0 267

Cited 24 times in

The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events

 Eunhee Cho  ;  Dal Lae Chin  ;  Sinhye Kim  ;  OiSaeng Hong 
 JOURNAL OF NURSING SCHOLARSHIP, Vol.48(1) : 74-82, 2016 
Journal Title
Issue Date
Accidental Falls/statistics & numerical data* ; Adult ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; Logistic Models ; Male ; Medication Errors/statistics & numerical data* ; Multilevel Analysis ; Nursing Staff, Hospital/statistics & numerical data ; Nursing Staff, Hospital/supply & distribution* ; Personnel Staffing and Scheduling/statistics & numerical data* ; Pressure Ulcer/epidemiology* ; Republic of Korea/epidemiology ; Surveys and Questionnaires ; Workplace ; Wounds and Injuries/epidemiology*
Korea ; nurse staffing ; patient adverse events ; patient outcomes ; work environment
PURPOSE: The purpose of this study was to examine the relationships of nurse staffing level and work environment with patient adverse events. DESIGN: This cross-sectional study used a combination of nurse survey data (N = 4,864 nurses), facility data (N = 58 hospitals), and patient hospital discharge data (N = 113,426 patients) in South Korea. METHODS: The three most commonly nurse-reported adverse events included administration of the wrong medication or dose to a patient, pressure ulcers, and injury from a fall after admission. Multilevel ordinal logistic regression was employed to explore the relationships of nurse staffing level (number of patients assigned to a nurse) and work environment (Practice Environment Scale of the Nursing Work Index) with patient adverse events after controlling for nurse, hospital, and patient characteristics. FINDINGS: A larger number of patients per nurse was significantly associated with a greater incidence of administration of the wrong medication or dose (odds ratio [OR] = 1.01, 95% confidence interval [CI] = 1.007-1.016), pressure ulcer (OR = 1.01, 95% CI = 1.007-1.016), and patient falls with injury (OR = 1.02, 95% CI = 1.013-1.022). A better work environment had a significant inverse relationship with adverse events; the odds of reporting a higher incidence of adverse events were 45% lower for administration of the wrong medication or dose (OR = 0.55, 95% CI = 0.400-0.758), followed by 39% lower for pressure ulcer (OR = 0.61, 95% CI = 0.449-0.834) and 32% lower for falls with injury after admission (OR = 0.68, 95% CI = 0.490-0.939). CONCLUSIONS: This study found that a larger number of patients per nurse and poor work environment increase the incidence of patient adverse events, such as administration of the wrong medication or dose to a patient, pressure ulcers, and injury from falling after admission. The findings suggest that South Korean hospitals could prevent patient adverse events by improving nurse staffing and work environment. CLINICAL RELEVANCE: Healthcare strategies and efforts to modify adequate nurse staffing levels and better work environments for nurses are needed to improve patient outcomes.
Full Text
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.