AORN Journal
Volume 87, Issue 6 , Pages 1191-1204 , June 2008

The Effect of Nurse Staffing Patterns on Medical Errors and Nurse Burnout

  • Connie Garrett, RN, BSN, CNOR

      Affiliations

    • Connie Garrett, RN, BSN, CNOR, is an OR nurse educator at James A. Haley Veterans Hospital, Tampa, FL.

References 

  1. Rogers AE , Hwang WT , Scott LD , Aiken LH , Dinges DF . The working hours of hospital staff nurses and patient safety . Health Aff (Millwood) . 2004;23(4):202–212
  2. Aiken LH , Clarke SP , Sloane DM , Sochalski J , Silber JH . Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction . JAMA . 2002;288(16):1987–1993
  3. Sochalski J . Is more better? The relationship between nurse staffing and the quality of nursing care in hospitals . Med Care . 2004;42(2 Suppl):II67–II73
  4. Archibald LK , Manning ML , Bell LM , Banerjee S , Jarvis WR . Patient density, nurse-to-patient ratio and nosocomial infection risk in a pediatric cardiac intensive care unit . Pediatr Infect Dis J . 1997;16(11):1045–1048
  5. Fridkin SK , Pear SM , Williamson TH , Galgiani JN , Jarvis WR . The role of understaffing in central venous catheter-associated bloodstream infections . Infect Control Hosp Epidemiol . 1996;17(3):150–158
  6. Blegen MA , Vaughn T . A multisite study of nurse staffing and patient occurrences . Nurs Econ . 1998;16(4):196–203
  7. Blegen MA , Goode CJ , Reed L . Nurse staffing and patient outcomes . Nurs Res . 1998;47(1):43–50
  8. Sovie MD , Jawad AF . Hospital restructuring and its impact on outcomes: nursing staff regulations are premature . J Nurs Adm . 2001;31(12):588–600
  9. Whitman GR , Kim Y , Davidson LJ , Wolf GA , Wang SL . The impact of staffing on patient outcomes across specialty units . J Nurs Adm . 2002;32(12):633–639
  10. Stanton MW . Hospital nurse staffing and quality of care . Res In Action . March 2004;14:1–10 http://www.ahrq.gov/research/nursestaffing/nursestaff.pdf Accessed March 1, 2008.
  11. Needleman J , Buerhaus P , Mattke S , et al.   Nurse-staffing levels and patient outcomes in hospitals. Final report for Health Resources and Services Administration . Boston, MA: Harvard School of Public Health; 2001;
  12. Unruh L . Licensed nurse staffing and adverse events in hospitals . Med Care . 2003;41(1):142–152
  13. Kovner C , Mezey M , Harrington C . Research priorities for staffing, case mix, and quality of care in US nursing homes . J Nurs Scholarsh . 2000;32(1):77–80
  14. Kovner C , Jones C , Zhan C , Gergen PJ , Basu J . Nurse staffing and postsurgical adverse outcomes: an analysis of administrative data from a sample of US hospitals, 1990-1996 . Health Serv Res . 2002;37(3):611–629
  15. Cho SH , Ketefian S , Barkauskas VH , Smith DG . The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs . Nurs Res . 2003;52(2):71–79
  16. Making Health Care Safer: A Critical Analysis of Patient Safety Practices . Rockville, MD: Agency for Healthcare Research and Quality; July 2001; http://www.ahrq.gov/clinic/ptsafety/pdf/ptsafety.pdf Accessed March 1, 2008.
  17. Mystakidou K , Parpa E , Tsilika E , et al.   The relationship of subjective sleep quality, pain, and quality of life in advanced cancer patients . Sleep . 2007;30(6):737–742
  18. Kane RL , Shamliyan T , Mueller C , Duval S , Wilt TJ . Nurse Staffing and Quality of Patient Care . Rockville, MD: Agency for Healthcare Research and Quality; March 2007; http://www.ahrq.gov/downloads/pub/evidence/pdf/nursestaff/nursestaff.pdf Accessed March 1, 2008.
  19. Mason DJ . Good nurse—bad nurse [Editorial] . Am J Nurs . 2007;107(3):11
  20. Wahlberg D , Treleven E . Nurse is charged in death of patient . Wisconsin State Journal . November 3, 2006;A1; http://www.madison.com/archives/read.php?ref=/wsj/2006/11/03/0611030019.php Accessed March 1, 2008.
  21. Committee on the Work Environment for Nurses and Patient Safety; Board on Health Care Services . In:  Page A editors. Keeping Patients Safe: Transforming the Work Environment of Nurses . Washington, DC: National Academies Press; 2004; http://www.nap.edu/openbook/0309090679/html/1.html Accessed March 2, 2008.
  22. Mitler MM , Carskadon MA , Czeisler CA , Dement WC , Dinges DF , Graeber RC . Catastrophes, sleep, and public policy: consensus report . Sleep . 1988;11(1):100–109
  23. Beyea SC . Too tired to work safely? . AORN J . 2004;80(3):559–562
  24. Zboril-Benson LR . Why nurses are calling in sick: the impact of health-care restructuring . Can J Nurs Res . 2002;33(4):89–107
  25. Gold DR , Rogacz S , Bock N , et al.   Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses . Am J Public Health . 1992;82(7):1011–1014
  26. Rosekind M , Gander PH , Gregory KB , et al.   Managing fatigue in operational settings 2: an integrated approach . Hosp Top . 1997;75(3):31–35
  27. AORN position statement: Safe work/on-call practices . In: AORN Standards, Recommended Practices, and Guidelines . Denver, CO: AORN, Inc; 2007;p. 409–412 http://www.aorn.org/PracticeResources/AORNPositionStatements/Position_SafeWorkOnCallPractices/ Accessed March 6, 2008.
  28. Aiken LH , Clarke SP , Sloane DM , et al.   Nurses' reports on hospital care in five countries . Health Aff (Millwood) . 2001;20(3):43–53
  29. AHA Commission on Workforce for Hospitals and Health Systems . In Our Hands: How Hospital Leaders Can Build a Thriving Workforce . Chicago, IL: American Hospital Association; April 2002; http://www.aha.org/aha/resource-center/Statistics-and-Studies/ioh.html Accessed March 1, 2008.
  30. Girard NJ . Perioperative education—perspective from the think tank . AORN J . 2004;80(5):827–838
  31. Bosek MS . Mandatory overtime: professional duty, harms, and justice . JONAS Healthc Law Ethics Regul . 2001;3(4):99–102
  32. Capitulo KL , Ankner ML , Miller J . Professional responsibility versus mandatory overtime . J Nur Adm . 2001;31(6):290–292
  33. Curtin LL . The case against mandatory overtime . Semin Nurse Manag . 2002;10(4):274–278
  34. Governor Davis announces nurse workforce initiative [news release] . Sacramento, CA: Office of the Governor; January 23, 2002; http://psychtechs.net/idx/PSYCH-HEALTH1/nurse02.htm Accessed March 1, 2008.
  35. Hickam DH , Severance S , Feldstein A , et al.   The Effect of Health Care Working Conditions on Patient Safety . Rockville, MD: Agency for Healthcare Research and Quality; May 2003; http://www.ahrq.gov/downloads/pub/evidence/pdf/work/work.pdf Accessed March 1, 2008.
  36. Doctors in five countries see decline in health care quality . Commonw Fund Q . 2000;6(3):1–4

PII: S0001-2092(08)00107-5

doi: 10.1016/j.aorn.2008.01.022

AORN Journal
Volume 87, Issue 6 , Pages 1191-1204 , June 2008

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