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121 Results Found

  • Article
  • Open Access
4 Citations
4,489 Views
11 Pages

Changes in Nurse Staffing Grades of Korean Hospitals during COVID-19 Pandemic

  • Young-Taek Park,
  • JeongYun Park,
  • Ji Soo Jeon,
  • Young Jae Kim and
  • Kwang Gi Kim

The global COVID-19 pandemic is creating challenges to manage staff ratios in clinical units. Nurse staffing level is an important indicator of the quality of care. This study aimed to identify any changes in the nurse staffing levels in the general...

  • Article
  • Open Access
12 Citations
6,273 Views
10 Pages

The current study aimed to examine patient experience scores and differences in the scores based on the region and nurse staffing level of hospitals as well as to verify the effect of nurse-related patient experience scores on the overall rating of h...

  • Article
  • Open Access
3,553 Views
19 Pages

Citation Network Analysis of Nurse Staffing Research from the Past Two Decades: 2000–2022

  • Noriko Morioka,
  • Masanao Ochi,
  • Suguru Okubo,
  • Mutsuko Moriwaki,
  • Kenshi Hayashida,
  • Ichiro Sakata and
  • Masayo Kashiwagi

27 November 2023

Studies have indicated that higher numbers of nurses regarding staffing ensure patient safety and a better practice environment. Using citation analysis, this study visualizes the landscape of nurse staffing research over the last two decades to show...

  • Article
  • Open Access
8 Citations
10,240 Views
9 Pages

Nurse staffing is an important factor influencing patient health outcomes. This study aimed to analyze the effects of nurse staffing on patient health outcomes, such as length of stay, mortality within 30 days of hospitalization, and readmission with...

  • Article
  • Open Access
35 Citations
10,468 Views
11 Pages

Purpose: The purpose of this study is to test the mediation effect of rationing of nursing care (RONC) and the relationship this has between nurse staffing and patient outcomes. Methods: The analytic sample included 7802 nurse surveys and 5430 patien...

  • Review
  • Open Access
13 Citations
7,028 Views
13 Pages

We aimed to summarize the evidence of an association between nurse staffing and nursing sensitivity outcomes in Japanese hospitals. A scoping review was conducted and reported following the PRISMA-SR 2020 statement. The ICHUSHI and CiNii databases we...

  • Article
  • Open Access
5,061 Views
11 Pages

Registered Nurse Staffing and Inpatient Outcomes in Korean Long-Term Care Hospitals

  • Sujin Shin,
  • Jung Min Yoon,
  • Eun-Ju Moon,
  • Mi-Ji Lee and
  • Jin-Hwa Park

11 December 2024

Background/Objectives: There is a relative lack of specific research on registered nurse (RN) staffing in long-term care hospitals in the Republic of Korea. This study investigated the association between RN staffing levels and inpatient outcomes in...

  • Article
  • Open Access
1,298 Views
17 Pages

Background: Over the past decade, the demand for accompanying services, which can be provided by both professional nurses and unskilled workers in major general hospitals, escalates significantly. Although nurses can provide higher value accompanying...

  • Article
  • Open Access
5 Citations
3,111 Views
8 Pages

The increasing incidence of ischemic heart disease is concomitantly increasing percutaneous coronary intervention (PCI) treatments. Adequate nurse staffing has enhanced quality of care and this study was conducted to determine the relationship betwee...

  • Article
  • Open Access
4 Citations
4,164 Views
25 Pages

14 October 2022

Background: Time series analyses on the relationship between nurse staffing and inpatient care quality are rare due to inconsistent frequencies of data between common observations of nurse-staffing (e.g., monthly) and inpatient care quality indicator...

  • Article
  • Open Access
12,246 Views
11 Pages

Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data

  • Mutsuko Moriwaki,
  • Michiko Tanaka,
  • Masayuki Kakehashi,
  • Masato Koizumi,
  • Hiromasa Horiguchi and
  • Kenshi Hayashida

5 January 2025

Background: Medication errors cause adverse events; however, studies have yet to examine medication errors related to nursing hours while considering ward characteristics in Japan. Purpose: This study investigated medication errors caused by nurses t...

