Staffing levels and nursing‐sensitive patient outcomes: Umbrella review and qualitative study

Objective To derive a comprehensive list of nursing‐sensitive patient outcomes (NSPOs) from published research on nurse staffing levels and from expert opinion. Data Sources/Study Setting Published literature reviews and their primary studies analyzing the link between nurse staffing levels and NSPO...

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Vydané v:Health services research Ročník 56; číslo 5; s. 885 - 907
Hlavní autori: Blume, Kai Svane, Dietermann, Karina, Kirchner‐Heklau, Uta, Winter, Vera, Fleischer, Steffen, Kreidl, Lisa Maria, Meyer, Gabriele, Schreyögg, Jonas
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Health Research and Educational Trust 01.10.2021
Blackwell Publishing Ltd
John Wiley and Sons Inc
Predmet:
Care Quality and Safety
Clinical outcomes
Data collection
Evaluation
Extraction
health workforce
hospitalization
Humans
Interviews
Interviews as Topic
Literary criticism
Literature reviews
Medical care
Medical care quality
Medical personnel
Medical screening
Nurses
Nursing
Nursing care
Nursing services
nursing staff
Nursing Staff, Hospital - statistics & numerical data
Outcome Assessment, Health Care
patient outcome assessment
patient safety
Patient Satisfaction
Patients
Personnel Staffing and Scheduling - statistics & numerical data
Qualitative Research
Quality Indicators, Health Care
Quality management
quality of health care
Quality of Health Care - statistics & numerical data
Review Literature as Topic
Staffing
systematic review
Workforce planning
United States
patient safety
quality of health care
hospitalization
nursing staff
systematic review
patient outcome assessment
health workforce
ISSN:0017-9124, 1475-6773, 1475-6773
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Popis
Shrnutí:Objective To derive a comprehensive list of nursing‐sensitive patient outcomes (NSPOs) from published research on nurse staffing levels and from expert opinion. Data Sources/Study Setting Published literature reviews and their primary studies analyzing the link between nurse staffing levels and NSPOs and interviews with 16 experts on nursing care. Study Design Umbrella review and expert interviews. Data Collection/Extraction Methods We screened three electronic databases for literature reviews on the association between nurse staffing levels and NSPOs. After screening 430 potentially relevant records, we included 15 literature reviews, derived a list of 22 unique NSPOs from them, and ranked these in a systematic fashion according to the strength of evidence existing for their association with nurse staffing. We extended this list of NSPOs based on data from expert interviews. Principal Findings Of the 22 NSPOs discussed in the 15 included literature reviews, we rated the strength of evidence for four as high, for five as moderate, and for 13 outcomes as low. Four additional NSPOs that have not been considered in literature were identified through expert interviews. Conclusions We identified strong evidence for a significant association between nurse staffing levels and NSPOs. Our results may guide researchers in selecting NSPOs they might wish to prioritize in future studies. In particular, rarely studied NSPOs as well as NSPOs that were only identified through expert interviews but have not been considered in literature so far should be subject to further research.
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ISSN:0017-9124
1475-6773
1475-6773
DOI:10.1111/1475-6773.13647