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Running head: FINAL PROJECT1 The Effects of Nursing Ratios in the Healthcare System Brittny Trudelle Southern New Hampshire University - NUR 440 April 18, 2020
FINAL PROJECT2 Abstract The objective of this literature review is to assess whether or not nurse-patient ratios affect patient care and their desired outcomes. Nurses are responsible for the attentive care the patients receive and when staff is limited, care is affected negatively. It is imperative that these studies continue to take place in order to push for the necessary changes in the healthcare field. Through a conductive research process, six research articles were discovered and used to support the proposal of increasing nursing staff. The research process consisted of using the database, CINAHL and focusing on key words such as nurses and patient ratios to refine the search. The chosen articles were analyzed based on consistent trends and similarities that supported the stated research topic, and chosen to be a part of this literature review. The design methods used consisted of cross sectional studies, longitudinal studies and randomized control trials. The results of these chosen studies showed positive correlations in improved patient outcomes and decreased nursing ratios along with supportive data that claimed a lower number of nurse burnouts, decreased medication administration errors and a decrease in patient mortality. By decreasing the amount of patients per nurse, patient care outcomes along with nurse retainment will improve based on the research conducted. Keywords: nurse-patient ratios, patient outcomes, healthcare, nurse burnout, medication errors, mortality
FINAL PROJECT3 The Effects of Nursing Ratios in the Healthcare System Nurses across the country are being faced with the issue of performing their job within the scope of practice, but with an increasing number of patients to do it with. This creates a barrier between nurse and patient when it comes down to the quality of care given. A nurse is the patient's best advocate and it is their duty to perform above exceptional care to patients in order to promote positive outcomes. Haegdorens et. al., states, “Nurses represent the largest group of hospital workers and are responsible for the majority of patient care. Investigating the impact of their work environment and staffing on the quality of healthcare and patient safety is therefore crucial. There is a growing body of evidence indicating that inadequate nurse staffing in acute care hospitals is associated with adverse events such as patient falls, health-care related infections, medication errors and in-hospital mortality” (2019). In order to best assess whether or not an increased nursing staff would improve patient outcomes, this literature review was conducted. Throughout this literature review, many different methods were used to examine the trend between nursing staff shortage and the outcomes that were noted.