Nurse Staffing and Patient Mortality in Intensive Care Units

Cho, Sung Hyun; Hwang, Jeonghae; Kim, Jaiyong

doi:10.1097/01.nnr.0000313498.17777.71

Cited by 109 publications

(85 citation statements)

References 27 publications

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“…Cho et al 39 investigated the deleterious effect of lower nurse staffing levels in a large Korean study with 27 372 patients from 42 tertiary and 194 secondary hospitals. Compared with a ratio of 2 patients to 1 nurse, each 1-patient increase in the ratio was associated with a 9% increase in the odds of death (OR, 1.09; 95% CI, 1.04 to 1.14).…”

Section: Discussionmentioning

confidence: 99%

Patient to Nurse Ratio and Risk of Ventilator-Associated Pneumonia in Critically Ill Patients

Blot

Llauradó-Serra²,

Koulenti³

et al. 2010

American Journal of Critical Care

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Objective To determine how the patient to nurse ratio affects risk for ventilator-associated pneumonia. Methods Data from an earlier study in 27 intensive care units in 9 European countries were examined in a secondary analysis. The initial cohort included 2585 consecutive patients who had mechanical ventilation (1) after admission for treatment of pneumonia or (2) for more than 48 hours irrespective of the diagnosis at admission. In units with variable staffing levels, the highest patient to nurse ratio in a 24-hour period was considered. Patients from 6 units that did not provide data on nurse staffing levels were excluded from the analysis. Results Ventilator-associated pneumonia developed in 393 of the 1658 patients (23.7%) in the secondary cohort. In units with patient to nurse ratios of 1 to 1, 2 to 1, 2.5 to 1, and 3 to 1, rates were 9.3%, 25.7%, 18.7%, and 24.2%, respectively (P = .003). Rates were significantly lower (P = .002) in units with a ratio of 1 to 1 (9.3%) than in units with a ratio of more than 1 patient to 1 nurse (24.4%). After adjustments for confounding covariates, ratios of more than 1 patient to 1 nurse were no longer associated with increased risk for ventilator-associated pneumonia. Conclusions A patient to nurse ratio of 1 to 1 appears to be associated with a lower risk for ventilator-associated pneumonia, but after adjustments for confounding covariates, the difference is not significant.

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Section: Discussionmentioning

confidence: 99%

Patient to Nurse Ratio and Risk of Ventilator-Associated Pneumonia in Critically Ill Patients

Blot

Llauradó-Serra²,

Koulenti³

et al. 2010

American Journal of Critical Care

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“…Studies available in international literature correlated the number of nursing hours with the quality of care delivery, concluding that the larger number of care hours nurses deliver is associated with lower mortality and adverse event rates, as well as with the drop in mortality rates deriving from these events (18)(19)(20)(21) .…”

Section: Discussionmentioning

confidence: 99%

Nursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04

Fugulin

Rossetti

Ricardo

et al. 2012

Rev. Latino-Am. Enfermagem

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Tiempo de asistencia de enfermería en la Unidad de CuidadosIntensivos: evaluación de los parámetros propuestos por la Resolución COFEN nº 293/04Este estudio tuvo como objetivo evaluar los parámetros establecidos por la Resolución COFEN 293/04, referencia para dimensionamiento de personal de enfermería en unidades de cuidados intensivos adultos (UCIA). La investigación se realizó en seis hospitales de la ciudad de São Paulo. La cantidad media diaria de profesionales necesarios para la asistencia al paciente se calculó de acuerdo a los parámetros establecidos por COFEN. Los resultados se compararon al cuantitativo diario de personal existente en estas Unidades.Se observó que las proporciones recomendadas por COFEN, categoría enfermera, son superiores a las utilizadas por los hospitales convirtiéndose desafío para la enfermería brasileña. Se encontró que los valores del tiempo medio de asistencia son adecuadas y representan importante referencia para el dimensionamiento del cuantitativo mínimo de profesionales en UCIA. Este estudio evidencia contribuciones para validación de los parámetros especificados en la Resolución COFEN 293/04, para el dimensionamiento del personal de enfermería en UCIA.

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“…The effect of staff shortages can be seen on patient health outcomes, particularly in the ICU, where fewer nurses per patient can result in increased mortality. [78] Studies specifically looking at populations of healthcare workers have also found evidence of vaccine effectiveness, as well as a possible decrease in absenteeism among vaccine recipients. A 3-year RCT of TIV in young healthy HCWs in Baltimore, using serologically confirmed influenza infection as an outcome measure, estimated a VE of 88% for influenza A and 89% for influenza B.…”

Section: Disease Burdenmentioning

confidence: 99%

“…Review of studies on safety of TIV in children did not reveal any evidence for important safety concerns [157], in particular no evidence of an increased risk of febrile convulsion. [78] In clinical trials, an increased risk for wheezing post-vaccination was observed in LAIV recipients aged <24 months. [182,189] An increase in hospitalizations also was observed in children aged <24 months after vaccination with LAIV.…”

Section: Vaccine Safetymentioning

confidence: 99%

2012/13 influenza vaccine effectiveness against hospitalised influenza A(H1N1)pdm09, A(H3N2) and B: estimates from a European network of hospitals

Rondy¹,

Launay

Puig-Barberà

et al. 2015

Eurosurveillance

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Nurse Staffing and Patient Mortality in Intensive Care Units

Abstract: Nurse and physician staffing and specialization of ICUs impacted patient mortality. Associations differed in tertiary and secondary hospitals. Further investigation of the impact of organizational environments in ICUs is needed.

Cited by 109 publications

References 27 publications

Patient to Nurse Ratio and Risk of Ventilator-Associated Pneumonia in Critically Ill Patients

Patient to Nurse Ratio and Risk of Ventilator-Associated Pneumonia in Critically Ill Patients

Nursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04

2012/13 influenza vaccine effectiveness against hospitalised influenza A(H1N1)pdm09, A(H3N2) and B: estimates from a European network of hospitals

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