  • Article
  • Open Access
1 Citations
7,626 Views
13 Pages

Impact of Nurse Staffing Levels on Patient Fall Rates: A Retrospective Cross-Sectional Study in General Wards in Japan

  • Mutsuko Moriwaki,
  • Masayuki Kakehashi,
  • Kenshi Hayashida,
  • Masato Koizumi and
  • Hiromasa Horiguchi

Background: Falls are common adverse events among hospitalized patients, affecting outcomes and placing a financial burden on patients and hospitals. This study investigated the relationship between nurse staffing/workload and patient falls during ho...

  • Article
  • Open Access
4 Citations
3,717 Views
13 Pages

This study examined the associations of nurse and physician staffing in intensive care units (ICUs) with hospital-acquired pneumonia (HAP) incidence and in-hospital mortality in postoperative patients on ventilators. National Health Insurance claims...

  • Article
  • Open Access
407 Views
27 Pages

Objectives: Intensive care units (ICUs) are characterised by high care complexity and nursing workload, which directly affects patient safety and staff sustainability. Latvia faces a chronic shortage of nurses, particularly in intensive care, yet sys...

  • Article
  • Open Access
3 Citations
4,237 Views
18 Pages

The relationship between nurse staffing, physical outcomes of residents, as well as quality of care receives major attention. The impact of staffing levels on residents’ ability to organize their everyday life and maintain social contacts, however, h...

  • Review
  • Open Access
1,497 Views
13 Pages

10 December 2025

Background: Unsafe care remains a major global health challenge, contributing to millions of preventable deaths and ranking among the top ten causes of mortality and disability worldwide. The World Health Organization’s Global Patient Safety Ac...

  • Article
  • Open Access
13 Citations
5,165 Views
10 Pages

Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study

  • Ana María Porcel-Gálvez,
  • Sergio Barrientos-Trigo,
  • Eugenia Gil-García,
  • Olivia Aguilera-Castillo,
  • Antonio Juan Pérez-Fernández and
  • Elena Fernández-García

Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as nursing workload or the le...

  • Article
  • Open Access
153 Citations
59,721 Views
17 Pages

The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes

  • Maura MacPhee,
  • V. Susan Dahinten and
  • Farinaz Havaei

This study investigated the relationships between seven workload factors and patient and nurse outcomes. (1) Background: Health systems researchers are beginning to address nurses’ workload demands at different unit, job and task levels; and the type...

  • Article
  • Open Access
3 Citations
2,014 Views
12 Pages

How Are Diagnosis-Related Groups and Staffing Allocation Systems Associated with the Complexity of Nursing Care? An Observational Study

  • Diletta Fabrizi,
  • Davide Paolo Bernasconi,
  • Giulia Locatelli,
  • Michela Luciani,
  • Giorgio Beretta,
  • Stefania Di Mauro,
  • Paola Rebora and
  • Davide Ausili

5 October 2024

Background: In Italy, Diagnosis-Related Groups (DRGs) have been adopted for hospital services reimbursement. In some Italian regions, nurse staffing allocation is purely volume-based, with different minutes/patient/day categories determined by the ty...

  • Article
  • Open Access
5 Citations
4,414 Views
8 Pages

Communication Disparities between Nursing Home Team Members

  • Timothy W. Farrell,
  • Jorie M. Butler,
  • Gail L. Towsley,
  • Jacqueline S. Telonidis,
  • Katherine P. Supiano,
  • Caroline E. Stephens,
  • Nancy M. Nelson,
  • Alisyn L. May and
  • Linda S. Edelman

Optimal care in nursing home (NH) settings requires effective team communication. Certified nursing assistants (CNAs) interact with nursing home residents frequently, but the extent to which CNAs feel their input is valued by other team members is no...

  • Article
  • Open Access
9 Citations
2,808 Views
15 Pages

10 February 2024

With the International Commission on Radiological Protection’s (ICRP) reduction in the radiation dose threshold for cataracts, evaluating and preventing radiation exposure to the lens of the eye among interventional radiology (IR) staff have be...

  • Article
  • Open Access
14 Citations
5,892 Views
15 Pages

Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality

  • Beata Wieczorek-Wójcik,
  • Aleksandra Gaworska-Krzemińska,
  • Piotr Szynkiewicz,
  • Michał Wójcik,
  • Monika Orzechowska and
  • Dorota Kilańska

(1) Background: an assessment of the cost-effectiveness of employing an increased number of nurses with higher education from the perspective of the service provider. (2) Methods: Based on a year-long study results and data collected from a large hos...

