Missed nursing care, staffing, and patient falls

Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively assoc...

Full description

Saved in:
Bibliographic Details
Published in:Journal of nursing care quality Vol. 27; no. 1; p. 6
Main Authors: Kalisch, Beatrice J, Tschannen, Dana, Lee, Kyung Hee
Format: Journal Article
Language:English
Published: United States 01.01.2012
Subjects:
Accidental Falls - statistics & numerical data
Adult
Cross-Sectional Studies
Female
Hospital Bed Capacity
Humans
Male
Nursing Administration Research
Nursing Care - standards
Nursing Care - statistics & numerical data
Nursing Evaluation Research
Nursing Staff, Hospital - organization & administration
Personnel Staffing and Scheduling - statistics & numerical data
ISSN:1550-5065, 1550-5065
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.
AbstractList Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.
Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.
Author Lee, Kyung Hee
Kalisch, Beatrice J
Tschannen, Dana
Author_xml – sequence: 1
  givenname: Beatrice J
  surname: Kalisch
  fullname: Kalisch, Beatrice J
  email: bkalisch@umich.edu
  organization: School of Nursing, University of Michigan, Ann Arbor, Michigan 48109, USA. bkalisch@umich.edu
– sequence: 2
  givenname: Dana
  surname: Tschannen
  fullname: Tschannen, Dana
– sequence: 3
  givenname: Kyung Hee
  surname: Lee
  fullname: Lee, Kyung Hee
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21738057$$D View this record in MEDLINE/PubMed
BookMark eNpNj0tLxDAUhYOMOA_9ByLZuZmON0nTNEsp4wNGRdB1yeNWKm1am3bhv7fgCK6-c-DjwFmTRegCEnLJYMdAq5vn4nUHFphAwXLOpTFcnJAVkxISCZlc_MtLso7xEwB4ztgZWXKmRA5SrQg81TGip2EaYh0-qDMDbmkcTVXNdUtN8LQ3Y41hpJVpmnhOTmdGvDhyQ97v9m_FQ3J4uX8sbg-JS1U-JsYLoazJlXBOW9DaVgq19ih5Jj2oTKNwKuWcWekFS0Ea4TJQWqvMSc74hlz_7vZD9zVhHMu2jg6bxgTsplhqUCDkbM_m1dGcbIu-7Ie6NcN3-XeS_wD6SFTB
CitedBy_id crossref_primary_10_1097_HCM_0000000000000083
crossref_primary_10_1186_s12913_019_4817_3
crossref_primary_10_1177_1054773818754450
crossref_primary_10_1016_j_ijnurstu_2019_103455
crossref_primary_10_1016_S2155_8256_15_30123_X
crossref_primary_10_1111_jonm_13078
crossref_primary_10_1136_bmjqs_2018_009219
crossref_primary_10_1007_s10433_019_00511_3
crossref_primary_10_1186_s12912_025_02984_3
crossref_primary_10_1111_wvn_12351
crossref_primary_10_1016_j_jogn_2019_05_005
crossref_primary_10_1111_jan_12542
crossref_primary_10_1111_nuf_12311
crossref_primary_10_1177_23779608251332742
crossref_primary_10_1186_s40638_017_0074_2
crossref_primary_10_1097_NCQ_0000000000000832
crossref_primary_10_1177_23779608231226063
crossref_primary_10_1111_jonm_12935
crossref_primary_10_1590_1518_8345_0645_2723
crossref_primary_10_3928_19404921_20240621_02
crossref_primary_10_1111_1475_6773_12462
crossref_primary_10_1097_NNA_0000000000000371
crossref_primary_10_1016_j_outlook_2015_12_010
crossref_primary_10_1016_j_ijnurstu_2019_103444
crossref_primary_10_1097_HMR_0b013e318249727e
crossref_primary_10_1136_bmjopen_2019_031994
crossref_primary_10_1111_jan_15700
crossref_primary_10_1016_j_gerinurse_2014_12_009
crossref_primary_10_1016_j_jamda_2025_105799
crossref_primary_10_1111_jan_15946
