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The association of shift-level nurse staffing with adverse patient events.
J Nurs Adm. 2011 Feb; 41(2):64-70.JN

Abstract

OBJECTIVE

The objective of this study was to demonstrate the association between nurse staffing and adverse events at the shift level.

BACKGROUND

Despite a growing body of research linking nurse staffing and patient outcomes, the relationship of staffing to patient falls and medication errors remains equivocal, possibly due to dependence on aggregated data.

METHODS

Thirteen military hospitals participated in creating a longitudinal nursing outcomes database to monitor nurse staffing, patient falls and medication errors, and other outcomes. Unit types were analyzed separately to stratify patient and nurse staffing characteristics. Bayesian hierarchical logistic regression modeling was used to examine associations between staffing and adverse events.

RESULTS

RN skill mix, total nursing care hours, and experience, measured by a proxy variable, were associated with shift-level adverse events.

CONCLUSIONS

Consideration must be given to nurse staffing and experience levels on every shift.

Authors+Show Affiliations

University of Alabama at Birmingham, School of Nursing, Birmingham, AL 35294-1210, USA. ppatrici@uab.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

21266884

Citation

Patrician, Patricia A., et al. "The Association of Shift-level Nurse Staffing With Adverse Patient Events." The Journal of Nursing Administration, vol. 41, no. 2, 2011, pp. 64-70.
Patrician PA, Loan L, McCarthy M, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70.
Patrician, P. A., Loan, L., McCarthy, M., Fridman, M., Donaldson, N., Bingham, M., & Brosch, L. R. (2011). The association of shift-level nurse staffing with adverse patient events. The Journal of Nursing Administration, 41(2), 64-70. https://doi.org/10.1097/NNA.0b013e31820594bf
Patrician PA, et al. The Association of Shift-level Nurse Staffing With Adverse Patient Events. J Nurs Adm. 2011;41(2):64-70. PubMed PMID: 21266884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association of shift-level nurse staffing with adverse patient events. AU - Patrician,Patricia A, AU - Loan,Lori, AU - McCarthy,Mary, AU - Fridman,Moshe, AU - Donaldson,Nancy, AU - Bingham,Mona, AU - Brosch,Laura R, PY - 2011/1/27/entrez PY - 2011/1/27/pubmed PY - 2011/3/5/medline SP - 64 EP - 70 JF - The Journal of nursing administration JO - J Nurs Adm VL - 41 IS - 2 N2 - OBJECTIVE: The objective of this study was to demonstrate the association between nurse staffing and adverse events at the shift level. BACKGROUND: Despite a growing body of research linking nurse staffing and patient outcomes, the relationship of staffing to patient falls and medication errors remains equivocal, possibly due to dependence on aggregated data. METHODS: Thirteen military hospitals participated in creating a longitudinal nursing outcomes database to monitor nurse staffing, patient falls and medication errors, and other outcomes. Unit types were analyzed separately to stratify patient and nurse staffing characteristics. Bayesian hierarchical logistic regression modeling was used to examine associations between staffing and adverse events. RESULTS: RN skill mix, total nursing care hours, and experience, measured by a proxy variable, were associated with shift-level adverse events. CONCLUSIONS: Consideration must be given to nurse staffing and experience levels on every shift. SN - 1539-0721 UR - https://www.unboundmedicine.com/medline/citation/21266884/The_association_of_shift_level_nurse_staffing_with_adverse_patient_events_ L2 - https://doi.org/10.1097/NNA.0b013e31820594bf DB - PRIME DP - Unbound Medicine ER -