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What the research says......

International Research Team Links Nurse Staffing to Patient Satisfaction! 
Link to the article here

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Improving the Lives of Fragile Newborns: What Does Nursing Have to Offer?
Staffing, Work Environment Associated With Better Outcomes
Date: 25 April, 2016
Eileen Lake, Jeannette Rogowski, Janet Weiner

Link to the article here

​October 23/30, 2002 Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Linda H. Aiken, PhD, RN; Sean P. Clarke, PhD, RN; Douglas M. Sloane, PhD;

"Conclusions In hospitals with high patient-to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction."
Link to the article here

Safe Staffing Is  Cost Effective:
Improving Nurse-to-Patient Staffing Ratios as a Cost-Effective Safety Intervention Rothberg, Michael B. MD, MPH*‡; Abraham, Ivo PhD, RN§¶∥; Lindenauer, Peter K. MD, MSc†‡; Rose, David N. M

"Conclusions: As a patient safety intervention, patient-to-nurse ratios of 4:1 are reasonably cost-effective and in the range of other commonly accepted interventions."
Link to the article here

http://journals.lww.com/lww-medicalcare/Abstract/2005/08000/Improving_Nurse_to_Patient_Staffing_Ratios_as_a.6.aspx
"1/3 of NICUs under staffed...
Infants In NICUs With Poor Work Environment Have Worse Outcomes"     
​
California nurses discuss increased nurse retention after the 2004 staffing ratios were implemented. 

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"

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.
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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
Picture
Picture
​Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
​Slide 
https://www.ncsbn.org/13121.htm
Picture
Picture
Picture
​Elizabeth Zhong, PhD, Research Scientist I, Research, NCSBN
​Slide 
https://www.ncsbn.org/13121.htm
Picture
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
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  • Covid-19 Resources
  • Home
  • Maternal Death In NJ
  • What Ratios Will Be
  • Staffing Survey
  • How To Report Unsafe Staffing
  • Take Action
  • Elected Officals' Ties To Healthcare
  • Staffing Bill History
  • The Research
  • Resources
  • Legislator email
  • Blog
  • For Our Legislators
  • Letters To the Editor
  • Contact
  • Healthcare Greed
  • Events
  • District Liaisons
  • Buy Swag
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  • Good Reads