crossref_primary_10_1097_NCQ_0000000000000140
crossref_primary_10_1001_jamanetworkopen_2019_20092
crossref_primary_10_1002_hpm_2898
crossref_primary_10_1136_bmjqs_2014_003346
crossref_primary_10_1097_NNA_0000000000000545
crossref_primary_10_1186_1472_6955_13_26
crossref_primary_10_1177_0193945914531859
crossref_primary_10_1136_bmjopen_2021_051133
crossref_primary_10_1111_jocn_12887
crossref_primary_10_1186_s12913_020_5025_x
crossref_primary_10_1136_bmjopen_2019_030459
crossref_primary_10_1097_01_NUMA_0000526910_24168_ee
crossref_primary_10_3390_ijerph16101672
crossref_primary_10_1016_j_pedn_2016_12_004
crossref_primary_10_1111_jonm_12873
crossref_primary_10_1097_NCQ_0000000000000378
crossref_primary_10_1097_NNA_0000000000000556
crossref_primary_10_1590_1518_8345_1227_2877
crossref_primary_10_1136_bmjqs_2013_002489
crossref_primary_10_1016_S2155_8256_17_30022_4
crossref_primary_10_3389_fpsyg_2021_734789
crossref_primary_10_1590_0034_7167_2016_0107
crossref_primary_10_1016_j_colegn_2019_12_003
crossref_primary_10_1111_scs_70027
crossref_primary_10_1111_ijn_13074
crossref_primary_10_1111_jocn_15505
crossref_primary_10_1016_j_ijnurstu_2025_105183
crossref_primary_10_1097_PTS_0000000000001266
crossref_primary_10_1097_JHQ_0000000000000483
crossref_primary_10_1097_WON_0000000000000258
crossref_primary_10_1136_bmjopen_2024_087612
crossref_primary_10_1097_PTS_0000000000000295
crossref_primary_10_1097_NCQ_0b013e3182a98247
crossref_primary_10_1097_NNR_0b013e3182a7a15d
crossref_primary_10_1111_jocn_16792
crossref_primary_10_1111_wvn_12285
crossref_primary_10_1111_jan_12578
crossref_primary_10_1136_bmjopen_2018_022020
crossref_primary_10_1136_bmjqs_2016_005859
crossref_primary_10_1002_hpm_2160
crossref_primary_10_1111_nup_12274
crossref_primary_10_1111_jgs_19507
crossref_primary_10_1111_jonm_12865
crossref_primary_10_1111_nup_12272
crossref_primary_10_1016_j_colegn_2019_01_003
crossref_primary_10_1097_NCQ_0000000000000128
crossref_primary_10_1097_NCQ_0000000000000244
crossref_primary_10_3233_JRS_194018
crossref_primary_10_1177_0969733020919137
crossref_primary_10_1111_jocn_13449
crossref_primary_10_1111_inr_12173
crossref_primary_10_1186_s12912_022_01055_1
crossref_primary_10_1097_CIN_0000000000000092
crossref_primary_10_1111_jocn_14724
crossref_primary_10_1111_jan_12507
crossref_primary_10_1111_jonm_13392
crossref_primary_10_1111_jocn_17437
crossref_primary_10_1016_j_jamda_2024_105087
crossref_primary_10_1111_nuf_12594
crossref_primary_10_1002_sim_7605
crossref_primary_10_1590_1518_8345_1280_2841
crossref_primary_10_1097_NCQ_0000000000000074
crossref_primary_10_1111_jan_12503
crossref_primary_10_1016_j_apnr_2016_06_001
crossref_primary_10_1111_scs_12150
crossref_primary_10_1016_j_apnr_2016_06_006
crossref_primary_10_1111_jonm_12978
crossref_primary_10_1002_nop2_1407
crossref_primary_10_1016_j_ijnurstu_2019_103403
crossref_primary_10_1016_j_burns_2018_03_008
crossref_primary_10_1177_01939459241292038
crossref_primary_10_1111_nup_12257
crossref_primary_10_1111_jan_13564
crossref_primary_10_1111_jnu_12292
crossref_primary_10_1136_bmjqs_2015_003961
crossref_primary_10_1097_NNA_0b013e31826a1fa4
crossref_primary_10_1002_nop2_1076
crossref_primary_10_1111_inr_12795
