Among her many well-known quotes, Florence Nightingale gave us a simple but meaningful one that has resonated over the centuries: “For the sick it is important to have the best.”
Then, as now, providing the best patient care calls for having the best nurses with the best training and the best staffing — also known as nurse staffing and patient safety.
These three — along with advanced and continuing education, appropriate orientation and training, and good skills — have been at the heart of our growth as a profession.
But we’ve never been able to stop studying, working on, and yes, even struggling with nurse staffing.
What you know about nurse staffing and patient safety
You know your role is to care for patients, help them get well and keep them safe.
But you also know — everything from infections to medication errors to falls to needle sticks to poor communication and incomplete handoffs — are part of a long list of patient safety concerns you have.
All too often, inadequate nurse staffing is the thread running through that list.
“Our staffing numbers have for too long been a continued problem we haven’t been able to fix. I have too many patients to care for and not enough time or hands to give them all they need.”
Sound familiar? Some might think a comment like this is a mere complaint, while others hear it as a cry for help. I believe it’s the latter because you go to work every day for all the right reasons — none of which is to complain.
Last month, we celebrated National Nurses Week to recognize you for your many contributions to patients, the profession and healthcare.
To make these contributions and give patients the best of your nursing education, training and talents, you need the right:
- Nurse staffing patterns
- Interprofessional teams
- Work schedules
- Care delivery systems
- Nurse-patient ratios
Nurse-patient ratios are most closely linked to quality outcomes and patient safety issues.
Staffing and safety research you should read
According to a nurse staffing and patient safety report by the Agency for Healthcare Research and Quality, “some seminal studies have demonstrated the link between nurse staffing ratios and patient safety, documenting an increased risk of patient safety events, morbidity and even mortality.”
Other studies have shown improvements in quality indicators and patient outcomes after instituting staffing ratios.
Various staffing patterns, algorithms and calculations have been put forth for two decades after California passed the first nurse-patient ratio legislation.
Along with the use of nurse-patient ratios, whether legislated or not, factors that have influenced care outcomes include:
- Shift length
- Patient acuity
- Staff mix
- Environmental, administrative and financial factors
The use of nurse-patient ratios has grown, and more than a dozen states now have authored bills and enacted legislation requiring them.
As recently as a few months ago, New York introduced a new bill (A3374) known as the “Safe Staffing for Hospital Care Act,” calling for minimum staffing levels for healthcare workers in different facilities, submission of staffing plans and restriction of …read more
Read full article here: nurse.com