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Nurse staffing and hospital‐acquired conditions: A systematic review

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  • Sujin Shin
  • Jin‐Hwa Park
  • Sung‐Heui Bae

Abstract

Aims and Objectives To systematically review and synthesise primary studies on the relationship between nurse staffing and hospital‐acquired conditions. Background Research examining the association between nurse staffing and hospital‐acquired conditions is varied owing to the use of different definitions and methods. Design This study was conducted based on a systematic review of related nursing literature. Methods The CINAHL, Cochrane Library, DBpia, EBSCO, PubMed, PsycINFO and RISS databases were searched for either English or Korean language studies published between January 2000 and August 2018 that examined the association between nurse staffing and hospital‐acquired conditions. We used Preferred Reporting Items for Systematic Reviews and Meta‐Analyses check list. Results Totally, 19 published studies were included in the systematic review. Various measures were used to examine association between nurse staffing and hospital‐acquired conditions. The majority of the reviewed studies revealed negative relationships between nurse staffing levels and hospital‐acquired conditions. However, a substantial number of relationships were not significant. Conclusions There is a need for future studies to examine the differences in the relationship between nurse staffing and hospital‐acquired conditions and to use precise data collection on registered nurses’ hours per patient day and total hours per patient day, as it is difficult to collect data on these measures. The findings of this study suggest that sufficient nurse staffing is a strong indicator of the provision of quality patient care. However, continuous efforts are recommended to find more conclusive relationships between nurse staffing and hospital‐acquired conditions and to formulate guidelines regarding nurse staffing strategies. Relevance to clinical practice Nurse staffing is an important managerial strategy. Especially, given health policy changes, hospitals need to develop staffing strategies to prevent hospital‐acquired conditions.

Suggested Citation

  • Sujin Shin & Jin‐Hwa Park & Sung‐Heui Bae, 2019. "Nurse staffing and hospital‐acquired conditions: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4264-4275, December.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4264-4275
    DOI: 10.1111/jocn.15046
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    References listed on IDEAS

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    1. Saima Hinno & Pirjo Partanen & Katri Vehviläinen‐Julkunen, 2012. "Nursing activities, nurse staffing and adverse patient outcomes as perceived by hospital nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1584-1593, June.
    2. Sung‐Heui Bae & Carol S. Brewer & Maureen Kelly & Alexandra Spencer, 2015. "Use of temporary nursing staff and nosocomial infections in intensive care units," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(7-8), pages 980-990, April.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Nompilo Moyo & Martin Jones & Shaun Dennis & Karan Sharma & Michael McKeown & Richard Gray, 2023. "The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study," IJERPH, MDPI, vol. 20(3), pages 1-11, February.

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