Analyzing Staffing Trade-Offs on Acute Care Hospital Units

被引:8
作者
Berkow, Steven [1 ]
Vonderhaar, Kate [1 ]
Stewart, Jennifer [1 ]
Virkstis, Katherine [1 ]
Terry, Anne [1 ]
机构
[1] Advisory Board Co, Nursing Execut Ctr, Washington, DC 20037 USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2014年 / 44卷 / 10期
关键词
PATIENT MORTALITY; 30-DAY MORTALITY; NURSE EDUCATION; QUALITY; IMPACT;
D O I
10.1097/NNA.0000000000000109
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Given today's resource-limited environment, nurse leaders must make judicious staffing decisions to deliver safe, cost-effective care. Investing in 1 element of staffing often requires scaling back in another. A national cross section of acute care hospital unit leaders was surveyed regarding staffing resources, including nurse workload, education, specialty certification, experience, and level of support staff. The authors report findings from the survey and discuss the trade-offs observed among units regarding nurse-to-patient ratios and the proportion of baccalaureate-prepared nurses.
引用
收藏
页码:507 / 516
页数:10
相关论文
共 19 条
[1]   Educational levels of hospital nurses and surgical patient mortality [J].
Aiken, LH ;
Clarke, SP ;
Cheung, RB ;
Sloane, DM ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (12) :1617-1623
[2]   Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].
Aiken, LH ;
Clarke, SP ;
Sloane, DM ;
Sochalski, J ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993
[3]   Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments [J].
Aiken, Linda H. ;
Cimiotti, Jeannie P. ;
Sloane, Douglas M. ;
Smith, Herbert L. ;
Flynn, Linda ;
Neff, Donna F. .
MEDICAL CARE, 2011, 49 (12) :1047-1053
[4]   Implications of the California Nurse Staffing Mandate for Other States [J].
Aiken, Linda H. ;
Sloane, Douglas M. ;
Cimiotti, Jeannie P. ;
Clarke, Sean P. ;
Flynn, Linda ;
Seago, Jean Ann ;
Spetz, Joanne ;
Smith, Herbert L. .
HEALTH SERVICES RESEARCH, 2010, 45 (04) :904-921
[5]   Results of the 2013 AORN Salary and Compensation Survey [J].
Bacon, Donald R. ;
Stewart, Kim A. .
AORN JOURNAL, 2013, 98 (06) :569-584
[6]  
Berkow S, 2013, ACHIEVING TOP OF LIC
[7]  
Berkow S, 2013, 360 DEGREE NURSE STA
[8]   Nurse experience and education - Effect on quality of care [J].
Blegen, MA ;
Vaughn, TE ;
Goode, CJ .
JOURNAL OF NURSING ADMINISTRATION, 2001, 31 (01) :33-39
[9]  
Bureau of Labor Statistics. US Department of Labor, 2013, 622100 NAICS US DEP
[10]  
Burnes Bolton Linda, 2007, Policy Polit Nurs Pract, V8, P238, DOI 10.1177/1527154407312737