Nurse staffing and patient falls on acute care hospital units

Dunton, Nancy; Gajewski, Byron; Taunton, Roma Lee; Moore, Jan

doi:10.1016/j.outlook.2003.11.006

Cited by 138 publications

(136 citation statements)

References 7 publications

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“…Data relating to confounding factors such as nurse to patient ratios and skill mix were not collected. This information has an important effect on falls incidents [30] . In this study 71% of nurses (79% in hospital 1 and 56% in hospital 2) completed the education program with 29% not participating, which may have influenced these findings.…”

Section: Falls Incidents and Severitymentioning

confidence: 99%

Differences in nurses’ knowledge, behavior and patient falls incidents and severity following a falls e-learning program

Johnson

Hime

Zheng

et al. 2013

JNEP

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Background: Continuing high rates of falls was a major concern to senior nurses within our health service. Researchers and educators came together to develop and evaluate an on-line falls e-learning program to increase nurses' knowledge and falls prevention behaviors and therefore reduce falls incidents and severity.Methods: Using a pre-post test design, nurses' knowledge and behaviour (N = 71) were measured prior to undertaking the education program and three months after, using the Nurses' Falls Knowledge Test and the Falls-Prevent Scale. Patient falls incidents and severity were compared for 8 months prior to and 8 months following completion of the education program.Results: Falls knowledge was high at pre (20/21 correct) and post testing (20) with no significant difference (P = .24) found. Falls prevention behaviors significantly increased from 198.5 pre-test to 211 post-test (P < .001). There was no change in rates of falls (mean falls rates per 1000 occupied bed days [OBD] were 8.9 pre and 8.8 post, hospital 1; 3.5 pre and 5.5 post; hospital 2). A reduction in the severity of falls occurred in hospital 1 but the changes were too small for significance testing. Conclusions:This e-learning falls education program has demonstrated increases in nurses' preventive falls behaviors. Although falls incidents were not reduced the best practice approaches promoted by this program are supported in national health policy and some systematic reviews. This program is being distributed to our hospitals.

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Section: Falls Incidents and Severitymentioning

confidence: 99%

Differences in nurses’ knowledge, behavior and patient falls incidents and severity following a falls e-learning program

Johnson

Hime

Zheng

et al. 2013

JNEP

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“…The evidence affirms what these nurse informants suggested. For example, addressing nursing shortages may reduce length of stay [19] [30], fall rates [31], nosocomial pressure ulcers [32], and overall adverse events (i.e., medication errors and infections) [28].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Nurses on Patient Outcomes Related to Nursing Shortage and Retention Strategies at a Public Hospital in the Coastal Region of Tanzania

Mtega¹,

Kibona²,

Dhamani³

et al. 2017

OJN

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Background: There is little disagreement that the shortage of nurses affects patients' outcomes globally. However, within the low and middle income country setting, there is minimal known about the perceptions of nurses on nursing shortages impact the health outcomes of their patients and what recruitment and retention strategies might be appropriate to address some of these challenges. This study explored the perceptions of nurses on the health outcomes of patient related to shortage of registered nurses and the strategies to retain nurses at a public hospital in Tanzania. Method: This qualitative descriptive study used semi-structured in-depth interviews with a select group of nurses in a large public hospital. Findings: Through an iterative coding process, a series of categories were derived which yielded three major themesfactors contributing to nursing shortage; compromised quality of care; and recruitment and retention strategies. Conclusion: A shortage of nurses affects the health outcomes of patients as it potentially hinders timely accomplishment of the optimal nursing. Efforts need to be proactive in recognizing the reasons for nursing shortages which are rooted in individual, institutional (agency), and organizational (systemic) issues. Within the LMIC context, such as where this study was conducted, it became apparent that the nurses wanted acknowledgement and opportunities to work collaboratively towards the resolution of workload issues for the benefit of the patients.

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“…For an introduction to NDNQI, see Dunton, Gajewski, Taunton, and Moore (2004). Data for NDNQI are collected quarterly so that nursing quality indicators can be computed, including the three examined in this article: total nursing hours per patient day, falls per 1,000 patient days, and percentage of patients with hospital acquired pressure ulcers classified as stage I or above (I, II, III, and IV).…”

Section: The Datamentioning

confidence: 99%

Summarizing benchmarks in the national database of nursing quality indicators using bootstrap confidence intervals

Gajewski

Hall

Dunton

2007

Research in Nursing & Health

Self Cite

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When summarizing the benchmarks for nursing quality indicators with confidence intervals around the means, bounds too high or too low are sometimes found due to small sample size or violation of the normality assumption. Transforming the data or truncating the confidence intervals at realistic values can solve the problem of out of range values. However, truncation does not improve upon the non-normality of the data, and transformations are not always successful in normalizing the data. The percentile bootstrap has the advantage of providing realistic bounds while not relying upon the assumption of normality and may provide a convenient way of obtaining appropriate confidence intervals around the mean for nursing quality indicators. ß

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Nurse staffing and patient falls on acute care hospital units

Cited by 138 publications

References 7 publications

Differences in nurses’ knowledge, behavior and patient falls incidents and severity following a falls e-learning program

Differences in nurses’ knowledge, behavior and patient falls incidents and severity following a falls e-learning program

Perceptions of Nurses on Patient Outcomes Related to Nursing Shortage and Retention Strategies at a Public Hospital in the Coastal Region of Tanzania

Summarizing benchmarks in the national database of nursing quality indicators using bootstrap confidence intervals

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