The connection between nursing injury rates and patient outcomes has not been totally
grasped in the health care occupational health setting. This article concludes that
nursing injury rates are linked to the nursing shortage and less nursing time at the
bedside, both of which have been scientifically linked to negative patient outcomes.
Because nurses' working conditions affect patients' outcomes, more funding and changes are
needed to improve these conditions.
References
1.
AikenL.
H. (2005). Extending the
magnet concept to developing and transition countries.
Reflections on Nursing Leadership, 31,
16–18.
2.
AikenL. H.ClarkeS. P.CheungR. B.SloaneD. M.SilberJ. H.
(2003). Educational levels of hospital nurses and surgical
patient mortality. JAMA,
290(12),
1617–1623.
3.
AikenL. H.ClarkeS. P.SloaneD. M.
(2002). Hospital staffing, organization, and quality of
care: Cross-national findings. International Journal for Quality
Health Care, 14(1),
5–13.
4.
AikenL. H.ClarkeS. P.SloaneD. M.SochalskiJ. A.BusseR.ClarkeH.
(2001). Nurses' reports on hospital care in five
countries. Health Affairs,
20(3),
43–53.
5.
AikenL. H.ClarkeS. P.SloaneD. M.SochalskiJ.SilberJ. H.
(2002). Hospital nurse staffing and patient mortality, nurse
burnout, and job dissatisfaction. JAMA,
288(16),
1987–1993.
6.
Alonso-EchanoveJ.EdwardsJ. R.RichardsM. J.BrennanP.VeneziaR. A.KeenJ.
(2003). Effect of nurse staffing and
antimicrobial-impregnated central venous catheters on the risk for bloodstream
infections in intensive care units. Infection Control and
Hospital Epidemiology, 24(12),
916–925.
7.
AmaravadiR. K.JacobsonB. C.SolomonD. H.FischerM. A.
(2002). ICU nurse-to-patient ratio is associated with
complications and resource use after esophagectomy. Intensive
Care Medicine, 26,
1857–1862.
8.
American Federation of State, County and
Municipal Workers. (2006). Solving the nursing
shortage. Retrieved from www.afscme.org/publications/2237cfm
9.
American Health Care Association.
(2003, February 12). Health services research and
evaluation. Retrieved 2005 from www.ahca.org.
American Nurses Association.
(2004). Nursing shortage factors. Retrieved July 31, 2007,
from www.nursingworld.org.
12.
AndersenB. M.LindemannR.BerghR.NesheimB.SyversenG.SolheimN.
(2002). Spread of methicillin-resistant
Staphylococcus aureus in a neonatal intensive unit associated with
understaffing, overcrowding and mixing of patients. Journal of
Hospital Infection, 50(1),
18–24.
13.
ArchibaldL. K.ManningM. L.BellL. M.BaneljeeS.JarvisW. R.
(1997). Patient density, nurse-to-patient ratio and
nosocomial infection risk in a pediatric cardiac intensive care unit.
Pediatric Infectious Disease Journal,
16(11),
1045–1048.
14.
ArnowP.AllynP. A.NicholsE. M.HillD. L.PezzloM.BartlettR. H.
(1982). Control of methicillin-resistant
Staphylococcus aureus in a burn unit: Role of nurse
staffing. Journal of Trauma,
22(11),
954–959.
15.
BerlinerH.GinzbergE.
(2002, April 4). Why this hospital nursing shortage is
different. JAMA,
288(21),
2742–2744.
Bureau of Labor Statistics.
(2002). Survey of occupational injuries and illnesses.
Retrieved July 31, 2007, from www.bls.gov/iif/home.htm
18.
Bureau of Labor Statistics.
(2003). Counts and incidence rates of non-fatal injuries and
illnesses involving days away from work involving MSDs by state and ownership.
Retrieved August 6, 2007, from www.bls.gov/iif/oshstate.htm.
19.
Centers for Disease Control and
Prevention. (2004). Nurses' working conditions:
Implications for infectious disease. Retrieved July 31, 2007, from www.cdc.gov/niosh/topics/healthcare
ClarkeS.SloaneD.AikenL.
(2002, July). Effects of hospital staffing and
organizational climate on needlestick injuries to nurses.
American Journal of Public Health,
92(7),
1115–1119.
22.
CollinsJ.
(2006). Scope of the problem. In
NelsonA.
(Ed.), Safe patient handling and movement. New
York: Springer.
23.
EstabrooksC. A.MidodziW. K.CummingsG. G.RickerK. L.GiovannettiP.
(2005). The impact of hospital nursing characteristics on
30-day mortality. Nursing Research,
54(2),
74–84.
24.
FridkinS. K.PeearS. M.WilliamsonT. H.GalgianiI. N.JarvisW. R.
(1996). The role of understaffing in central venous
catheter-associated bloodstream infections. Infection Control
and Hospital Epidemiology, 17(3),
150–158.
25.
GerberichS. G.ChurchT. R.McGovernP. M.HansenH. E.NachreinerN. M.GeisserM.
S. (2004). An
epidemiological study of the magnitude and consequences of work related violence: The
Minnesota nurses' study. Occupational and Environmental
Medicine, 61(6),
495–503.
26.
HaleyR. W.CushionN. B.TenoverF. C.BannermanT. L.DryerD.RossS.
(1995). Eradication of endemic methicillin-resistant
Staphylococcus aureus infections from a neonatal intensive care
unit. Journal of Infectious Diseases,
171(3),
614–624.
