ICU: A Multicenter Observational Study

Improved Essays
Registered nurses all over the world share one thing in common. The thing that is commonly shared is sometimes or most times having to work a shift with inadequate staffing. This is a growing concern amongst this profession. As nurses we strives to treat our patient in a holistic manner but sometimes fail because we simply do not have the time. Short staffing puts both a strain on nurses and patients alike. Optimal nurse- to- patient ratio has been a great challenge to achieve in almost every medical facility nationwide and internationally. Short staffing can lead to dangers like medication errors, falls, pressure ulcers, increased mortality rates, and nurse burn out. Three studies will be discussed in this paper pertaining to nurse- to-patient …show more content…
The problem statement in the study gives clear detail that staffing level should match the needs of patients. This will give a better outcome for a higher mortality rate. The population of the study includes physicians, nurses and a total of 5718 patients in eight ICU (a total of 11,666 shifts in the intensive care units) from four university hospitals between January and December 2013 in France. This study was done in real time and did not require any approval to proceed by a …show more content…
The study involves 243 health care workers from 13 units within a Canadian health facility. In this study it gives a view of how the perception of nurses can affect patient care outcome pertaining to patient- to- nurse ratio. The facility that is used in the study uses agencies to cover the shift that are short staffed. There is a downfall to that solution. Nurses who are permanently employed at the facilities are more familiar with everything that goes on there versus the agency nurses. The article also suggest that the inconsistency of staff due to shortages on shift can lead to medication errors. This is dangerous. Nurses working overtime to cove the short staff issue can also case risk. The risk of this is that the nurse that is working overtime may be drained from the previous shift. This cause risk for any negative to happen. There is really no end conclusion to the study where a solution to the problem can be made. This is comparison the other two

Related Documents

  • Decent Essays

    Clinical Question To evaluate the essence of inpatient nurse to patient staffing ratio The initiative indicates that there should be a minimum of nurses to patients This is designed with the aim of addressing the growing concerns that there has been harm on patients through inadequate staffing, thereby paving way to increase in complexity and severity of the illness during the care (American Nurses Association, 2014) Search Criteria/Results Search Criteria The research conducted ensured that extensive research was carried out on numerous databases such as PubMed, CINAHL and in different areas that related to nurse to patient ratio Search Results:…

    • 308 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    But one of the nurse in recovery unit refused to help her and said that S.D’s husband can help her with the task. On further inquiry, S.D. reports that nurses in recovery unit worked 12 hour shifts compared to the 8 hour shifts that nurses in Labor unit worked. And long work hours increase the risk for reduced job performance, obesity, injuries, and fatigue-related errors could harm patients (Caruso & Claire, 2014, p.19). Fatigued nurses also endanger others during their commute to and from work (Caruso & Claire, 2014,…

    • 527 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    This paper will examine the impacts of working such long hours on nurses…

    • 1354 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Essay On Staffing Ratios

    • 1164 Words
    • 5 Pages

    Patients are harmed by inadequate staffing at hospitals which then increase the number of people suffering from chronic illnesses and who are unable to access health care services. Hospitals with low staffing levels tend to have higher rates of poor patient outcomes. Staffing ratio in hospitals are affected by the changes in attitudes of employees, career expectations and the future of nursing. This implies that there is need to have a larger number of nursing staff in hospitals to provide care for the increasing population. Workers dissatisfaction has led to incidences of higher turnover rates with employees seeking other alternatives to besides nursing.…

    • 1164 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Nursing Unions

    • 774 Words
    • 4 Pages

    Along with being adequately staffed, hospitals also have to make sure their nurses are not being overworked. Proper staffing and better hours are two of the most common issues nursing unions fight for. Staffing is one of the most important contributing factors to a nurse being able to provide safe, quality patient care. According to the Agency for Healthcare Research and Quality (2004) “hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such…

    • 774 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Hospital Staffing

    • 758 Words
    • 4 Pages

    Should the government require hospitals to meet specified staff to patient ratios, or allow the hospital to make decisions about staffing levels, even if it means fewer staff working longer hours? This is a question that affects millions of hospitals and also effects protocols in hospitals all over the world. I rarely visit the hospital, but if I go to the hospital and it’s a very serious case will I be treated quickly enough? Registered nurses have long recognized and continue to point out that staffing issues are an ongoing problem. It is a problem one that influences the safety of both the patient and the nurse.…

