Cited 84 times in
The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events
DC Field | Value | Language |
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dc.contributor.author | 조은희 | - |
dc.date.accessioned | 2017-02-24T03:16:06Z | - |
dc.date.available | 2017-02-24T03:16:06Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1527-6546 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146294 | - |
dc.description.abstract | 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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.format.extent | 74~82 | - |
dc.language | English | - |
dc.publisher | Wiley | - |
dc.relation.isPartOf | JOURNAL OF NURSING SCHOLARSHIP | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Accidental Falls/statistics & numerical data* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cross-Sectional Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Logistic Models | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Medication Errors/statistics & numerical data* | - |
dc.subject.MESH | Multilevel Analysis | - |
dc.subject.MESH | Nursing Staff, Hospital/statistics & numerical data | - |
dc.subject.MESH | Nursing Staff, Hospital/supply & distribution* | - |
dc.subject.MESH | Personnel Staffing and Scheduling/statistics & numerical data* | - |
dc.subject.MESH | Pressure Ulcer/epidemiology* | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Surveys and Questionnaires | - |
dc.subject.MESH | Workplace | - |
dc.subject.MESH | Wounds and Injuries/epidemiology* | - |
dc.title | The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Nursing | - |
dc.contributor.department | Dept. of Nursing Environment Systems | - |
dc.contributor.googleauthor | Eunhee Cho | - |
dc.contributor.googleauthor | Dal Lae Chin | - |
dc.contributor.googleauthor | Sinhye Kim | - |
dc.contributor.googleauthor | OiSaeng Hong | - |
dc.identifier.doi | 10.1111/jnu.12183 | - |
dc.contributor.localId | A03886 | - |
dc.relation.journalcode | J01647 | - |
dc.identifier.eissn | 1547-5069 | - |
dc.identifier.pmid | 26642177 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/jnu.12183/abstract | - |
dc.subject.keyword | Korea | - |
dc.subject.keyword | nurse staffing | - |
dc.subject.keyword | patient adverse events | - |
dc.subject.keyword | patient outcomes | - |
dc.subject.keyword | work environment | - |
dc.contributor.alternativeName | Cho, Eun Hee | - |
dc.contributor.affiliatedAuthor | Cho, Eunhee | - |
dc.citation.volume | 48 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 74 | - |
dc.citation.endPage | 82 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NURSING SCHOLARSHIP, Vol.48(1) : 74-82, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 53021 | - |
dc.type.rims | ART | - |
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