27.
HarbarthS.SudreP.DharanS.CadenasM.PittetD.
(1999). Outbreak of Enterobacter cloacae
related to understaffing, overcrowding, and poor hygiene practices.
Infection Control and Hospital Epidemiology,
20(9),
598–603.
HartP. D.
(2006, March). Safe patient handling: Injuries and pain from
lifting patients causing nurses, x-ray techs to consider quitting. Could worsen nursing
shortage. Retrieved July 31, 2007, from www.aft.org/presscenter/releases/2006/032306.htm.
Institute of Medicine.
(2000). To err is human: Building a safer health system.
Washington, DC: National Academy
Press.
32.
Institute of Medicine.
(2004). Keeping patients safe: Transforming the work
environment. Washington, DC:
National Academy Press.
33.
Joint Commission on Accreditation of
Healthcare Organizations. (2002). Healthcare at the
crossroads. Oakbrook Terrace, IL:
Author.
34.
Joint Commission on Accreditation of
Healthcare Organizations. (2005). Healthcare at the
crossroads: Strategies for addressing the evolving nursing crisis.
Oakbrook Terrace, IL:
Author.
35.
KnaufR. A.LichtigL. K.Risen-McCoyR.SingerA. D.WozniakL.
(1997). Implementing nursing's report card: A study of RN staffing,
length of stay and patient outcomes. Washington,
DC: American Nurses
Association.
36.
KovnerC.GergenP. J.
(1998). Nurse staffing levels and adverse events following
surgery in US hospitals. Image: Journal of Nursing
Scholarship, 30(4),
315–321.
37.
KovnerC.JonesC.ZhanC.GergenP. J.BasuJ.
(2002). Nurse staffing and postsurgical adverse events: An
analysis of administrative data from a sample of U.S. hospitals,
1990–1996. Health Services Research,
37(3),
611–629.
38.
LichtigL.KnaufR.MilhollandD.
(1999). Some impacts of nursing on acute care hospital
outcomes. Journal of Nursing Administration,
29(2),
25–33.
39.
LichtigL. K.KnaufR. A.Risen-McCoyR.WozniakL.
(2002). Nurse staffing and patient outcomes in the inpatient
hospital setting. Washington, DC:
American Nurses Association.
MosesE.
B. (1992). The registered nurse
population findings from the national sample and survey of registered nurses.
Washington, DC: Department of Health and
Human Services.
42.
NeedlemanJ.BuerhausP.MattkeS.StewartM.ZelevinskyK.
(2002). Nurse-staffing levels and the quality of care in
hospitals. New England Journal of Medicine,
346(22),
1715–1722.
Powell-CopeG.NelsonA.TiesmanH.MatzM.
(2003). Nurses' working conditions and the nursing
shortage. JAMA,
289(13),
1632–1633.
47.
RaffertyA. M.BallJ.AikenL. H.
(2001). Are teamwork and professional autonomy compatible,
and do they result in improved hospital care?Quality Health Care, 10(Suppl
2), ii32–ii37.
RobertJ.FridkinS. K.BlumbergH. M.AndersonB.WhiteN.RayS.
M. (2000). The
influence of the composition of the nursing staff on primary bloodstream infection rates
in a surgical intensive care unit. Infection Control and
Hospital Epidemiology, 21(1),
12–17.
50.
ShamianJ.HagenB.HuT. W.FogartyT. E.
(1994). The relationship between length of stay and required
nursing hours. Journal of Nursing Administration,
24(7/8),
52–58.
51.
ShamianJ.O'Brien-PallasL. L.KerrM. S.KoehoornM. W.AikenL.SolcholskiJ.
(2001). Effects of job strain, hospital organizational
factors and individual characteristics on work-related disability among
nurses. Workplace Safety and Insurance Board
(Ontario).
52.
SnareJ.
(2005, June 13). Address presented to American Society of Safety
Engineers, New Orleans, LA. Retrieved July 31, 2007, from www.osha.gov/pls/oshaweb/owadisp.
53.
StegengaJ.BellE.MatlowA.
(2002). The role of nurse understaffing in nosocomial viral
gastrointestinal infections on a general pediatrics ward.
Infection Control and Hospital Epidemiology, 23,
133–136.
54.
TrinkoffA.JohantgenM.
(2005). Staffing and worker injury in nursing
homes. American Journal of Public Health,
95(7),
1220–1225.
55.
TrossmanS.
(2000, May/June). Nurses nationwide want to show link between RN
care (working conditions) and quality patient care. Retrieved from http://198.65.150.247/tan/sepoct00/staff.htm
56.
ViccaA.
F. (1999). Nursing staff
workload as a determinant of methicillin-resistant Staphylococcus
aureus spread in an adult intensive therapy unit.
Journal of Hospital Infection, 43,
109–113.
57.
WellsJ.BowersL.
(2002). How prevalent is violence towards nurses working in
general hospitals?Journal of Advanced Nursing, 39(2),
230–240.
58.
Workplace Safety and Insurance
Board. (2002). Effects of job strain, hospital
organization factors and individual characteristics on work-related disability among
nurses. Retrieved July 31, 2007, from www.wsib.on.ca/wsib/wsibsite.nsf/public/researchresultseffects
59.
WunderlichG. S.KohlerP.
(Eds.). (2001). Improving the quality of long term care.
Washington, DC: National Academy
Press.
