Evaluating nurse staffing patterns and neonatal intensive care unit outcomes using Levine’s conservation model of nursing

Abstract

Designing nursing care delivery systems in acute inpatient settings with an emphasis on consistency of nursing caregivers could improve health outcomes, increase organizational effectiveness, and enhance satisfaction of nursing staff, patients, and families.

The International Network for Evaluating Outcomes of very low birth weight, very preterm neonates (iNeo): a protocol for collaborative comparisons of international health services for quality improvement in neonatal care

“…However, associations between human and resource factors and neonatal outcomes have not been thoroughly investigated, particularly not on a national scale. Human factors include staffing in relation to day and night shifts [33,55], weekdays versus weekends [56], ratio of nurses to patients [57], pattern of work for medical and nursing staff (hours on call, total duration of active duty time over 4 week period, etc. ), number and types of trainee doctors, allied healthcare personnel coverage, constitution of attending team for high-risk births, and relative expertise of the health care providers attending resuscitation of extremely preterm infants considering their overall experience in direct patient care, training, and research.…”

Communication Challenges in Neonatal Encephalopathy

“…This finding supports the value of the primary nursing model on infant and family outcomes. 15,28,29 Communication interventions should leverage these relationships. When possible, infants undergoing TH should have a primary nurse, as parents identify that this arrangement promotes better communication.…”

Spirit at work and hope among the ruins: registered nurses’ covenant of care

“…, Kanai‐Pak et al . , Mefford & Alligood ). Health care leaders are working to identify innovative evidence‐based solutions to this workplace crisis.…”

“…, Friese et al . , Mefford & Alligood ). The many definitions of spirituality in the literature and the ‘very strong personal nature of the word [spirituality]’ (Krishnakumar & Neck , p. 154) led Kinjerski and Skrypnek () to distinguish between workplace spirituality and individual spirituality (SAW).…”

“…Increasingly stressful work environments experienced by registered nurses (RNs), associated with reduced job satisfaction and organisational commitment, and escalating evidence of intention to leave (Leiter & Maslach 2009, Wang et al 2011) are critical concerns for health care. In addition, research has identified a catastrophic impact of staff nurse dissatisfaction upon patient morbidity and mortality , Friese et al 2008, Kanai-Pak et al 2008, Mefford & Alligood 2011. Health care leaders are working to identify innovative evidence-based solutions to this workplace crisis.…”