Nurse understaffing is associated with adverse events in postanaesthesia care unit patients

Journal of Clinical Nursing
Panagiotis KiekkasFotini Fligou

Abstract

To investigate the associations between nurse staffing and the incidence and severity of hypoxaemia, arterial hypotension and bradycardia of postoperative patients during their postanaesthesia care unit stay. Nurse understaffing has been associated with adverse patient outcomes in a variety of hospital settings. In the postanaesthesia care unit, nursing shortage is common and can be related to compromised prevention, detection and treatment of adverse events. Observational, single-centre, prospective study that adhered to Strengthening the Reporting of Observational studies in Epidemiology checklist (see Supporting information Appendix S1); 2,207 patients admitted to the postanaesthesia care unit of a tertiary care hospital over a 5-month period were enrolled. Incidence of hypoxaemia (arterial oxygen saturation <95%), arterial hypotension (systolic blood pressure <90 mmHg) and bradycardia (heart rate <50 beats per minute), along with episode severity, was recorded. Patients were classified into three groups as follows: sufficient staffing, low and high understaffing. Risk for hypoxaemia, arterial hypotension and bradycardia was adjusted according to patient, anaesthesia and operation characteristics. The incidence of hypoxaemia...Continue Reading

References

Feb 3, 2005·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Gina Myers, Michele Kosinski
Oct 10, 2006·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Franklin DexterRichard H Epstein
Oct 30, 2007·International Journal of Nursing Studies·Elizabeth WestColin Sanderson
Nov 7, 2007·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Franklin Dexter
Nov 28, 2007·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Myrna E MamarilPamela E Windle
May 27, 2008·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Pamela E Windle
Oct 18, 2011·Medical Care·Amir A GhaferiJustin B Dimick
Aug 3, 2012·American Journal of Infection Control·Jeannie P CimiottiEvan S Wu
Nov 19, 2013·International Journal of Nursing Studies·Danielle D'AmourRégis Blais
Jan 30, 2014·Perioperative Medicine·Joanna C Simpson, S Ramani Moonesinghe
Nov 19, 2014·Anesthesia and Analgesia·Charles Weissman, Jenny Freeman
Mar 31, 2015·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Janet M McLarenVeronica R Petersen
Nov 28, 2015·Anesthesiology Clinics·Wilton C Levine, Peter F Dunn
Jul 23, 2016·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Jennifer O'Neill, Elizabeth Helwig
Aug 29, 2017·International Journal of Nursing Studies·Jane E BallUNKNOWN RN4Cast Consortium
Sep 1, 2017·Journal of Clinical Nursing·Alejandra Recio-SaucedoPeter Griffiths

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Citations

Feb 24, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Panagiotis KiekkasGregorios Voyagis

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