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Effects of increasing nurse staffing on missed nursing care
Background Inadequate nurse staffing has been reported to lead nurses to omit required nursing care. In South Korea, to reduce informal caregiving by patient families and sitters and to improve the quality of nursing care, a public hospital operated by the Seoul Metropolitan Government has implement...
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| Published in: | International nursing review 2015-06, Vol.62 (2), p.267-274 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c4663-647f46d1546ea4659665708cc7bc50c876c305902cc67743a77b494e957ef91c3 |
| container_end_page | 274 |
| container_issue | 2 |
| container_start_page | 267 |
| container_title | International nursing review |
| container_volume | 62 |
| creator | Cho, S.-H. Kim, Y.-S. Yeon, K.N. You, S.-J. Lee, I.D. |
| description | Background
Inadequate nurse staffing has been reported to lead nurses to omit required nursing care. In South Korea, to reduce informal caregiving by patient families and sitters and to improve the quality of nursing care, a public hospital operated by the Seoul Metropolitan Government has implemented a policy of increasing nurse staffing from 17 patients per registered nurse to 7 patients per registered nurse in 4 out of 13 general nursing units since January 2013.
Aim
The study aims to compare missed nursing care (omission of required care) in high‐staffing (7 patients per nurse) units vs. low‐staffing (17 patients per nurse) units to examine the effects of nurse staffing on missed care.
Methods
A nurse survey conducted in July 2013 targeted all staff nurses in all four high‐staffing and all nine low‐staffing units; 115 nurses in the high‐staffing units (response rate = 94.3%) and 117 nurses in the low‐staffing units (response rate = 88.6%) participated. Missed nursing care was measured using the MISSCARE survey that included 24 nursing care elements. Nurses were asked how frequently they had missed each element on a 4‐point scale from ‘rarely’ to ‘always’.
Results
Overall, nurses working in high‐staffing units had a significantly lower mean score of missed care than those in low‐staffing units. Seven out of 24 nursing care elements were missed significantly less often in high‐staffing (vs. low‐staffing) units: turning, mouth care, bathing/skin care, patient assessments in each shift, assistance with toileting, feeding and setting up meals.
Conclusion
The findings suggest that increasing nurse staffing is associated with a decrease in missed care. Less omission of required nursing care is expected to improve nursing surveillance and patient outcomes, such as patient falls, pressure ulcers and pneumonia.
Implications for nursing and health policy
Adequate nurse staffing should be ensured to reduce unmet nursing needs and improve patient outcomes. |
| doi_str_mv | 10.1111/inr.12173 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1710665506</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1682425412</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4663-647f46d1546ea4659665708cc7bc50c876c305902cc67743a77b494e957ef91c3</originalsourceid><addsrcrecordid>eNqFkEtPAjEYRRujEUQX_gEzS10M9N1pXClBICGY-IjLppTWjA4z2DJR_r2FAXbGbpp-Pd_JzQXgEsEuiqeXl76LMBLkCLQR5TwVnIlj0IYQwzRDBLfAWQgfEEIEZXYKWpgJjimBbXA7cM6aVUgql-Sl8VaHvHxPytoHm4SVdm7zrMpkkYdg59uPzcRob8_BidNFsBe7uwNeHwYv_VE6eRyO-3eT1MQsJOVUOMrniFFuNeVM8pgOZsaImWHQZIIbApmE2BguBCVaiBmV1EomrJPIkA64brxLX33VNqxUDGNsUejSVnVQSCAYnQzy_1GeYYoZRTiiNw1qfBWCt04tfb7Qfq0QVJtaVaxVbWuN7NVOW88Wdn4g9z1GoNcA33lh13-b1Hj6tFemzUYeVvbnsKH9p-KCCKbepkPF7pGUCD-rEfkFvaCNgw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1682425412</pqid></control><display><type>article</type><title>Effects of increasing nurse staffing on missed nursing care</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Cho, S.-H. ; Kim, Y.-S. ; Yeon, K.N. ; You, S.-J. ; Lee, I.D.</creator><creatorcontrib>Cho, S.-H. ; Kim, Y.-S. ; Yeon, K.N. ; You, S.-J. ; Lee, I.D.</creatorcontrib><description>Background
Inadequate nurse staffing has been reported to lead nurses to omit required nursing care. In South Korea, to reduce informal caregiving by patient families and sitters and to improve the quality of nursing care, a public hospital operated by the Seoul Metropolitan Government has implemented a policy of increasing nurse staffing from 17 patients per registered nurse to 7 patients per registered nurse in 4 out of 13 general nursing units since January 2013.
Aim
The study aims to compare missed nursing care (omission of required care) in high‐staffing (7 patients per nurse) units vs. low‐staffing (17 patients per nurse) units to examine the effects of nurse staffing on missed care.
