The Effect of Staffing Allocation on Patient Outcomes Controlling for Nursing Workload in the Medical-Surgical Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/150485
Type:
Presentation
Title:
The Effect of Staffing Allocation on Patient Outcomes Controlling for Nursing Workload in the Medical-Surgical Unit
Abstract:
The Effect of Staffing Allocation on Patient Outcomes Controlling for Nursing Workload in the Medical-Surgical Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Padilha, Katia Grillo, PhD
P.I. Institution Name:University of Sao Paulo
Title:Associated Professor
Co-Authors:Daniella Vianna Correa Krokoscz, RN, MSN; Karole Mourek, PhD; Kenneth W. Colbert, MS; Sheila Cristina Tosta Bento, RN, MSN
[Research Paper or Poster Presentation] Background: The appropriate nursing staffing allocation, controlling for patient demand for care may influence the quality of care (1) and patient safety (2).This study addressed issues associated with nursing staff allocation and specific patient care outcomes in Medical-Surgical Units (MSU). A standardized workload measurement methodology was applied to provide a more accurate and comparable control for patient care needs versus census or hours per patient day. Design: Quantitative, descriptive and prospective study. Population, Sample, Setting and Year: The setting was two medical surgical units (MSU- A and MSU-B) in Sao Paulo, Brazil in 2006. The sample included all patients admitted over a designated period of time (47 days) and a total of 387 patients and 1728 sets of patient scores. Findings: Statistically significant differences (p<0.001) were observed between nursing staff hours and patients demand of care hours, i.e., 7, 0 h and 5, 8 h in the MSU-A and 6, 2 h and 4, 9 h, in the MSU-B, respectively. It was observed that 14 (6.4%) patients from MSU-A and 12 (7.1%) from unit B, suffered an Adverse Event (AE). Incidence of involuntary withdrawal of probes and medication errors were documented in the MSU-A and MSU-B. Conclusions: Despite adequate nursing hours available in both MSUs, patients suffered AEs during hospitalization. The results reinforce that the analysis between resource allocation and AE is a complex issue that must examine nursing workload, nurse staffing and AE occurrence in the appropriate timeframes while recognizing that staffing levels alone may not account for all incidents of AE. References: 1. Silver MR, Lusk R. Patient safety: a tale of two systems. J Nurs Care Qual 2002; 16(3):24-35. 2. Cho S, Ketefian S, Barkauskas VH, Smith DG. The effects of nursing staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res. 2003; 52(2):71-9.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Effect of Staffing Allocation on Patient Outcomes Controlling for Nursing Workload in the Medical-Surgical Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/150485-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Effect of Staffing Allocation on Patient Outcomes Controlling for Nursing Workload in the Medical-Surgical Unit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Padilha, Katia Grillo, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Sao Paulo</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associated Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kgpadilh@usp.br</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Daniella Vianna Correa Krokoscz, RN, MSN; Karole Mourek, PhD; Kenneth W. Colbert, MS; Sheila Cristina Tosta Bento, RN, MSN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: The appropriate nursing staffing allocation, controlling for patient demand for care may influence the quality of care (1) and patient safety (2).This study addressed issues associated with nursing staff allocation and specific patient care outcomes in Medical-Surgical Units (MSU). A standardized workload measurement methodology was applied to provide a more accurate and comparable control for patient care needs versus census or hours per patient day. Design: Quantitative, descriptive and prospective study. Population, Sample, Setting and Year: The setting was two medical surgical units (MSU- A and MSU-B) in Sao Paulo, Brazil in 2006. The sample included all patients admitted over a designated period of time (47 days) and a total of 387 patients and 1728 sets of patient scores. Findings: Statistically significant differences (p&lt;0.001) were observed between nursing staff hours and patients demand of care hours, i.e., 7, 0 h and 5, 8 h in the MSU-A and 6, 2 h and 4, 9 h, in the MSU-B, respectively. It was observed that 14 (6.4%) patients from MSU-A and 12 (7.1%) from unit B, suffered an Adverse Event (AE). Incidence of involuntary withdrawal of probes and medication errors were documented in the MSU-A and MSU-B. Conclusions: Despite adequate nursing hours available in both MSUs, patients suffered AEs during hospitalization. The results reinforce that the analysis between resource allocation and AE is a complex issue that must examine nursing workload, nurse staffing and AE occurrence in the appropriate timeframes while recognizing that staffing levels alone may not account for all incidents of AE. References: 1. Silver MR, Lusk R. Patient safety: a tale of two systems. J Nurs Care Qual 2002; 16(3):24-35. 2. Cho S, Ketefian S, Barkauskas VH, Smith DG. The effects of nursing staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res. 2003; 52(2):71-9.</td></tr></table>en_GB
dc.date.available2011-10-26T10:34:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:34:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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