Mandating Nurse Staffing in Pennsylvania More than a Numbers Game

被引：10

作者：

DeVandry, Suzanne N. ^{[1
]}

Cooper, Jennifer ^{[2
]}

机构：

[1] Med Univ S Carolina, Coll Nursing, Charleston, SC 29425 USA

[2] Rush Univ, Coll Nursing, Chicago, IL 60612 USA

来源：

JOURNAL OF NURSING ADMINISTRATION | 2009年 / 39卷 / 11期

关键词：

QUALITY-OF-CARE; PATIENT OUTCOMES; HOSPITALS;

D O I：

10.1097/NNA.0b013e3181bd5fe9

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Current federal and state legislation for mandated nurse staffing falls short of the ideal plan. Hospital nurse-staffing ratios are inadequate to maintain patient safety and quality nursing care. Mandating fixed nurse-to-patient ratios does not accommodate changes in patients' needs, evolving technology, and experience of nursing staff and will be immediately obsolete. Ideal measurement of nurse staffing incorporates nurse skill level and patient acuity. The Pennsylvania State Nurses Association supports legislation to establish patient acuity-based nurse staffing.

引用

页码：470 / 478

页数：9

共 27 条

[1] Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].

Aiken, LH ;

Clarke, SP ;

Sloane, DM ;

Sochalski, J ;

Silber, JH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993

[2] Supplemental nurse staffing in hospitals and quality of care [J].

Aiken, Linda H. ;

Xue, Ying ;

Clarke, Sean P. ;

Sloane, Douglas M. .

JOURNAL OF NURSING ADMINISTRATION, 2007, 37 (7-8) :335-342

[3] Nurse staffing levels and quality of care in Northeastern Pennsylvania nursing homes [J].

Akinci, F ;

Krolikowski, D .

APPLIED NURSING RESEARCH, 2005, 18 (03) :130-137

[4]

*ANA, 2009, NURS STAFF PLANS RAT

[5]

*ANA, 2009, LEG REG PERTAINING N

[6]

[Anonymous], 2001, Crossing the Quality Chasm: A New Health Care System for the 21st Century

[7] Creating and analyzing a Statewide nursing quality measurement database [J].

Aydin, CE ;

Bolton, LB ;

Donaldson, N ;

Brown, DS ;

Buffum, M ;

Elashoff, JD ;

Sandhu, M .

JOURNAL OF NURSING SCHOLARSHIP, 2004, 36 (04) :371-378

[8]

Burnes Bolton Linda, 2007, Policy Polit Nurs Pract, V8, P238, DOI 10.1177/1527154407312737

[9]

*CHCF, 2009, ASS IMP CAL NURS STA

[10]

Clarke Sean P, 2003, Nurs Manage, V34, P44, DOI 10.1097/00006247-200306000-00018

← 1 2 3 →