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Peer-Reviewed
Care Staffing Professionals
0
August 24, 2016

Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction

Context The worsening hospital nurse shortage and recent California legislation mandating minimum hospital patient-to-nurse ratios demand an understanding of how nurse staffing levels affect patient outcomes and nurse retention in hospital practice.

Objective To determine the association between the patient-to-nurse ratio and patient mortality, failure-to-rescue (deaths following complications) among surgical patients, and factors related to nurse retention.

Design, Setting, and Participants Cross-sectional analyses of linked data from 10 184 staff nurses surveyed, 232 342 general, orthopedic, and vascular surgery patients discharged from the hospital between April 1, 1998, and November 30, 1999, and administrative data from 168 nonfederal adult general hospitals in Pennsylvania.

Main Outcome Measures Risk-adjusted patient mortality and failure-to-rescue within 30 days of admission, and nurse-reported job dissatisfaction and job-related burnout.

Results After adjusting for patient and hospital characteristics (size, teaching status, and technology), each additional patient per nurse was associated with a 7% (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.03-1.12) increase in the likelihood of dying within 30 days of admission and a 7% (OR, 1.07; 95% CI, 1.02-1.11) increase in the odds of failure-to-rescue. After adjusting for nurse and hospital characteristics, each additional patient per nurse was associated with a 23% (OR, 1.23; 95% CI, 1.13-1.34) increase in the odds of burnout and a 15% (OR, 1.15; 95% CI, 1.07-1.25) increase in the odds of job dissatisfaction.

Conclusions In hospitals with high patient-to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction.

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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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