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Improving the Lives of Fragile Newborns: What Does Nursing Have to Offer?
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"1/3 of NICUs under staffed... California nurses discuss increased nurse retention after the 2004 staffing ratios were implemented.
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Dr. Linda Aiken discusses her research and nurses in research.
"1 patient increase in nurses' workloads is associated with 7% increase in mortality" Found across 1,000 U.S. hospitals. Aiken, et al., JAMA, 2002; Medical Care 2011 "These findings were also found across Europe" |
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More Deaths Occur On Night Shift
Practice: Night Shift Errors: Examining the Root Cause of Nurse Practice Errors During the Most Dangerous Time for Patients
Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
Emilie Shireman, PhD, Data Scientist, Research, NCSBN
According to researchers Dr. Elizabeth Zhong and Dr. Emilie Shireman's 2018 presentation "Practice: Night Shift Errors: Examining the Root Cause of Nurse Practice Errors During the Most Dangerous Time for Patients" more errors occur on night shifts. The error rate on night shift is twice that of day shift, with more deaths resulting from these errors. Cases involved in this study included New Jersey nurses who were reported to the Board of Nursing for errors, if they met specific study protocols. While Dr. Zhong did not gather data on the staffing ratios, the nurses responded that the perceived causes for errors were: 31% Work Stress, 21% Lack of Support, 16% Fatigue/ Lack of Sleep and 12% Lack of Staff.
Dr. Emilie Shireman discussed challenges of nights shifts which included: night shifts have younger-less experienced nurses, less access to training on night shift, fatigue associated with night shift and night shifts staffing issues such as having fewer nurses working. She went on to explain that the more hours worked by a nurse, the greater the chance nurses had in making an error. Shireman also addressed the issue of system errors and the need for these errors to be looked at as a way to improve the system and not be a punitive approach.
A new study is on the horizon that will look more in depth at these errors. Contributing factors will include: staffing, fatigue mitigation and causes that are related to changes from the normal system.
For more information please view the presentation, link here.
Dr. Emilie Shireman discussed challenges of nights shifts which included: night shifts have younger-less experienced nurses, less access to training on night shift, fatigue associated with night shift and night shifts staffing issues such as having fewer nurses working. She went on to explain that the more hours worked by a nurse, the greater the chance nurses had in making an error. Shireman also addressed the issue of system errors and the need for these errors to be looked at as a way to improve the system and not be a punitive approach.
A new study is on the horizon that will look more in depth at these errors. Contributing factors will include: staffing, fatigue mitigation and causes that are related to changes from the normal system.
For more information please view the presentation, link here.
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Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm |
Emilie Shireman, PhD, Data Scientist, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm |
Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm 
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Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm 
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Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm |
Emilie Shireman, PhD, Data Scientist, Research, NCSBN
Slide https://www.ncsbn.org/13121.htm |