the cantonal level, they vary considerably. In addition, nursing care structures and processes, such as nurse staffing, are only reported and aggregated at the national level, whereas nurse outcomes, such as job satisfaction or intention to leave, have yet to be assessed in Swiss psychiatric hospitals. Because they lack these key figures, psychiatric hospitals’ quality of care cannot be reasonably described. Objective This study’s purpose is to describe health care quality by exploring hospital structures such as nurse staffing and the work environment; processes such as the rationing of care; nurse outcomes, including job satisfaction and work-life balance; and patients’ symptom burden. Methods MatchRN Psychiatry is a multicenter observational study of Swiss psychiatric hospitals. The sample for this study included approximately 1300 nurses from 113 units of 13 psychiatric hospitals in Switzerland’s German-speaking region. In addition, routine patient assessment data from each participating hospital were included. The nurse survey consisted of 164 items covering three dimensions—work environment, patient safety climate, and the rationing of care. The unit-level questionnaire included 57 items, including the number of beds, number of nurses, and nurses’ education levels. Routine patient data included items such as main diagnosis, the number and duration of freedom-restrictive measures, and symptom burden at admission and discharge. Data were collected between September 2019 and June 2021. The data will be analyzed descriptively by using multilevel regression linear mixed models and generalized linear mixed models to explore associations between variables of interest. Results The response rate from the nurse survey was 71.49% (1209/1691). All data are currently being checked for consistency and plausibility. The MatchRN Psychiatry study is funded by the participating psychiatric hospitals and the Swiss Psychiatric Nursing Leaders Association (Vereinigung Pflegekader Psychiatrie Schweiz). Conclusions For the first time, the MatchRN Psychiatry study will systematically evaluate the quality of care in psychiatric hospitals in Switzerland in terms of organizational structures, processes, and patient and nurse outcomes. The participating psychiatric hospitals will benefit from findings that are relevant to the future planning of nurse staffing. The findings of this study will contribute to improvement strategies for nurses’ work environments and patient experiences in Swiss psychiatric hospitals. International Registered Report Identifier (IRRID) DERR1-10.2196/26700

Nurse Staffing, Missed care, Quality of Care and Adverse Events: A Cross Sectional Study

2021 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Lusine Poghosyan ◽  
Orn‐Anong Wichaikhum ◽  
Wipada Kunaviktikul ◽  
Yaxuan Fang ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
Nurse Staffing ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Missed Care

scholarly journals Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study

2018 ◽  
Vol 78 ◽  
pp. 10-15 ◽  
Author(s):  
Jane E. Ball ◽  
Luk Bruyneel ◽  
Linda H. Aiken ◽  
Walter Sermeus ◽  
Douglas M. Sloane ◽  
...  
Keyword(s):  
Operative Mortality ◽  
Nurse Staffing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Missed Care

scholarly journals Nurse Staffing, the Clinical Work Environment, and Burn Patient Mortality

2020 ◽  
Vol 41 (4) ◽  
pp. 796-802 ◽  
Author(s):  
Amanda P Bettencourt ◽  
Matthew D McHugh ◽  
Douglas M Sloane ◽  
Linda H Aiken
Keyword(s):  
Work Environment ◽  
Nurse Staffing ◽  
Additional Patient ◽  
Future Research ◽  
Burn Patients ◽  
Thermal Burn ◽  
Cross Sectional ◽  
Burn Care ◽  
Hospital Nursing ◽  
Burn Patient

Abstract The complexity of modern burn care requires an integrated team of specialty providers working together to achieve the best possible outcome for each burn survivor. Nurses are central to many aspects of a burn survivor’s care, including physiologic monitoring, fluid resuscitation, pain management, infection prevention, complex wound care, and rehabilitation. Research suggests that in general, hospital nursing resources, defined as nurse staffing and the quality of the work environment, relate to patient mortality. Still, the relationship between those resources and burn mortality has not been previously examined. This study used a multivariable risk-adjusted regression model and a linked, cross-sectional claims database of more than 14,000 adults (≥18 years) thermal burn patients admitted to 653 hospitals to evaluate these relationships. Hospital nursing resources were independently reported by more than 29,000 bedside nurses working in the study hospitals. In the high burn patient-volume hospitals (≥100/y) that care for the most severe burn injuries, each additional patient added to a nurse’s workload is associated with 30% higher odds of mortality (P < .05, 95% CI: 1.02–1.94), and improving the work environment is associated with 28% lower odds of death (P < .05, 95% CI: 0.07–0.99). Nursing resources are vital in the care of burn patients and are a critical, yet previously omitted, variable in the evaluation of burn outcomes. Attention to nurse staffing and improvement to the nurse work environment is warranted to promote optimal recovery for burn survivors. Given the influence of nursing on mortality, future research evaluating burn patient outcomes should account for nursing resources.

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