  • Article
  • Open Access
12 Citations
8,198 Views
15 Pages

The Influence of Nurse Education Level on Hospital Readmissions—A Cost-Effectiveness Analysis

  • Beata Wieczorek-Wójcik,
  • Aleksandra Gaworska-Krzemińska,
  • Aleksander Owczarek,
  • Michał Wójcik,
  • Monika Orzechowska and
  • Dorota Kilańska

Background: Readmissions are adverse, costly, and potentially preventable. The study aimed to evaluate the cost-effectiveness of reducing readmissions resulting from missed care, depending on the level of education of nurses, from the perspective of...

  • Article
  • Open Access
1 Citations
4,035 Views
26 Pages

Supporting Novice Nurses’ Transition to Independent Practice: Evaluation of the TIPS Program Using the Kirkpatrick Model

  • Charissa Cordon,
  • Desa Dlugosz,
  • Lorena Lopez,
  • Rona Gelacio,
  • Kate Smith-Eivemark,
  • Shannon Maier,
  • Amir Ginzburg,
  • Kevin Hua,
  • Dian Williams and
  • Terri Irwin

1 February 2025

Trillium Health Partners (THP) is a hospital network that serves the Mississauga region of Ontario, Canada, and sees nearly 1.7 million patient visits each year. THP is also a provider of highly specialized services to the region and a fully-fledged...

  • Article
  • Open Access
1,458 Views
9 Pages

11 February 2025

Background/Objectives: To address long-standing staffing challenges and elevating care standards in the United States, new legislation will require a minimum of 0.55 h per resident day (HPRD) of registered nurse (RN) care, 2.45 HPRD of certified nurs...

  • Article
  • Open Access
2,698 Views
10 Pages

Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool

  • Emanuele Buccione,
  • Floriana Pinto,
  • Alessio Lo Cascio,
  • Viola Palumbo,
  • Kerry Hart,
  • Allison Marchuk,
  • Jessica-Lynn Walsh,
  • Alexandra Howlett,
  • The Italian Neonatal Nursing Workload Study Group and
  • Stefano Bambi
  • + 2 authors

10 January 2025

Background: Complexity of care, adequate staffing levels, and workflow are key factors affecting nurses’ workloads. There remain notable gaps in the current evidence regarding clinical complexity classification and related staffing adjustment,...

  • Feature Paper
  • Article
  • Open Access
16 Citations
10,048 Views
8 Pages

The Synergy Tool: Making Important Quality Gains within One Healthcare Organization

  • Enoch Ho,
  • Elaine Principi,
  • Charissa P. Cordon,
  • Yayra Amenudzie,
  • Krista Kotwa,
  • Sarah Holt and
  • Maura MacPhee

7 September 2017

Background: Evidence-based clinical care delivery begins with comprehensive assessments of patients’ priority needs. A Canadian health sciences corporation conducted a quality improvement initiative to enhance clinical care delivery, beginning with o...

  • Article
  • Open Access
668 Views
23 Pages

20 November 2025

Background/Objective: A nurse staffing crisis is a high-profile issue in the healthcare system. The challenge accelerates when considering the status of the nursing workforce in rural and remote (R&R) areas, where recruitment and retention are mo...

  • Article
  • Open Access
8 Citations
3,542 Views
11 Pages

The purpose of this study was to estimate how much resident outcomes can improve with an increase in hours per resident day (HPRD) of registered nurses (RNs) staffing. Nursing home (NH) staff in Korea have serious problems with inappropriate nurse st...

  • Review
  • Open Access
32 Citations
15,742 Views
14 Pages

Missed Nursing Care; Prioritizing the Patient’s Needs: An Umbrella Review

  • Iokasti Papathanasiou,
  • Vasileios Tzenetidis,
  • Konstantinos Tsaras,
  • Sofia Zyga and
  • Maria Malliarou

16 January 2024

The objective of this review of reviews was to identify the reasons for missed nursing care and to shed light on how nurses prioritize what care they miss. Missed nursing care refers to essential nursing activities or tasks that are omitted or not co...