crossref_primary_10_1111_jan_15112
crossref_primary_10_1177_0193945918759467
crossref_primary_10_4103_ijnmr_ijnmr_255_20
crossref_primary_10_1097_NNA_0b013e31828eebaa
crossref_primary_10_1155_2023_8334252
crossref_primary_10_1177_1077558713475715
crossref_primary_10_1016_j_ijmedinf_2020_104272
crossref_primary_10_1186_s12912_024_01923_y
crossref_primary_10_1136_bmjqs_2013_002318
crossref_primary_10_1002_nop2_907
crossref_primary_10_1016_j_ijnurstu_2015_02_012
crossref_primary_10_1111_wvn_12376
crossref_primary_10_1016_j_jamda_2015_04_012
crossref_primary_10_1016_j_outlook_2017_12_002
crossref_primary_10_1097_NCQ_0000000000000053
crossref_primary_10_1002_joom_1245
crossref_primary_10_1097_NNA_0000000000000914
crossref_primary_10_1177_15271544231155845
crossref_primary_10_1111_jonm_12831
crossref_primary_10_1111_nuf_12537
crossref_primary_10_1111_jonm_13005
crossref_primary_10_1016_j_hsr_2022_100053
crossref_primary_10_1016_j_outlook_2012_04_006
crossref_primary_10_1097_NCQ_0000000000000057
crossref_primary_10_1590_1518_8345_1462_2817
crossref_primary_10_1111_scs_13143
crossref_primary_10_1016_j_ijnurstu_2017_08_003
crossref_primary_10_1016_j_ijnurstu_2016_08_001
crossref_primary_10_1111_jjns_12578
crossref_primary_10_1097_01_NUMA_0000453273_88381_57
crossref_primary_10_1111_ijn_13031
crossref_primary_10_1111_jocn_14975
crossref_primary_10_1111_jocn_14058
crossref_primary_10_1111_nin_12126
crossref_primary_10_1016_j_ijnurstu_2015_02_003
crossref_primary_10_1186_s12912_022_00890_6
crossref_primary_10_1111_jonm_13483
crossref_primary_10_1891_1061_3749_22_3_421
crossref_primary_10_1111_jgs_15355
crossref_primary_10_1097_NCQ_0000000000000206
crossref_primary_10_1016_j_gerinurse_2020_08_005
crossref_primary_10_1016_j_colegn_2022_09_004
crossref_primary_10_1111_jnu_12434
crossref_primary_10_1080_09593985_2024_2447923
crossref_primary_10_1097_NCQ_0000000000000607
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1097/NCQ.0b013e318225aa23
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Nursing
EISSN 1550-5065
ExternalDocumentID 21738057
Genre Research Support, Non-U.S. Gov't
Journal Article
Research Support, N.I.H., Extramural
GrantInformation_xml – fundername: NINR NIH HHS
  grantid: P30 NR009000
GroupedDBID ---
.3C
.GJ
.Z2
0-6
04C
0R~
36B
3T~
4Q1
4Q2
4Q3
53G
5GY
5RE
5VS
6PF
85S
8L-
9V3
AAAAV
AAHPQ
AAIQE
AAJYS
AAMTA
AAQQT
AARTV
AASCR
AAUEB
AAWTL
AAYEP
ABASU
ABBUW
ABDIG
ABILE
ABJNI
ABNJN
ABPXF
ABVCZ
ABXVJ
ABZAD
ABZZY
ACAAF
ACBNA
ACDDN
ACDOF
ACEWG
ACEWU
ACGFO
ACGFS
ACHQT
ACIFK
ACILI
ACJBD
ACJIL
ACNWC
ACTAD
ACTHT
ACWDW
ACWRI
ACXJB
ACXNZ
ADBBV
ADEGP
ADFPA
ADGGA
ADGHP
ADHPY
ADNKB
ADOJX
ADRCX
ADTGS
ADUKH
AE3
AEETU
AENEX
AEQHQ
AFBFQ
AFDTB
AFMBP
AFMFG
AFPHX
AFSOK
AFYGQ
AGBRE
AHMBA
AHQNM
AHVBC
AHWXW
AIDBO
AINUH
AJCLO
AJEOO
AJIOK
AJNWD
AJNYG
AJZMW
AKCTQ
ALBXT
ALKUP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
AOQMC
ATPOU
AXR
BMSDO
BQLVK
BS7
C45
CGR
CUY
CVF
DIWNM
DU5
DUNZO
E.X
EAU
EBS
ECF
ECM
ECT
EEVPB
EIF
EIHBH
EJD
EX3
F5P
FCALG
FL-
GH5
GNXGY
GQDEL
H0~
HLJTE
HYJ
HZ~
H~9
I6D
IKREB
IN~
IPNFZ
IYOWL
J5H
JF9
JG8
JK3
JK8
K8S
KD2
KOO
L-C
L47
LK2
MMDCI
MPPUT
N4W
NPM
N~6
N~M
O9-
OAG
OAH
OBZCC
OCUKA
ODA
OEN
OFFRU
OGKNY