    • 758 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The AACN suggests nurses nurse staffing must ensure an effective match between nurse skills and patient needs (AACN, 2016). Not only does inappropriate staffing lead to medical errors, it can also bring about stressed and overworked nurses. The unit I work on is often short-staffed leading nurses to take on more than they are used to and leaving charge nurses scrambling to assign duties and calling in reinforcements. To the best of my ability, I will try to match my nurse’s abilities to the patient’s acuities and request critique if the assignments do not work effectively with current staffing. In order to address the staffing needs and the workflow that changes hour to hour, I believe the implementation of a resource nurse role will help address the staffing needs when patient loads become hectic.…

    • 1013 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    There is currently a nurse shortage that is increasing in intensity every year and as stated by the U.S. Department of Health and Human Services Health Resources and Services Administration, by the year 2025 Arizona is estimated to have the greatest shortage of nurses. This shortage could be the result of a high turnover among nurses as a result of burnout. The nursing shortage forces nurses to increase their workload, meaning their patient to nurse ratio. With an increase in workload more nurses are getting burnt out at a faster rate. The aim of this study was to analyze the possible correlation between the burnout rate among nurses and their patient to nurse ratio by using inferential statistics.…

    • 899 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Introduction Trying to find a theory that can be used and have been used to help with such great problem such as nurse shortage was a challenge. After studying and reading many of the theorist models, Jean Watson nursing model stood out the most. The nurse literature reveals when supporting nurse staffing, it can warrant a quality of care from the nurses for their patients (Douglas, K. 2011). This task for the hospital administrator all the way down to the nurse manager, has come a great challenge and difficult task to achieve.…

    • 1088 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Welcoming Workplace

    • 1327 Words
    • 5 Pages

    Employees greatly appreciate appropriate staffing and guaranteeing that patient acuities are met. Suitable staffing is accomplished by use of a reliable and valid classification tool that measures nurse workload related to patient complexity and severity, nurse education and experience, and unit systems (Fasoli & Haddock, 2010). Nurses experience an increased physical, psychological, and emotional stress with high ratios and high acuity; therefore, NM’s role is to facilitate appropriate staffing needs. Another strategy to increase retention is considering increasing the benefits offered to staff.…

    • 1327 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The argument I will be addressing in my persuasive essay will be about the unfair workload of nurses. I will be arguing that nurses are overworked and do not have the support of the administrators. My main argument is to have the administrators hiring more nurse staff or to lower the ratio of nurse to patient. This argument is derived from my field of work. I am an RN, and I work in the same circumstances.…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    A quality of care for hospitalized patients depends upon the excellence of nursing knowledge, skills and practice, which requires coordinated efforts by many health care professionals. When there are inadequate health care workers, there will be an adverse patient outcome, including increased mortality rate, increased labor and operating cost, reduced efficiency and effectiveness of the care (DesRoch………….). For instance, in out department staff shortage and the turnover rate is very high and it is associated with poor job satisfaction, increased workload, decreased collaboration, ineffective communication and others. Due to the inadequate staffing, level of job satisfaction among working staff is very poor and turnover rate is high. Every day we call the agency and request them to send nurses and nursing assistants.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    During preceptorship I have experienced a nursing shortage and the float pool set in place to help was not helpful because of the inability to provide a nurse. The Online Journal of Issues in Nursing and other peer reviewed articles have continuously assembled an evidence based association between nurse staffing and patient outcomes. However, in the literature that I have read there were no clear pathways to a worthwhile improvement in patient outcomes. In addition research has shown adverse patient outcomes that are related to nurse understaffing include patient falls, urinary tract infections, medication errors, patient morality, and skin breakdown (Costa,…

    • 102 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    I am aware of my tendency to over-analyze situations, especially ethical ones, as I search for solutions. As my paper indicated, when the nurse staffing is not appropriate, patient outcomes are poorer. Families are affected when they know their family member is not receiving the best of care. Healthcare works are affected as their stress levels increase which often results in job…

    • 934 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In doing research, one tends to find several “causes” for the current nursing shortage, but hospital administrators are still not in agreement regarding any one main cause. Hospitals and researchers have no idea what could be the cause. All that is known is that ”Prolonged shortages also might reduce the quantity of patient care, increase operating and labor costs, and decrease the efficiency and effectiveness of care provided” (Buerhaus et al.). With the cause being unknown, it becomes even harder to keep nurses in the work…

    • 1446 Words
    • 6 Pages
    Improved Essays