  • Article
  • Open Access
24 Citations
5,528 Views
14 Pages

Organizational Commitment and Intention to Leave of Nurses in Portuguese Hospitals

  • Teresa Neves,
  • Pedro Parreira,
  • Vitor Rodrigues and
  • João Graveto

Intention to leave is influenced by the commitment and individual and structural factors. It is a critical dimension in health systems due to the shortage of professionals and the potential impact on the quality of care. The present paper: (i) charac...

  • Article
  • Open Access
6 Citations
7,673 Views
12 Pages

Implementing the Synergy Model: A Qualitative Descriptive Study

  • Charissa P. Cordon,
  • Pamela Baxter,
  • Ari Collerman,
  • Kirsten Krull,
  • Celia Aiello,
  • Jennifer Lounsbury,
  • Maura MacPhee,
  • Sonia Udod,
  • Kim Alvarado and
  • Natalie Meisenburg
  • + 3 authors

14 February 2022

Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple A...

  • Article
  • Open Access
7 Citations
2,943 Views
9 Pages

National Chronic Disease Management Programmes in Irish General Practice-Preparedness and Challenges

  • Meera Tandan,
  • Bebhinn Twomey,
  • Liam Twomey,
  • Mairead Egan and
  • Gerard Bury

17 July 2022

Information on the readiness of Irish general practice to participate in structured chronic disease management (CDM) care is limited. This study explores the logistic, staffing, and organizational preparedness of Irish general practice to do so, stra...

  • Review
  • Open Access
7 Citations
5,786 Views
12 Pages

21 September 2024

Background/Objectives: As the elderly population grows, the prevalence of dementia is rising, with 70–95% of patients in hospital settings exhibiting problematic behaviors such as aggression. These behaviors significantly contribute to increase...

  • Article
  • Open Access
2 Citations
2,980 Views
14 Pages

12 August 2025

Background/Objectives: Missed nursing care (MNC), defined as any omitted or delayed aspect of required patient care, is a global concern affecting both patient outcomes and nurse well-being. In Saudi Arabia, few studies have examined its relationship...

  • Review
  • Open Access
827 Views
16 Pages

Nursing Practice Environment in the Armed Forces: Scoping Review

  • Mafalda Inácio,
  • Maria Carvalho,
  • Ana Paulino,
  • Patrícia Costa,
  • Ana Rita Figueiredo,
  • Elisabete Nunes,
  • Paulo Cruchinho and
  • Pedro Lucas

7 November 2025

Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations,...

  • Article
  • Open Access
1 Citations
3,751 Views
22 Pages

Association Between Missed Nursing Care and Nurse Fatigue: A Cross-Sectional Correlational Study

  • Bushra Alshammari,
  • Ghady Saud Alsaleh,
  • Awatif Alrasheeday,
  • Nadiah Baghdadi,
  • Nabat Almalki,
  • Farhan Alshammari,
  • Amira Assiry and
  • Mawahib Almalki

13 August 2025

Background/Objectives: Missed nursing care—defined as any aspect of required patient care that is omitted or delayed—has emerged as a significant indicator of healthcare quality. Fatigue among nurses, particularly in high-demand environme...

  • Article
  • Open Access
3 Citations
1,741 Views
19 Pages

Latvia faces one of the lowest nurse-to-population ratios in the EU, resulting in critical staff shortages in intensive care units (ICUs). Nurses frequently care for more patients than recommended, which not only compromises patient safety but also p...

  • Article
  • Open Access
22 Citations
4,446 Views
10 Pages

Studies have demonstrated associations between safety culture and patient safety based on the perceptions of healthcare professionals, but limited attention has been given to the perceptions of nurses. Moreover, most studies have used regression mode...

  • Article
  • Open Access
5 Citations
5,137 Views
16 Pages

The Relationship between Nursing Practice Environment and Pressure Ulcer Care Quality in Portugal’s Long-Term Care Units

  • Katia Furtado,
  • Jaco Voorham,
  • Paulo Infante,
  • Anabela Afonso,
  • Clara Morais,
  • Pedro Lucas and
  • Manuel Lopes

Background: The morbidity associated with ageing has contributed to an increase in the prevalence of Pressure Ulcers (PUs) in all care settings. The impact of these on people’s quality of life and the extent of the associated economic and socia...

