Concurrent and Lagged Effects of Registered Nurse Turnover and Staffing on Unit‐Acquired Pressure Ulcers

Park, Shin Hye; Boyle, Diane K.; Bergquist-Beringer, Sandra; Staggs, Vincent S.; Dunton, Nancy

doi:10.1111/1475-6773.12158

Cited by 58 publications

(62 citation statements)

References 37 publications

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“…In our study, the duration of hospitalization in patients with pressure ulcers (25.14±9.87 days) was found to be statistically significantly longer compared to those without pressure ulcers (13.24±6.73 days). This result is consistent with the literature (37)(38)(39). However, the length of stay is not one of the parameters of BRDs.…”

Section: Discussionsupporting

confidence: 93%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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Objective: To prevent pressure ulcer, detecting risk factors and planning how to act with respect to patients provide to find solution. Thus, Braden Scale is the most common tool that is used in Turkey. This study aimed to measure Braden Scale effectiveness at detecting the risk groups of level 3 intensive care unit patients.Methods: This prospective, single-center study includes 206 level 3 intensive care unit patients whose risk factors were standardized as much as possible in the intensive care unit between January 2014 and May 2015. Routine clinical care was applied to the patients whose risk groups were determined by Braden Scale, and the patients were divided into two groups depending on the presence of a pressure ulcer before discharging from the hospital. Demographic findings, hospitalization duration, mental status, Apache II score, expected/actual mortality, blood albumin levels, and Braden Scale score were compared. Results:Comparison of the groups showed that patients' age, length of stay in intensive care unit, mental status, and blood albumin levels are significantly different between patients with and without pressure ulcers. Furthermore, scores of patients with pressure ulcers were not significantly different from those of patients without pressure ulcers. Data also illustrated that pressure ulcers occurred in no risk patients with the ratio of 7.14%; in low-risk patients with the ratio of 27.8%; in moderate-risk patients with the ratio of 29.73%; in high-risk patients with the ratio of 17.72%.Conclusion: Data evaluation demonstrates that Braden Scale is not effective to detect the risk factors, and parameters related to pressure ulcer development are not sufficiently represented by Braden Scale. Modification of an existing scale or a new risk assessment scale that includes all other risk parameters and that is more suitable for the patients of our country is required. (JAREM 2016; 6: 98-104)

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Section: Discussionsupporting

confidence: 93%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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“…In addition, the researcher noticed that workload leads nurses to forget to complete the risk assessment tool, which in this study is considered a barrier that affects the process of the Waterlow scale. Higher staffing levels were associated with decreased incidence of PUs [19].…”

Section: Relation Between Nursing Performance (Waterlow) and Barriersmentioning

confidence: 91%

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Alghamdi¹

2017

AJNS

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Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure ulcer. Descriptive correlation design was used which is a type of non-experimental design to collect data from medical, surgical units and the critical cardiac unit at King Abdulaziz University Hospital in Jeddah city. Purposive sampling technique was carried out to select 113 nurses and 113 patients. Data were collected by three tools, tool 1 is a structured questionnaire divided into 2 parts, included demographic data and list of barriers facing nurses in preventing pressure ulcer, tool 2 is an observational checklist and tool 3 is the Waterlow pressure ulcer risk assessment tool. The study concluded that there is significant correlation between barriers and nursing compliance in prevention pressure ulcer. Heavy workload/staff shortage is considered as the most barriers facing nurses' compliance regarding prevention pressure ulcer. The study recommended that the managers should review nurses' workload which the findings of this study have shown to be a major barrier in the priority given to the prevention of pressure ulcers.

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“…Nilai turnover yang terus meningkat akan menyebabkan kerugian bagi Rumah Sakit Bedah Surabaya. Salah satu dampak dari turnover yang tinggi adalah adanya biaya financial terkait dengan turnover karyawan seperti biaya untuk rekrutmen dan training karyawan baru (Park et al, 2014). Ada pula pemborosan biaya yang digunakan untuk orientasi, lembur, dan pengawasan (Suryani, 2011).…”

Section: Pendahuluanunclassified

Pengaruh Turnover Intention terhadap Kinerja Karyawan di Rumah Sakit Bedah Surabaya

Asmara¹

2018

JAKI

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The turnover rate of employee in Surabaya Surgical Hospital increased over the last three years since 2014 to 2016 that was 13,67% in 2014, 13,69% in 2015 and 16,91% in 2016 Keywords: turnover intention, work commitment, work performance ABSTRAKNilai turnover karyawan Rumah Sakit Bedah Surabaya meningkat selama tiga tahun terakhir sejak tahun 2014-2016 yaitu sebesar 13,67% pada tahun 2014, 13,69% pada tahun 2015, dan sebesar 16,91% pada tahun 2016. Tingginya nilai turnover di Rumah Sakit Bedah Surabaya kemungkinan disebabkan karena tingginya nilai turnover intention di beberapa unit kerja Rumah Sakit Bedah Surabaya pada tahun 2016 dengan nilai rata-rata individu sebesar 50,80%. Tingginya nilai turnover intention dapat memberi dampak terhadap kinerja karyawan. Holzer, Stoll, dan Wissoker (2004) menyatakan bahwa karyawan merefleksikan turnover intention yang tinggi dengan tidak memenuhi tugas dan tanggung jawab dalam pekerjaan. Selain itu, turnover intention juga dapat mempengaruhi komitmen karyawan terhadap pekerjaan. Penelitian ini bertujuan untuk menganalisis pengaruh turnover intention terhadap kinerja karyawan. Sampel penelitian adalah karyawan Rumah Sakit Bedah Surabaya dengan masa kerja minimal 6 bulan dan jumlah sampel penelitian sebesar 58 orang. Metode penelitian yaitu analitik observasional dengan desain penelitian cross sectional. Hasil penelitian menunjukkan turnover intention berpengaruh terhadap kinerja karyawan dengan nilai p atau siginifikansi sebesar 0,03 dan lebih kecil dari α = 5% (0,05). Dapat disimpulkan bahwa turnover intention berpengaruh terhadap kinerja karyawan.Kata Kunci: turnover intention, komitmen pekerjaan, kinerja karyawan

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Concurrent and Lagged Effects of Registered Nurse Turnover and Staffing on Unit‐Acquired Pressure Ulcers

Abstract: We suggest that RN turnover is an important factor that affects pressure ulcer rates and RN staffing needed for high-quality patient care. Given the high RN turnover rates, hospital and nursing administrators should prepare for its negative effect on patient outcomes.

Cited by 58 publications

References 37 publications

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Pengaruh Turnover Intention terhadap Kinerja Karyawan di Rumah Sakit Bedah Surabaya

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