Evaluation of nurse staffing levels and outcomes under the government - recommended staffing levels in Korea

Yu, Shiu Yeh; Kim, Tae-Gon

doi:10.1111/jonm.12155

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…This is reflected by the prevalence seen in the current study and in reports from US 43 , 44 and elsewhere. 45 In our survey, reported overtime varied between hospitals from 0% to 80% consistent with surveys from the US which also show substantial variation between hospitals. 43 Variation of such magnitude suggests that it is unlikely to be a simple product of variation in workforce supply but may also result from variation in staffing policies.…”

Section: Discussionsupporting

confidence: 88%

Nurses’ Shift Length and Overtime Working in 12 European Countries

et al. 2014

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Background:Despite concerns as to whether nurses can perform reliably and effectively when working longer shifts, a pattern of two 12- to 13-hour shifts per day is becoming common in many hospitals to reduce shift to shift handovers, staffing overlap, and hence costs.Objectives:To describe shift patterns of European nurses and investigate whether shift length and working beyond contracted hours (overtime) is associated with nurse-reported care quality, safety, and care left undone.Methods:Cross-sectional survey of 31,627 registered nurses in general medical/surgical units within 488 hospitals across 12 European countries.Results:A total of 50% of nurses worked shifts of ≤8 hours, but 15% worked ≥12 hours. Typical shift length varied between countries and within some countries. Nurses working for ≥12 hours were more likely to report poor or failing patient safety [odds ratio (OR)=1.41; 95% confidence interval (CI), 1.13–1.76], poor/fair quality of care (OR=1.30; 95% CI, 1.10–1.53), and more care activities left undone (RR=1.13; 95% CI, 1.09–1.16). Working overtime was also associated with reports of poor or failing patient safety (OR=1.67; 95% CI, 1.51–1.86), poor/fair quality of care (OR=1.32; 95% CI, 1.23–1.42), and more care left undone (RR=1.29; 95% CI, 1.27–1.31).Conclusions:European registered nurses working shifts of ≥12 hours and those working overtime report lower quality and safety and more care left undone. Policies to adopt a 12-hour nursing shift pattern should proceed with caution. Use of overtime working to mitigate staffing shortages or increase flexibility may also incur additional risk to quality.

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Section: Discussionsupporting

confidence: 88%

Nurses’ Shift Length and Overtime Working in 12 European Countries

et al. 2014

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“…Cho et al (2016) suggested that providing adequate staffing and working hours for nurses is significant for safety and quality of care improvements, to reduce the consequences of care left undone on hospital wards. Yu and Kim (2015) presented an example of how the government can influence the level and performance of nursing staff in their paper. After six months of the implementation of recommended government staffing levels, the length of patients’ hospitalization days and the overtime hours of nurses were reduced, and the nurse's performance ratings improved.…”

Section: Discussionmentioning

confidence: 99%

“…Forced overtime has been shown to have undesirable effects on mental health and the individual's engagement in their work area(Watanabe & Yamauchi, 2018) Cho et al (2016). suggested that providing adequate staffing and working hours for nurses is significant for safety and quality of care improvements, to reduce the consequences of care left undone on hospital wards Yu and Kim (2015). presented an example of how the government can influence the level and performance of nursing staff in their paper.…”

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confidence: 99%

Nurses' perception of implicit nursing care rationing in Croatia—A cross‐sectional multicentre study

et al. 2020

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Aim: To examine Croatian nurses' perception of implicit nursing care rationing and the patient safety culture from the perspective of acute care hospital staff. Background: In the past three decades, the Croatian health system has undergone numerous transformations driven by geopolitical, legal, financial, demographic, scientific and technological progress. These changes have led to systemic changes in the structure, organisation, financing and delivery of health care, and thus, of nursing care. Methods: A cross-sectional study of 438 nurses was conducted at four university hospitals in Croatia, based on the Perceived Implicit Rationing of Nursing Care Questionnaire. Results: A lower assessment of the quality of care in the unit is associated with a higher score on the Perceived Implicit Rationing of Nursing Care Questionnaire, r =-.379, p < .001. A lower satisfaction with the current workplace is associated with a higher score on the Perceived Implicit Rationing of Nursing Care Questionnaire, r = −.432, p < .001. Conclusion: The perception of nurses in Croatia indicates that the implications of nursing care rationing and dissatisfaction with their post in acute care hospital units are closely related to poor quality of nursing care provided to patients. Implications for Nursing Management: Based on these results, nurse managers should take their nurses' perceptions of implicit nursing care rationing into consideration in order to develop strategies to improve nursing care delivery, nursing satisfaction and, consequently, better nursing care quality. K E Y W O R D S acute hospital, implicit rationing, nurses' perception, nursing care | 2231 FRIGANOVIC et Al. How to cite this article: Friganovic A, Režić S, Kurtović B, et al. Nurses' perception of implicit nursing care rationing in Croatia-A cross-sectional multicentre study.

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“…Nosocomial infection is the most important and fatal complication of very low birth weight infants. Children with NICU are susceptible to nosocomial infections [10] [11]. In recent years, the treatment and prognosis of infants with birth therefore, hospitalization complications can affect the prognosis of very low birth weight infants, reduce the incidence of complications during hospitalization, and significantly improve the prognosis of very low birth weight infants.…”

Section: Discussionmentioning

confidence: 99%

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

He¹,

Huang²,

Jia³

et al. 2020

JBM

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Background: At present, there is no domestic research on the relationship between nurse staffing and hospital infection in very low birth weight infants. In this paper, we will explore the relationship between nurses of very low birth weight (VLBW) infants in neonatal intensive care unit (NICU) and nosocomial infections. Methods: The clinical data of 280 very low birth weight infants born in our hospital from January 2010 to January 2020 were collected, and the chi-square test and multiple logistic regression analysis were used to study the nursing staff of each very low birth weight infant who was admitted to the NICU The relationship between the number of infections and hospital infections. Results: On average, each nurse needs to care for 4.3 very low birth weight infants (lowest to highest: 2.50-8.42). In the univariate analysis, the higher the incidence of urinary tract infection (P < 0.05), the multivariate logistic regression analysis of neonatal nosocomial infection showed that nurse staffing was significantly related to the incidence of urinary tract infection (OR = 1.78; 95% confidence interval, 1.17-2.35, P < 0.05). However, there was no significant correlation between nurse staffing and bloodstream infection (OR = 0.91; 95% confidence interval, 0.74-1.06, P > 0.05) or Ventilator associated pneumonia (VAP) infection (OR = 1.17; 95% confidence interval, 0.94-1.47, P > 0.05). Conclusion: Our research shows that in the neonatal intensive care unit, the reasonable deployment of nursing staff is an important factor in preventing urinary tract infections in very low birth weight infants. It is important for improving the survival rate of very low birth weight infants and reducing the occurrence of sequelae.

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Evaluation of nurse staffing levels and outcomes under the government - recommended staffing levels in Korea

Cited by 8 publications

References 24 publications

Nurses’ Shift Length and Overtime Working in 12 European Countries

Nurses’ Shift Length and Overtime Working in 12 European Countries

Nurses' perception of implicit nursing care rationing in Croatia—A cross‐sectional multicentre study

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

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