Methods
A nurse survey conducted in July 2013 targeted all staff nurses in all four high‐staffing and all nine low‐staffing units; 115 nurses in the high‐staffing units (response rate = 94.3%) and 117 nurses in the low‐staffing units (response rate = 88.6%) participated. Missed nursing care was measured using the MISSCARE survey that included 24 nursing care elements. Nurses were asked how frequently they had missed each element on a 4‐point scale from ‘rarely’ to ‘always’.
Results
Overall, nurses working in high‐staffing units had a significantly lower mean score of missed care than those in low‐staffing units. Seven out of 24 nursing care elements were missed significantly less often in high‐staffing (vs. low‐staffing) units: turning, mouth care, bathing/skin care, patient assessments in each shift, assistance with toileting, feeding and setting up meals.
Conclusion
The findings suggest that increasing nurse staffing is associated with a decrease in missed care. Less omission of required nursing care is expected to improve nursing surveillance and patient outcomes, such as patient falls, pressure ulcers and pneumonia.
Implications for nursing and health policy
Adequate nurse staffing should be ensured to reduce unmet nursing needs and improve patient outcomes.</description><identifier>ISSN: 0020-8132</identifier><identifier>EISSN: 1466-7657</identifier><identifier>DOI: 10.1111/inr.12173</identifier><identifier>PMID: 25762430</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Cross-Sectional Studies ; Health Policy ; Hospitals ; Humans ; Korea ; Missed Nursing Care ; Nurses ; Nursing ; Nursing Staff, Hospital - supply & distribution ; Quality ; Quality and Safety ; Quality of Health Care ; Republic of Korea ; Staffing ; Surveys and Questionnaires ; Workload</subject><ispartof>International nursing review, 2015-06, Vol.62 (2), p.267-274</ispartof><rights>2015 International Council of Nurses</rights><rights>2015 International Council of Nurses.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4663-647f46d1546ea4659665708cc7bc50c876c305902cc67743a77b494e957ef91c3</citedby><cites>FETCH-LOGICAL-c4663-647f46d1546ea4659665708cc7bc50c876c305902cc67743a77b494e957ef91c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25762430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, S.-H.</creatorcontrib><creatorcontrib>Kim, Y.-S.</creatorcontrib><creatorcontrib>Yeon, K.N.</creatorcontrib><creatorcontrib>You, S.-J.</creatorcontrib><creatorcontrib>Lee, I.D.</creatorcontrib><title>Effects of increasing nurse staffing on missed nursing care</title><title>International nursing review</title><addtitle>Int Nurs Rev</addtitle><description>Background
Inadequate nurse staffing has been reported to lead nurses to omit required nursing care. In South Korea, to reduce informal caregiving by patient families and sitters and to improve the quality of nursing care, a public hospital operated by the Seoul Metropolitan Government has implemented a policy of increasing nurse staffing from 17 patients per registered nurse to 7 patients per registered nurse in 4 out of 13 general nursing units since January 2013.
Aim
The study aims to compare missed nursing care (omission of required care) in high‐staffing (7 patients per nurse) units vs. low‐staffing (17 patients per nurse) units to examine the effects of nurse staffing on missed care.
Methods
A nurse survey conducted in July 2013 targeted all staff nurses in all four high‐staffing and all nine low‐staffing units; 115 nurses in the high‐staffing units (response rate = 94.3%) and 117 nurses in the low‐staffing units (response rate = 88.6%) participated. Missed nursing care was measured using the MISSCARE survey that included 24 nursing care elements. Nurses were asked how frequently they had missed each element on a 4‐point scale from ‘rarely’ to ‘always’.
Results
Overall, nurses working in high‐staffing units had a significantly lower mean score of missed care than those in low‐staffing units. Seven out of 24 nursing care elements were missed significantly less often in high‐staffing (vs. low‐staffing) units: turning, mouth care, bathing/skin care, patient assessments in each shift, assistance with toileting, feeding and setting up meals.
Conclusion
The findings suggest that increasing nurse staffing is associated with a decrease in missed care. Less omission of required nursing care is expected to improve nursing surveillance and patient outcomes, such as patient falls, pressure ulcers and pneumonia.
