Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study

Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes

“…Our findings enrich the empirical evidence that nurse staffing and missed care impact patient safety, quality of care, and patient and nurse outcomes (Ball et al, 2014;Ball et al, 2017;Cho et al, 2016;Jones et al, 2015;Lake et al, 2016;Recio-Saucedo et al, 2017;Tschannen et al, 2010). The finding that perceived staffing adequacy had significant relationships with all dependent variables, unlike the patient-to-RN ratio, indicates that perceived staffing adequacy may be more sensitive to the overall workload than the staffing ratio, because it reflects the effect of additional factors other than the staffing ratio.…”

“…This average staffing ratio is better than the ratio of 18.2 patients per RN in the medical and surgical units of 51 Korean hospitals (Cho et al, 2016), but worse than the average of 8.4 patients per RN reported by the RN4CAST study of nurses from 12 European countries (Ausserhofer et al, 2014). This average staffing ratio is better than the ratio of 18.2 patients per RN in the medical and surgical units of 51 Korean hospitals (Cho et al, 2016), but worse than the average of 8.4 patients per RN reported by the RN4CAST study of nurses from 12 European countries (Ausserhofer et al, 2014).…”

Classificação de pacientes e dimensionamento de profissionais de enfermagem: contribuições de uma tecnologia de gestão

“…A survey conducted in 60 hospitals by researchers (5) , in South Korea, verified a direct relationship between the inadequate sizing of the nursing professionals and the performance of overtime with the increase of adverse events. This study makes a direct correlation that the higher the number of patients per nurse, the greater the chances of failures related to patient's safety, the poor quality of care and care left behind due to lack of time.…”

“…International studies, such as the one carried out in 243 hospitals in 6 European countries (4) and another carried out in 60 hospitals in South Korea (5) , show that there is a direct correlation between adequate care staff in quantity and quality with the assistance results involving directly the patient's safety and the quality of the services offered.…”

Nursing issues

“…A recent international study explored the relationship between nurse staffing levels and overtime and nurse perceptions of patient safety and quality of care (http://ebn.bmj.com/content/20/1/19). Cho et al used a cross-sectional survey, which highlighted concerns of South Korean nurses about patient safety when staffing levels were low and when they were working overtime 1. Results were compared with those from other countries, noting the international significance of this issue.…”