EBP Task 2.docx - Running Head NURSE STAFFING RATIOS Nurse...

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Running Head: NURSE STAFFING RATIOS 1 Nurse Staffing Ratios Chelsey Lynn Western Governors University
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Nurse Staffing Ratios 2 In todays healthcare setting inadequate nurse staffing is a leading issue that can affect the safety and quality of patient care. In the face of nurse shortages and increased patient volume nurse staffing is a crucial issue in hospitals today. High patient to nurse ratios have been linked to falls, medication errors, infections and even mortality. It is also linked to increased length of stay and decreased satisfaction with both patients and nurses. Currently hospitals use a nursing hours per patient day model (NHPPD), which is a nursing workload monitoring and measuring system, to help guide staffing within clinical areas. NHPPD has been identified as the first nursing sensitive measures developed. These measures align with American Nurses Association’s principles for safe staffing. Having a high patient to nurse ratio has been shown to increase stress and pressure within the workplace. This can lead to job dissatisfaction and nurse burnout. PICO Table P (patient, population, problem) Increased patient to nurse ratios I (intervention) Limiting the number of patients a nurse can take C (comparison with other interventions, if applicable) Higher patient to nurse ratios O (outcomes that include metrics for evaluating results) Improved quality of patient care PICO question: Does limiting the number of patients a nurse can take in hospitals with increased patient to nurse ratios improve the quality of patient care compared to hospitals with higher patient to nurse ratios? Research was conducted using the Western Governors University library databases PubMed, EBSCO, and Ovid. Key search terms consisted of nurse staffing,
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Nurse Staffing Ratios 3 quality care, patient nurse ratio and patient outcomes. After reviewing the results seven articles were then selected, five research articles and two non-research articles. The first research article selected was a study conducted to measure missed nursing care and the nurse staffing levels during the missed care events (Dabney and Kalisch, 2015). The study showed a significant relationship between nurse staffing and missed timeliness (Dabney and Kalisch, 2015). The second research article selected explored nurse staffing resources and work activity as it relates to small rural hospitals (Twigg, Cramer and Pugh, 2016). Interviews were preformed in which nurse leaders were in agreement to the fact that the lack of nursing staff compromised service delivery and patient care (Twigg et al., 2016). One of the non-research article selected talks about the issues surrounding
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  • Fall '19
  • Nursing, nurse staffing ratios

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