Implications for nursing and health policy
Adequate nurse staffing should be ensured to reduce unmet nursing needs and improve patient outcomes.</description><subject>Cross-Sectional Studies</subject><subject>Health Policy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Korea</subject><subject>Missed Nursing Care</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital - supply & distribution</subject><subject>Quality</subject><subject>Quality and Safety</subject><subject>Quality of Health Care</subject><subject>Republic of Korea</subject><subject>Staffing</subject><subject>Surveys and Questionnaires</subject><subject>Workload</subject><issn>0020-8132</issn><issn>1466-7657</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFkEtPAjEYRRujEUQX_gEzS10M9N1pXClBICGY-IjLppTWjA4z2DJR_r2FAXbGbpp-Pd_JzQXgEsEuiqeXl76LMBLkCLQR5TwVnIlj0IYQwzRDBLfAWQgfEEIEZXYKWpgJjimBbXA7cM6aVUgql-Sl8VaHvHxPytoHm4SVdm7zrMpkkYdg59uPzcRob8_BidNFsBe7uwNeHwYv_VE6eRyO-3eT1MQsJOVUOMrniFFuNeVM8pgOZsaImWHQZIIbApmE2BguBCVaiBmV1EomrJPIkA64brxLX33VNqxUDGNsUejSVnVQSCAYnQzy_1GeYYoZRTiiNw1qfBWCt04tfb7Qfq0QVJtaVaxVbWuN7NVOW88Wdn4g9z1GoNcA33lh13-b1Hj6tFemzUYeVvbnsKH9p-KCCKbepkPF7pGUCD-rEfkFvaCNgw</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Cho, S.-H.</creator><creator>Kim, Y.-S.</creator><creator>Yeon, K.N.</creator><creator>You, S.-J.</creator><creator>Lee, I.D.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201506</creationdate><title>Effects of increasing nurse staffing on missed nursing care</title><author>Cho, S.-H. ; Kim, Y.-S. ; Yeon, K.N. ; You, S.-J. ; Lee, I.D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4663-647f46d1546ea4659665708cc7bc50c876c305902cc67743a77b494e957ef91c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Cross-Sectional Studies</topic><topic>Health Policy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Korea</topic><topic>Missed Nursing Care</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital - supply & distribution</topic><topic>Quality</topic><topic>Quality and Safety</topic><topic>Quality of Health Care</topic><topic>Republic of Korea</topic><topic>Staffing</topic><topic>Surveys and Questionnaires</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, S.-H.</creatorcontrib><creatorcontrib>Kim, Y.-S.</creatorcontrib><creatorcontrib>Yeon, K.N.</creatorcontrib><creatorcontrib>You, S.-J.</creatorcontrib><creatorcontrib>Lee, I.D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International nursing review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, S.-H.</au><au>Kim, Y.-S.</au><au>Yeon, K.N.</au><au>You, S.-J.</au><au>Lee, I.D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of increasing nurse staffing on missed nursing care</atitle><jtitle>International nursing review</jtitle><addtitle>Int Nurs Rev</addtitle><date>2015-06</date><risdate>2015</risdate><volume>62</volume><issue>2</issue><spage>267</spage><epage>274</epage><pages>267-274</pages><issn>0020-8132</issn><eissn>1466-7657</eissn><abstract>Background
Inadequate nurse staffing has been reported to lead nurses to omit required nursing care. In South Korea, to reduce informal caregiving by patient families and sitters and to improve the quality of nursing care, a public hospital operated by the Seoul Metropolitan Government has implemented a policy of increasing nurse staffing from 17 patients per registered nurse to 7 patients per registered nurse in 4 out of 13 general nursing units since January 2013.
Aim
The study aims to compare missed nursing care (omission of required care) in high‐staffing (7 patients per nurse) units vs. low‐staffing (17 patients per nurse) units to examine the effects of nurse staffing on missed care.
Methods
A nurse survey conducted in July 2013 targeted all staff nurses in all four high‐staffing and all nine low‐staffing units; 115 nurses in the high‐staffing units (response rate = 94.3%) and 117 nurses in the low‐staffing units (response rate = 88.6%) participated. Missed nursing care was measured using the MISSCARE survey that included 24 nursing care elements. Nurses were asked how frequently they had missed each element on a 4‐point scale from ‘rarely’ to ‘always’.
Results
Overall, nurses working in high‐staffing units had a significantly lower mean score of missed care than those in low‐staffing units. Seven out of 24 nursing care elements were missed significantly less often in high‐staffing (vs. low‐staffing) units: turning, mouth care, bathing/skin care, patient assessments in each shift, assistance with toileting, feeding and setting up meals.
Conclusion
The findings suggest that increasing nurse staffing is associated with a decrease in missed care. Less omission of required nursing care is expected to improve nursing surveillance and patient outcomes, such as patient falls, pressure ulcers and pneumonia.
Implications for nursing and health policy
Adequate nurse staffing should be ensured to reduce unmet nursing needs and improve patient outcomes.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25762430</pmid><doi>10.1111/inr.12173</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-8132 |
| ispartof | International nursing review, 2015-06, Vol.62 (2), p.267-274 |
| issn | 0020-8132 1466-7657 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Cross-Sectional Studies Health Policy Hospitals Humans Korea Missed Nursing Care Nurses Nursing Nursing Staff, Hospital - supply & distribution Quality Quality and Safety Quality of Health Care Republic of Korea Staffing Surveys and Questionnaires Workload |
| title | Effects of increasing nurse staffing on missed nursing care |
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