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Peer-Reviewed
Care Staffing Professionals
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August 25, 2016

Nurse-Staffing Levels and the Quality of Care in Hospitals

Jack Needleman, Ph.D., Peter Buerhaus, Ph.D., R.N., Soeren Mattke, M.D., M.P.H., Maureen Stewart, B.A., and Katya Zelevinsky
N Engl J Med 2002; 346:1715-1722May 30, 2002DOI: 10.1056/NEJMsa012247

Hospitals, wrote Lewis Thomas in The Youngest Science, are “held together, glued together, enabled to function . . . by the nurses.”1 More than 1.3 million registered nurses work in hospitals in the United States. As hospitals have responded to financial pressure from Medicare, managed care, and other private payers, registered nurses have become increasingly dissatisfied with the working conditions in hospitals. They report that they are spending less time taking care of increasingly ill patients and believe that the safety and quality of inpatient care are deteriorating.2-7 Although the number of hours of care per patient-day provided by registered nurses rose through the mid-1990s,8-12 some question whether the staffing of nurses has increased rapidly enough to keep pace with the increasing severity of illness among hospitalized patients and thus to ensure safe and high-quality care.13

Research on the relation between the level of staffing by nurses in hospitals and patients’ outcomes has been inconclusive. Whereas some studies have reported an association between higher levels of staffing by nurses and lower mortality,14-20 as well as lower rates of other adverse outcomes,21-30 others have found no such relations.30-39 Previous studies have assessed only a limited number of outcomes that are sensitive to the extent or quality of nursing care, such as falls by patients and errors in medication. Many studies have used small samples of hospitals, controlled only to a limited extent for the patient’s initial risk for the outcomes under study, failed to include nurses’ aides as part of the nursing staff, and used inconsistent measures of staffing levels. We examined the relation between the levels of staffing by nurses in hospitals and the rates of adverse outcomes among patients, using administrative data from a large multi-state sample of hospitals.

For full text of this article, click here.

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Peer-Reviewed

Nurse-Staffing Levels and the Quality of Care in Hospitals

Jack Needleman, Ph.D., Peter Buerhaus, Ph.D., R.N., Soeren Mattke, M.D., M.P.H., Maureen Stewart,...
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Mentor Highlights •Non-traditional mentorship is important for developing the academic nursing...
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Remembering 9.11

Today we honor the nearly 3,000 people who lost their lives 17 years ago. The series of attacks against Americans on September 11th were recorded in history as the deadliest attacks in U.S. history.

This week you will likely overhear or engage in conversations about where you were when the planes struck targets in New York City and Washington, D.C.. I often hear people talk about the death and destruction that triggered an enormous effort to combat terrorism. I also remember watching Live coverage from California and the brave men and women rushing toward the danger as it unfolded. Some 400 police officers and firefighters were killed and today thousands of first-responders continue to suffer from the affects of the toxic substances created by the collapsed buildings in Ground Zero.

One of my most profound memories of September 11, 2001 was witnessing the countless number of Americans who responded to assist with the recovery efforts. The spirit of compassion and service could be felt in every part of our country and thanks to organizers at the Corporation for National & Community Service, September 11th has been transformed from a day of mourning to a day of giving back, community engagement, and service.

Please join me in honoring the victims and first-responders of September 11th by participating in this year’s National Day of Service and Remembrance. We enjoy the fruits of their ultimate sacrifice and owe their families a heartfelt thanks and our condolences everyday.

Find a Volunteer Opportunity Near You

Sincerely,


D’Andre Lampkin
Chief Executive Officer
Care Staffing Professionals

Let's Pause for Friends and Loved Ones

In light of recent high-profile suicide incidents, the discussion around mental health and the well-being of friends and family will inevitable become a topic of concern in your social and traditional media outlets. The Care Staffing Professionals team would like to encourage our visitors, clients, and professionals to be mindful of your friends and family’s well-being.

Health officials recommend that everyone familiarize themselves with the warning signs of suicide, which may include:

  • A person thinking about or threatening suicide or seeking a way to kill themself
  • Increased substance abuse
  • Feelings of purposelessness, anxiety, being trapped, or hopeless
  • Social isolation and withdrawing from people and activities
  • Expressing unusual anger, recklessness, or mood changes

 

Don’t assume a persons current or prior successes or ability to overcome past obstacles means they will make it through today’s challenges. Be an active listener, express your willingness to provide and seek help, and follow up. We can all prevent suicide.

If you or someone you know is considering suicide, contact the National Suicide Prevention Lifeline at 800-273-TALK (8255). This is a number you can call 24-7, 365 days a year. You can also access a “Lifeline Chat” through the group’s website, suicidepreventionlifeline.org.

 

Take care of yourself and each other,


D’Andre Lampkin
Chief Executive Officer
Care Staffing Professionals

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