Lucy Chapman, Orla Kennedy, David Bradley, Joseph Harbison
A single-site retrospective review of in-hospital stroke
Irish journal of medical science
nursingsensitive events nses common accounting 77 adverse events hospitalized patients eg fallrelated harm pressure ulcers health careassociated infections nses lead adverse patient outcomes impose economic burden hospitals due increased medical costs prolonged hospital stay additional medical procedures reduce nses ensure highquality nursing care appropriate nurse staffing levels needed although link nurse staffing nses described many studies appropriate nurse staffing levels lacking existing studies describe constant staffing exposure unit hospital level without assessing patientlevel exposure nurse staffing hospital stay studies assessed nurse staffing patient outcomes using singlecenter longitudinal design limited generalizability need multicenter longitudinal studies improved potential generalizing association individual nurse staffing levels nses study aimed 1 determine prevalence preventability type severity nses 2 describe individual patientlevel nurse staffing exposure across hospitals 3 assess effect nurse staffing nses patients 4 identify thresholds safe nurse staffing levels test nses hospitalized patients international multicenter study uses longitudinal observational research design involves 4 countries switzerland sweden germany iran participation 14 hospitals 61 medical surgery mixed units 16week observation period collect nses using systematic retrospective record reviews total 3680 patient admissions reviewed 60 randomly selected admissions per unit included patients must hospitalized least 48 hours nurse staffing data ie number nurses education level collected daily shift assess association nses individual nurse staffing levels additionally hospital data ie type teaching status ownership unit data ie service line number beds collected january 2024 verification process plausibility comprehensibility patients nurse staffing data underway across 4 countries data analyses planned completed spring 2024 first results expected published late 2024 study provide comprehensive information nses including prevalence preventability type severity across countries moreover seeks enhance understanding nse mechanisms potential impact nurse staffing events evaluate within betweenhospital variability identify productive strategies ensure safe nurse staffing levels thereby reducing nses hospitalized patients tailr nursingsensitive events association individual nurse staffing levels study focus optimization scarce staffing resources derr110219656262