Nurse Staffing and Adverse Events in Hospitalized Children

Autor: Barbara A. Mark, David W. Harless, Wallace F. Berman
Rok vydání: 2007
Předmět:
medicine.medical_specialty
Adolescent
Leadership and Management
Urinary system
Personnel Staffing and Scheduling
Staffing
MEDLINE
Workload
Nursing Staff
Hospital
Hospitals
General
030226 pharmacology & pharmacy
California
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Sepsis
Acute care
Outcome Assessment
Health Care
Health care
medicine
Humans
Hospital Mortality
030212 general & internal medicine
Child
Intensive care medicine
Adverse effect
Quality of Health Care
Retrospective Studies
Cross Infection
business.industry
Nurse staffing
Infant
Retrospective cohort study
Pneumonia
General Medicine
Hospitals
Pediatric
Nursing Administration Research
Issues
ethics and legal aspects
Child
Preschool
Urinary Tract Infections
Risk Adjustment
business
Child
Hospitalized
Zdroj: Policy, Politics, & Nursing Practice. 8:83-92
ISSN: 1552-7468
1527-1544
Popis: This study determined whether the number of hours of care provided by RNs was related to mortality and complications in hospitalized children. Administrative data (1996-2001) were used to examine discharges of 3.65 million pediatric patients in 286 general and children's hospitals in California. A greater number of resource-adjusted hours of care provided by RNs was related to significantly reduced occurrences of postoperative pulmonary complications, postoperative pneumonia, and postoperative septicemia; the positive impact of increases in nurse staffing was of greater magnitude at institutions providing fewer resource-adjusted hours of RN care. There was also evidence of an impact of increases in nurse staffing on urinary tract infections, but it was statistically significant only for institutions with higher resource-adjusted hours of RN care. There was no statistically significant relationship between RN staffing and mortality. More hours of care provided by RNs was associated with improved quality of care for hospitalized pediatric patients.
Databáze: OpenAIRE
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