of nurses, their education and the patient characteristics. The staffing ratios and nurse education directly affects the outcomes in a negative aspect. Another study reviewed supported the idea that nurse education and staffing were directly linked to poor patient outcomes. It is stated from Cho et al., “Adequate nurse staffing allows nurses to spend the most time with patients, while better nurse education and a favorable nurse practice environment influence the timeliness of interventions once a potential or acute patient problem has been identified. Among patient outcomes, mortality is the most important and often used indicator of quality of care at hospitals” (2018). Lieu et al., (2018) refers to existing evidence that a nurses workload is directly associated with patient outcomes. Although Kim & Kim (2020) found evidence correlated with an increase in patient mortality from nurse staff, it was only conducted over 30 days and had limitations. Of the chosen research articles, all six methods showed excellence in the quality of information obtained. Cho (2015) and Jaraar (2018) used the method of questionnaire/survey to obtain the most accurate information. Jararr concluded that nurses with more than 10 patients showed a significant increase in adverse events compared to those nurses who had less than 5 patients (2018). Oostveen et al., also used a qualitative study and interviewed 27 nurses, all of which were recorded and transcribed for the most accurate and valid information (2015).
FINAL PROJECT 6 The findings of these articles show a positive correlation in adverse outcomes due to a high nurse to patient ratio. Liu et al., states, “ Better work environment was directly associated with better nurse-assessed patient safety and fewer patient adverse events. In addition, a better work environment was directly associated with less nurse burnout, which subsequently related to higher nurse-assessed patient safety level and fewer adverse events” (2018). Kim & Kim conducted a cross sectional study that assessed the mortality rate over 30 days based on the amount of staff readily available to the patients. 1,355 (0.1%) of deaths occurred due to the decreased amount of staff and poor discharge education (2020). Strengths and limitations are recognized in many of the research articles. There were a variety of design methods that pulled information in various ways such as qualitative studies, cross-sectional longitudinal studies and randomized control trials. These methods are proven to be trustworthy and dependable and therefore a strength when researching information. A limitation discovered was in Haegdorens (2019) study which consisted of missing data such as patients comorbidity scores from a hospital on a couple different occasions as well as patient turnover and thus may have underestimated the nurses workload and the possible effect it may have had on the outcomes. Another limitation consisted of having only used large, high tech teaching hospitals to gain data from. This may have underestimated the associations in a national sample relating to nurse staffing, nurse work environment and nurse education (Cho et al., 2015).
- Summer '17
- Nursing, Yunmi Kim