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http://hdl.handle.net/2445/173010
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DC Field | Value | Language |
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dc.contributor.author | Juvé Udina, Eulàlia | - |
dc.contributor.author | González Samartino, Maribel | - |
dc.contributor.author | López Jiménez, María Magdalena | - |
dc.contributor.author | Planas Canals, Maria | - |
dc.contributor.author | Rodríguez Fernández, Hugo | - |
dc.contributor.author | Batuecas Duelt, Irene Joana | - |
dc.contributor.author | Tapia Pérez, Marta | - |
dc.contributor.author | Pons Prat, Mònica | - |
dc.contributor.author | Jiménez Martínez, Emilio | - |
dc.contributor.author | Barberà Llorca, Miquel Àngel | - |
dc.contributor.author | Asensio Flores, Susana | - |
dc.contributor.author | Berbis Morelló, Carme | - |
dc.contributor.author | Zuriguel Pérez, Esperanza | - |
dc.contributor.author | Delgado-Hito, Pilar | - |
dc.contributor.author | Rey Luque, Óscar | - |
dc.contributor.author | Zabalegui Yárnoz, Adelaida | - |
dc.contributor.author | Fabrellas i Padrès, Núria | - |
dc.contributor.author | Adamuz Tomás, Jordi | - |
dc.date.accessioned | 2021-01-07T12:22:53Z | - |
dc.date.available | 2021-01-07T12:22:53Z | - |
dc.date.issued | 2020-05-02 | - |
dc.identifier.issn | 0966-0429 | - |
dc.identifier.uri | http://hdl.handle.net/2445/173010 | - |
dc.description.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. | - |
dc.format.extent | 14 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | John Wiley & Sons | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1111/jonm.13040 | - |
dc.relation.ispartof | Journal of Nursing Management, 2020, vol. 28, num. 8, p. 2216-2229 | - |
dc.relation.uri | https://doi.org/10.1111/jonm.13040 | - |
dc.rights | cc by-nc-nd (c) Juvé Udina et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | - |
dc.source | Articles publicats en revistes (Infermeria Fonamental i Clínica) | - |
dc.subject.classification | Serveis d'infermeria | - |
dc.subject.classification | Seguretat dels pacients | - |
dc.subject.other | Nursing services | - |
dc.subject.other | Patients safety | - |
dc.title | Acuity, nurse staffing and workforce, missed care and patient outcomes. A cluster-unit-level descriptive comparison | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 700045 | - |
dc.date.updated | 2021-01-07T12:22:53Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 32384199 | - |
Appears in Collections: | Articles publicats en revistes (Infermeria Fonamental i Clínica) Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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700045.pdf | 585.75 kB | Adobe PDF | View/Open |
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