The impact of three nursing staffing models on nursing outcomes

Abstract

Use of different nursing staffing models that substitute nurse aides for RNs may negatively affect patient safety and quality of care and increase nursing costs. To avoid this risk, hospitals should employ and train their own nurse aides and develop a training system and education materials for RN and nurse aides.

Evidence on Nurse Staffing Ratios and Patient Outcomes in a Low‐Income Country: Implications for Future Research and Practice

“…It is also worth noting that in this latter study, the proportion of nurses with a BSN degree was 60–80% which is lower than what it is at this setting albeit, much higher than most studies in the USA (Cho et al., ). While some studies find that higher ratios of BSN nurses are associated with less adverse events (Aiken, Clark, & Cheung, 2003; Aiken et al., ; Blegen et al., ; Needleman et al., ), other studies do not support this finding (Hart & Davis, ; Hugonnet et al., ; Sales et al., ; Yang, Hung, & Chen, ). It is possible that high ratios of BSN nurses preclude significant comparisons.…”

Comparison of nursing aids and registered nurses mixed nursing staffing model with different ratios on the nursing outcomes and cost in Neurology and Neurosurgery Center

“…workload and improve the nursing outcomes such as occurrences of pressure ulcers, falls, or infections [12][13][14][15][16][17][18][19]. In addition, the mixed nursing staffing model also reduces the medical cost resulting in decreased financial burden of both the patients and the country [20].…”

A quantitative systematic review of the association between nurse skill mix and nursing‐sensitive patient outcomes in the acute care setting

“…Barkell et al (2002),Blegen et al (2011,Martsolf et al (2014),Twigg et al (2012),Yang et al (2015) 6 deCordova et al (2014),Esparza et al (2012),Frith et al (2010),Kim, Park, et al (2016),McCloskey and Diers (2005), Needleman et al (2002), Pitkäaho et al . (2011), Goode et al (2011), Needleman et al (2002), Park et al (2012), Roche et al (2012), Seago et al (2006), Twigg et al (2016), Twigg et al (2012), Unruh and Zang (2012.…”