Determine risks of patient outcomes related to lack of adequate
staffing. Understand causative factors to risks of safety and
satisfaction. To increase staff ratios according to patient needs.
Acknowledge barriers that hinder larger staff to patient
ratios.
Slide 4
Adverse Outcomes Urinary Tract Infections Medication Errors
Procedure Errors Nosocomial Pneumonia Falls/Injury Skin Breakdown
Infection Hospital Stays Re-admissions Shock Mortality (Vantage
Point, 2009) A study conducted by Stanton (2004) showed that higher
rates of RN staffing were associated with a 3- to 12-percent
reduction in adverse outcomes.
Slide 5
A hour increase in LPN hours per patient day was associated
with a 15% increase in the odds of death and a 27% increase in the
odds of sepsis (Glance et al., 2012, p. 4). Nurse aide staffing
increases of hour decreased pneumonia odds by 8% (Glance et al.,
2012).
Slide 6
Nurses need to be available to provide these needs!
Slide 7
NIGHTINGALES ENVIRONMENT THEORY Statements from Nightingale
include: "Poor or difficult environments led to poor health and
disease." "Environment could be altered to improve conditions so
that the natural laws would allow healing to occur. Also, that the
goal of nursing is to put the patient in the best condition for
nature to act upon him. (Nursing Theories, 2012)
Slide 8
Slide 9
Current Practice Lack of Policies Financial Influence Current
Satisfaction Ratings Michigan vs. National ratings
Slide 10
Slide 11
Rounding Frequency Absences Patient Acuity Outdated Budget cuts
Lack of Fall Precaution Measures
Slide 12
(Yale, n.d.)
Slide 13
Quality and Safety Education for Nurses (QSEN) ANA Standards
Standard 5B. Health Teaching and Health Promotion Standard 10.
Quality of Practice Standard 16. Environmental Health
Implementation of safety programs to minimize the risk to our
patients. Scanning medications against an electronic medical record
Increase frequency of monitoring Co-signatures of potentially
harmful medications Fall risk evaluations
Slide 14
References (Seminar) American Nurses Association. (2010).
Nursing: Scope and standards of practice. Silver Spring, Md:
American Nurses Association. American Nurses Association. (2013).
Policy & Advocacy. Nurse staffing plans and ratios. Retrieved
from
http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios
Glance, L.G., Dick, A.W., Osler, T.M., Mukamel, D.B., Li, Y. &
Stone, P.W. (2012). The association between nurse staffing and
hospital outcomes in injured patients. BMC Health Services
Research, 12(247), 1-8. doi:10.1186/1472-6963-12-247 Hospital
Compare Quality of Care (2013). West Shore Medical Center: Hospital
profile. Retrieved from
http://www.medicare.gov/hospitalcompare/profile.aspx#profTab=1&ID=231335&loc=49660&lat=44.2205682&lng=-
86.1344697&AspxAutoDetectCookieSupport=1 Nursing Theories
(2012) Theories of Florence Nightingale. Retrieved from
http://currentnursing.com/nursing_theory/Florence_Nightingale_theory.htmlQSEN.
(n.d.). About QSEN. Retrieved from http://qsen.org/about-qsen/
Slide 15
References (Seminar) Stanton, M. W. (2004). Hospital Nurse
Staffing and Quality of Care: Research in Action, Issue 14. Agency
for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/research/findings/factsheets/services/nursestaffing/index.html
The Health Foundation (2011). Research scan: Does improving safety
culture affect patient outcomes? Retrieved from
http://www.health.org.uk/public/cms/75/76/313/3078/does%20improving%20safety%20culture%20affect%20outcomes.pdf?realName=
7b1J1q.pdf Yale Case (n.d.). Root Cause Analysis Tools. Retrieved
from http://nexus.som.yale.edu/ph-tanzania/?q=node/131