California’s Nurse-to-Patient Ratios, Part 1

Serratt, Teresa

doi:10.1097/nna.0b013e3182a23d6f

Cited by 12 publications

(3 citation statements)

References 14 publications

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“…In developed countries, the regulations or recommendations for nurse-to-patient ratios in ICUs vary by country and among specific regions within a single country, but most recommend a level of 1:1 to 1:2 or less. [ 20 , 21 , 22 ]. The Ministry of Health and Welfare in Korea has introduced a policy of differentially paying hospitalization fees according to the level of nurse staffing to solve the problem of the low level of nursing at medical institutions.…”

Section: Introductionmentioning

confidence: 99%

The Relationship of Nurse and Physician Staffing in Intensive Care Units with Patient Outcomes in Postoperative Patients on Ventilators: An Analysis Using Korean National Health Insurance Data

Kim

2023

Healthcare

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This study examined the associations of nurse and physician staffing in intensive care units (ICUs) with hospital-acquired pneumonia (HAP) incidence and in-hospital mortality in postoperative patients on ventilators. National Health Insurance claims data and death statistics were used to investigate the nurse staffing level and the presence or absence of a dedicated resident and specialist in each ICU. The participants were patients aged 20–85 who underwent any of 13 surgical procedures and were placed on a ventilator in the ICU after the procedure. Of 11,693 patients, 307 (2.6%) experienced HAP and 1280 (10.9%) died during hospitalization. Compared to hospitals with lower nurse-to-patient ratios, patients in hospitals with higher ratios had statistically significantly higher risks of HAP and in-hospital mortality. The presence of a dedicated resident in the ICU did not statistically significantly affect HAP incidence or in-hospital mortality. The presence of an ICU specialist was statistically significantly associated with in-hospital mortality but not HAP incidence. Our findings suggest that a higher level of nursing staff in the ICU is inversely associated with HAP incidence. The legal standards for nurse staffing in the ICU should be strengthened in order to improve the quality of care and patient safety.

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Section: Introductionmentioning

confidence: 99%

The Relationship of Nurse and Physician Staffing in Intensive Care Units with Patient Outcomes in Postoperative Patients on Ventilators: An Analysis Using Korean National Health Insurance Data

Kim

2023

Healthcare

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“…Two states of Australia (Victoria and Queensland) have introduced a minimum nurse-to-patient ratio mandate (Gerdtz & Nelson, 2007), while South Australia has a minimum nurse-to-patient ratio for the public sector only (Government of South Australia, 2016). For instance, in California's mandated nurse-to-patient ratio, one nurse will care for five patients on a medical-surgical ward, and one nurse will care for one patient in the trauma unit or operating room (Serratt, 2013). For instance, in California's mandated nurse-to-patient ratio, one nurse will care for five patients on a medical-surgical ward, and one nurse will care for one patient in the trauma unit or operating room (Serratt, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…This mandatory nurse-to-patient ratio determines the number of patients one nurse will provide care for per shift. For instance, in California's mandated nurse-to-patient ratio, one nurse will care for five patients on a medical-surgical ward, and one nurse will care for one patient in the trauma unit or operating room (Serratt, 2013). The mandatory nurse-to-patient ratio in Victoria, Australia, is five nurses to 20 patients (Butler et al, 2019;Gerdtz & Nelson, 2007).…”

Section: Introductionmentioning

confidence: 99%

Nurse staffing models in medical‐surgical units of acute care settings: A cross‐sectional study

Assaye

Wiechula

Schultz

et al. 2019

Int J of Nursing Practice

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Background: Nurse staffing models have been developed across different countries to address nursing shortages and improve quality of nursing care. However, there is no published study that describes nurse staffing models in Ethiopian hospitals. Aims:To describe the existing staffing models for nursing practice in acute care units of two hospitals (one public and one private) in Ethiopia. Methods:A cross-sectional study was conducted from July to December 2018. A self-administered questionnaire was used to collect data such as shift patterns, hours worked, and number of patients cared for per shift. Unit-level data on nurse staffing were collected using a checklist developed specifically for this study.Results: Fifty-nine percent (59.9%) of participants reported that they worked six or seven days per week. On average, they worked 50 hours per week and 12% working over 60 hours per week. The number of patients they provided care for during their last shift ranged from four to 45 with an average of 13 patients. Conclusion:This study demonstrates that nurses working in acute care settings in Ethiopia are typically working more than 40 hours per week and caring for many patients per shift, which has the potential to impact patient safety. K E Y W O R D Sacute care, Ethiopia, medical-surgical, nurse staffing, nursing, staffing models SUMMARY STATEMENTWhat is already known about this topic?• Nurse staffing is a critical factor affecting patient safety and nurse workforce outcomes.• There are different staffing models in which staff are assigned to give care for patients in different healthcare settings but much of the research is from high-income countries.What this paper adds?• This paper describes nurse staffing in acute care settings in Ethiopia, a low-income country. The number of patients for whom nurses provide care per shift, and the number of hours nurses provide care per week, is very high compared with other settings.• Nurses work very long hours, often more than 50 hours per week.• Many nurses routinely work or seven days per week and on average nurses care for 13 patients per shift

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Hospital nurse-staffing models and patient- and staff-related outcomes

Butler

Schultz

Halligan

et al. 2019

Cochrane Database of Systematic Reviews

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California’s Nurse-to-Patient Ratios, Part 1

Abstract: California's nurse-to-patient ratios have been in place since 2004. The author reviews outcomes at the nurse level from a comprehensive literature review. Data suggest that increased levels of nurse staffing have resulted in greater job satisfaction.

Cited by 12 publications

References 14 publications

The Relationship of Nurse and Physician Staffing in Intensive Care Units with Patient Outcomes in Postoperative Patients on Ventilators: An Analysis Using Korean National Health Insurance Data

The Relationship of Nurse and Physician Staffing in Intensive Care Units with Patient Outcomes in Postoperative Patients on Ventilators: An Analysis Using Korean National Health Insurance Data

Nurse staffing models in medical‐surgical units of acute care settings: A cross‐sectional study

Hospital nurse-staffing models and patient- and staff-related outcomes

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