Patient acuity and nurse staffing challenges in Norwegian neonatal intensive care units

2017 ◽  
Vol 25 (7) ◽  
pp. 569-576 ◽  
Author(s):  
Mari O. Ohnstad ◽  
Marianne T. Solberg
2018 ◽  
Vol 77 (5) ◽  
pp. 451-460 ◽  
Author(s):  
Eileen T. Lake ◽  
Douglas O. Staiger ◽  
Emily Cramer ◽  
Linda A. Hatfield ◽  
Jessica G. Smith ◽  
...  

The health outcomes of infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study of missed care in a U.S. NICU sample adds national scope and an important explanatory variable, patient acuity. Using 2016 NICU registered nurse survey responses ( N = 5,861) from the National Database of Nursing Quality Indicators, we found that 36% of nurses missed one or more care activities on the past shift. Missed care prevalence varied widely across units. Nurses with higher workloads, higher acuity assignments, or in poor work environments were more likely to miss care. The most common activities missed involved patient comfort and counseling and parent education. Workloads have increased and work environments have deteriorated compared with 8 years ago. Nurses’ assignments should account for patient acuity. NICU nurse staffing and work environments warrant attention to reduce missed care and promote optimal infant and family outcomes.


2015 ◽  
Vol 38 (5) ◽  
pp. 333-341 ◽  
Author(s):  
Jeannette A. Rogowski ◽  
Douglas O. Staiger ◽  
Thelma E. Patrick ◽  
Jeffrey D. Horbar ◽  
Michael J. Kenny ◽  
...  

Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.


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