OHCKH
OKBHI
OLG
OLL
ONSOO
ONU
ONV
OPUJH
ORAPC
OROCO
ORVUJ
OUGNH
OUVQU
OUVZD
OVD
OVDLW
OVDNE
OVOZU
OXXIT
P-K
P2P
PQQKQ
QMB
R58
R77
RIG
RLZ
S4R
S4S
TAE
TEORI
TSPGW
U5U
V2I
VVN
W3M
WG1
WH7
WOQ
WOW
WQ9
X3V
X3W
X7L
XZL
YFH
YOC
YYQ
ZFV
ZXP
ZZMQN
~A~
7X8
ADKSD
ID FETCH-LOGICAL-c478t-ad337ba873cc9b099bf7e99de5265d0769e3c74221b5d31405a3c6079976c5212
IEDL.DBID 7X8
ISICitedReferencesCount 163
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000298116800002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1550-5065
IngestDate Thu Oct 02 12:11:55 EDT 2025
Mon Jul 21 05:39:21 EDT 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c478t-ad337ba873cc9b099bf7e99de5265d0769e3c74221b5d31405a3c6079976c5212
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001786-201201000-00002&LSLINK=80&D=ovft
PMID 21738057
PQID 907035976
PQPubID 23479
ParticipantIDs proquest_miscellaneous_907035976
pubmed_primary_21738057
PublicationCentury 2000
PublicationDate 2012 Jan-Mar
20120101
PublicationDateYYYYMMDD 2012-01-01
PublicationDate_xml – month: 01
  year: 2012
  text: 2012 Jan-Mar
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Journal of nursing care quality
PublicationTitleAlternate J Nurs Care Qual
PublicationYear 2012
SSID ssj0002811
Score 2.3425288
Snippet Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of...
SourceID proquest
pubmed
SourceType Aggregation Database
Index Database
StartPage 6
SubjectTerms Accidental Falls - statistics & numerical data
Adult
Cross-Sectional Studies
Female
Hospital Bed Capacity
Humans
Male
Nursing Administration Research
Nursing Care - standards
Nursing Care - statistics & numerical data
Nursing Evaluation Research
Nursing Staff, Hospital - organization & administration
Personnel Staffing and Scheduling - statistics & numerical data
Title Missed nursing care, staffing, and patient falls
URI https://www.ncbi.nlm.nih.gov/pubmed/21738057
https://www.proquest.com/docview/907035976
Volume 27
WOSCitedRecordID wos000298116800002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8NAEB7UKnjx_agv9uCxS5PdJJs9iRSLl4YKCr2FfQWEkram-vudbbb2JB68BPaQMDsZdr557HwA99rThliTUJ7ZhCYmkVQyrahyCr2LYDpKW7IJURT5ZCLHoTenCW2V6zNxdVDbmfE58r70tonoN3uYL6gnjfLF1cCgsQ0djkjGd3SJyWZYOMvjdlxqGtEUXe365pwU_WLwskkBokkr5fmKfsOYK18zPPynlEdwEEAmeWyt4hi2XH0CeyExcArRyBfhLQllf-K7v3oEYWJV4bJHVG1JmLdKKjWdNmfwNnx6HTzTwJxATSLyJVWWc6FVLrgxUiMI1JVwUlrnh-HbSGTScYNBMYt1ajnGWKniJouERMmNv817Djv1rHaXQDjiuSyurMllluhYoSg21XnKLH6CKdUFstZEiZbpyw2qdrPPpvzRRRcuWm2W83aCRolxEM8RKV79_fI17CNGYW3W4wY6uO3G3cKu-Vq-Nx93qz-Oz2I8-gZNGLNr
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Missed+nursing+care%2C+staffing%2C+and+patient+falls&rft.jtitle=Journal+of+nursing+care+quality&rft.au=Kalisch%2C+Beatrice+J&rft.au=Tschannen%2C+Dana&rft.au=Lee%2C+Kyung+Hee&rft.date=2012-01-01&rft.eissn=1550-5065&rft.volume=27&rft.issue=1&rft.spage=6&rft_id=info:doi/10.1097%2FNCQ.0b013e318225aa23&rft_id=info%3Apmid%2F21738057&rft_id=info%3Apmid%2F21738057&rft.externalDocID=21738057
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1550-5065&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1550-5065&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1550-5065&client=summon