About: Chronic hospital nurse understaffing meets COVID-19: an observational study

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Chronic hospital nurse understaffing meets COVID-19: an observational study
Creator	Mchugh, Matthew Aiken, Linda Alexander, Maryann French, Rachel Lasater, Karen Martin, Brendan Reneau, Kyrani Sloane, Douglas
source	Medline; PMC
abstract	INTRODUCTION: Efforts to enact nurse staffing legislation often lack timely, local evidence about how specific policies could directly impact the public’s health. Despite numerous studies indicating better staffing is associated with more favourable patient outcomes, only one US state (California) sets patient-to-nurse staffing standards. To inform staffing legislation actively under consideration in two other US states (New York, Illinois), we sought to determine whether staffing varies across hospitals and the consequences for patient outcomes. Coincidentally, data collection occurred just prior to the COVID-19 outbreak; thus, these data also provide a real-time example of the public health implications of chronic hospital nurse understaffing. METHODS: Survey data from nurses and patients in 254 hospitals in New York and Illinois between December 2019 and February 2020 document associations of nurse staffing with care quality, patient experiences and nurse burnout. RESULTS: Mean staffing in medical-surgical units varied from 3.3 to 9.7 patients per nurse, with the worst mean staffing in New York City. Over half the nurses in both states experienced high burnout. Half gave their hospitals unfavourable safety grades and two-thirds would not definitely recommend their hospitals. One-third of patients rated their hospitals less than excellent and would not definitely recommend it to others. After adjusting for confounding factors, each additional patient per nurse increased odds of nurses and per cent of patients giving unfavourable reports; ORs ranged from 1.15 to 1.52 for nurses on medical-surgical units and from 1.32 to 3.63 for nurses on intensive care units. CONCLUSIONS: Hospital nurses were burned out and working in understaffed conditions in the weeks prior to the first wave of COVID-19 cases, posing risks to the public’s health. Such risks could be addressed by safe nurse staffing policies currently under consideration.
has issue date	2020-08-13(xsd:dateTime)
bibo:doi	10.1136/bmjqs-2020-011512
bibo:pmid	32817399
has license	cc-by-nc
sha1sum (hex)	fdcfbd23b198b70c3ee99b8d3b37b1569a1534bb
schema:url	https://doi.org/10.1136/bmjqs-2020-011512
resource representing a document's title	Chronic hospital nurse understaffing meets COVID-19: an observational study
has PubMed Central identifier	PMC7443196
has PubMed identifier	32817399
schema:publication	BMJ Qual Saf
resource representing a document's body	covid:fdcfbd23b198b70c3ee99b8d3b37b1569a1534bb#body_text
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