The Impact of Nursing Workload on Patient Mortality and Length of Hospital Stay: A National Survey

2.50
Hdl Handle:
http://hdl.handle.net/10755/152792
Type:
Presentation
Title:
The Impact of Nursing Workload on Patient Mortality and Length of Hospital Stay: A National Survey
Abstract:
The Impact of Nursing Workload on Patient Mortality and Length of Hospital Stay: A National Survey
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Yen, Miaofen, PhD, RN
P.I. Institution Name:National Cheng Kung University
Title:Associate Professor
Co-Authors:Huan-Fang Lee RN, Specialist
Sheng-Mao Chang PhD, Assistant Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: Empirical evidence is needed for nursing workload in relation to patient mortality and length of hospital stay. The purpose of this study was to explore nursing workload in relation to patient mortality and length of hospital stay.
Methods: The design of this study was a longitudinal study with a national survey. Thirty five hospitals were randomly selected from a national list of hospitals in Taiwan. Indicators for nursing workload included work intensity and hours per patient day. The outcome indicators were patient mortality and patient?s length of hospital stays. Data were collected from three to six nursing units among selected hospitals for consecutive three months. Total of 117 nursing units involved in the data collection. Data were analyzed with regression for patient mortality and patient?s length of hospital stay as the dependent variables.
Results: The average hours per patient day was 2.3 hours (SD = 0.52) for medical and surgical units. Patients to nurse ratio for day shift was 7.7 patients per nurse (SD = 1.75), evening shift was 12.3 (SD = 2.85), and night shift was 15.7 (SD = 3.63). The average patient ?s length of stay was 6.6 days (SD = 2.48). Factors associated with patient mortality included work intensity (b = -0.449; p < .05), patient acuity (b = 0.624; p < .05), activity of daily living (b = -0.006; p < .05) and hours per patient day (b = -6.247; p < .05). When hours per patient day were increased, the patient mortality rate would be decreased. Patient?s length of hospital stay was associated with work intensity (b = 0.181, p < .05) and occupancy rate (b = 0.474, p < .05).Conclusion: Nursing workload significantly impact on patient mortality and length of hospital stay.
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 Impact of Nursing Workload on Patient Mortality and Length of Hospital Stay: A National Surveyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152792-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Impact of Nursing Workload on Patient Mortality and Length of Hospital Stay: A National Survey</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">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yen, Miaofen, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Cheng Kung University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">miaofen@mail.ncku.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Huan-Fang Lee RN, Specialist<br/>Sheng-Mao Chang PhD, Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;Empirical evidence is needed for nursing workload in relation to patient mortality and length of hospital stay. The purpose of this study was to explore nursing workload in relation to patient mortality and length of hospital stay. <br/>Methods: The design of this study was a longitudinal study with a national survey. Thirty five hospitals were randomly selected from a national list of hospitals in Taiwan. Indicators for nursing workload included work intensity and hours per patient day. The outcome indicators were patient mortality and patient?s length of hospital stays. Data were collected from three to six nursing units among selected hospitals for consecutive three months. Total of 117 nursing units involved in the data collection. Data were analyzed with regression for patient mortality and patient?s length of hospital stay as the dependent variables. <br/>Results:&nbsp;The average hours per patient day was 2.3 hours (SD = 0.52) for medical and surgical units. Patients to nurse ratio for day shift was 7.7 patients per nurse (SD = 1.75), evening shift was 12.3 (SD = 2.85), and night shift was 15.7 (SD = 3.63). The average patient ?s length of stay was 6.6 days (SD = 2.48). Factors associated with patient mortality included work intensity (b = -0.449; p &lt; .05), patient acuity (b = 0.624; p &lt; .05), activity of daily living (b = -0.006; p &lt; .05) and hours per patient day (b = -6.247; p &lt; .05). When hours per patient day were increased, the patient mortality rate would be decreased. Patient?s length of hospital stay was associated with work intensity (b = 0.181, p &lt; .05) and occupancy rate (b = 0.474, p &lt; .05).Conclusion:&nbsp;Nursing workload significantly impact on patient mortality and length of hospital stay.</td></tr></table>en_GB
dc.date.available2011-10-26T11:49:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:49:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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