Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/173010
Title: Acuity, nurse staffing and workforce, missed care and patient outcomes. A cluster-unit-level descriptive comparison
Author: Juvé Udina, Eulàlia
González Samartino, Maribel
López Jiménez, María Magdalena
Planas Canals, Maria
Rodríguez Fernández, Hugo
Batuecas Duelt, Irene Joana
Tapia Pérez, Marta
Pons Prat, Mònica
Jiménez Martínez, Emilio
Barberà Llorca, Miquel Àngel
Asensio Flores, Susana
Berbis Morelló, Carme
Zuriguel Pérez, Esperanza
Delgado-Hito, Pilar
Rey Luque, Óscar
Zabalegui Yárnoz, Adelaida
Fabrellas i Padrès, Núria
Adamuz Tomás, Jordi
Keywords: Serveis d'infermeria
Seguretat dels pacients
Nursing services
Patients safety
Issue Date: 2-May-2020
Publisher: John Wiley & Sons
Abstract: Aim: To compare patient acuity, nurse staffing and workforce, missed nursing care and patient outcomes among hospital unit-clusters. Background: Relationships among acuity, nurse staffing and workforce, missed nursing care and patient outcomes, are not completely understood. Method: Descriptive design with data from four unit-clusters: medical, surgical, combined and stepdown units. Descriptive statistics were used to compare acuity, nurse staffing coverage, education and expertise, missed nursing care, and selected nurse-sensitive outcomes. Results: Patient acuity in general (medical, surgical and combined) floors is similar to step-down units, with an average of 5.6 required RN hours per patient day. In general wards, available RN hours per patient day reach only 50% of required RN hours to meet patient needs. Workforce measures are comparable among unit-clusters, and average missed nursing care is 21%. Patient outcomes vary among unit-clusters. Conclusion:Patient acuity is similar among unit-clusters, whilst nurse staffing coverage is halved in general wards. While RN education, expertise and missed care are comparable among unitclusters, mortality, skin injuries and risk of family compassion fatigue rates are higher in general wards. Implications for nursing management: Nurse managers play a pivotal role in hustling policy-makers to address structural understaffing in general wards, to maximize patient safety outcomes.
Note: Reproducció del document publicat a: https://doi.org/10.1111/jonm.13040
It is part of: Journal of Nursing Management, 2020, vol. 28, num. 8, p. 2216-2229
URI: http://hdl.handle.net/2445/173010
Related resource: https://doi.org/10.1111/jonm.13040
ISSN: 0966-0429
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Infermeria Fonamental i Medicoquirúrgica)
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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