  • Article
  • Open Access
718 Views
20 Pages

20 October 2025

Objectives: Urinary tract infections (UTIs) are the most common healthcare-associated infections in Skilled Nursing Facilities (SNFs); they are associated with longer lengths of stay, higher levels of care, increased treatment costs, and higher morta...

  • Article
  • Open Access
12 Citations
4,418 Views
9 Pages

Resilience and working environment are variables that affect turnover. However, how these two variables impact each other is unclear. This study is a descriptive correlation study to identify the factors of the nursing working environment affecting t...

  • Article
  • Open Access
2 Citations
2,677 Views
11 Pages

Barriers and Facilitators of Working with Dying Patients among Novice Nurses in Saudi Arabia

  • Turki S. Alsalamah,
  • Yasir S. Alsalamah,
  • Basmah Aldrees,
  • Thamer Alslamah,
  • Sarah M. Yousif and
  • Mirna Fawaz

11 November 2022

Novice nurses face immense challenges while they transition from being students to becoming professional nurses. Dealing with dying patients has been documented to be an immense task among professional nurses, especially for new nurses. This study ai...

  • Review
  • Open Access
9 Citations
8,024 Views
12 Pages

The Association between the Mental Health Nurse-to-Registered Nurse Ratio and Patient Outcomes in Psychiatric Inpatient Wards: A Systematic Review

  • Nompilo Moyo,
  • Martin Jones,
  • Diana Kushemererwa,
  • Sandesh Pantha,
  • Sue Gilbert,
  • Lorena Romero and
  • Richard Gray

Nursing skill mix in inpatient mental health wards varies considerably between countries. Some countries have an all-registered mental health nurse workforce; others have a mix of registered mental health and registered nurses. Understanding the opti...

  • Article
  • Open Access
27 Citations
4,856 Views
14 Pages

Impact of the Work Environment on Patients’ Safety as Perceived by Nurses in Poland—A Cross-Sectional Study

  • Iwona Malinowska-Lipień,
  • Agnieszka Micek,
  • Teresa Gabryś,
  • Maria Kózka,
  • Krzysztof Gajda,
  • Agnieszka Gniadek,
  • Tomasz Brzostek,
  • Jason Fletcher and
  • Allison Squires

Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients’ safety. The aim of this research was to capture nurses’ opinions about patients’ safety and discern relat...

  • Article
  • Open Access
3 Citations
1,741 Views
12 Pages

Research on the Quality of Abdominal Surgical Nursing Care: A Scoping Review

  • Natalja Istomina,
  • Tarja Suominen,
  • Artūras Razbadauskas and
  • Helena Leino-Kilpi

Various health care measures have been identified over the years as indicators of health care quality. However, studies evaluating the quality of nursing care among different patient groups are scarce. Patients undergoing abdominal surgery may be a g...

  • Article
  • Open Access
4 Citations
3,782 Views
8 Pages

Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey

  • Takeshi Unoki,
  • Yusuke Kawai,
  • Miya Hamamoto,
  • Mitsuhiro Tamoto,
  • Takeharu Miyamoto,
  • Hideaki Sakuramoto,
  • Yumi Ito,
  • Etsuko Moro,
  • Junko Tatsuno and
  • Osamu Nishida

This study aimed to estimate the number of nurses who independently care for patients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous extracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed...

  • Article
  • Open Access
14 Citations
5,311 Views
11 Pages

Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia’s Eastern Health Cluster

  • Nasreen Alsalem,
  • Fatima Abu Rashid,
  • Saleh Aljarudi,
  • Mohammed I. Al Bazroun,
  • Roqayah Mirza Almatrouk,
  • Fatimah M. Alharbi,
  • Lames Al Mansour and
  • Nahid Baker Abuzaid

2 October 2023

(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients’ safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151...

  • Article
  • Open Access
5 Citations
1,013 Views
4 Pages

A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit

  • Christian Patry,
  • Monika Schindler,
  • Julia Reinhard,
  • Steffen Hien,
  • Süha Demirakca,
  • Thomas Böhler and
  • Thomas Schaible

28 March 2014

Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio...

  • Article
  • Open Access
7 Citations
4,314 Views
13 Pages

10 July 2023

Nurses report that they are required to work during their scheduled breaks and generally experience extended work times and heavy workloads due to staffing shortages. This study aimed to examine changes in personal, work-related, and overall stress,...

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