Systematic review: Association between the patient-nurse ratio and nurse outcomes in acute care hospitals

Journal of Nursing Management
Herlinde WynendaeleJeroen Trybou

Abstract

To evaluate and summarize current evidence on the relationship between the patient-nurse ratio staffing method and nurse employee outcomes. Evidence-based decision-making linking nurse staffing with staff-related outcomes is a much needed research area. Although multiple studies have investigated this phenomenon, the evidence is mixed and fragmented. A systematic literature search was conducted using PubMed, Embase, Web of Science, Cinahl, Cochrane Library and the ERIC databases. Thirty studies were identified, analysing eight selected key nurse outcomes. Future research should focus on unit-level data, incorporate other methodologies and aim for comparability between different types of clinical settings as well as different health care systems. A relationship between the patient-nurse ratio and specific staff-related outcomes is confirmed by various studies. However, apart from the patient-nurse ratio other variables have to be taken into consideration to ensure quality of care (e.g., skill mix, the work environment and patient acuity). Hospital management should pursue the access and use of reliable data so that the validity and generalizability of evidence-based research can be assessed, which in turn can be converted into p...Continue Reading

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Citations

Oct 5, 2019·Journal of Nursing Management·Maria-Eulàlia Juvé-UdinaMaribel González-Samartino
Feb 27, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Byron CarlisleDaiWai M Olson
Dec 17, 2019·Journal of Nursing Management·Isabel Font-JimenezMaria F Jiménez-Herrera
Jan 31, 2020·Journal of Nursing Management·Teresa Margarida Almeida NevesVictor José Lopes Rodrigues
May 2, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Jennifer Browne, Carrie Jo Braden
Apr 13, 2020·Journal of Clinical Nursing·Clifford J ConnellJulia Morphet
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Oct 6, 2020·Journal of Advanced Nursing·Herlinde WynendaeleJeroen Trybou
Jul 6, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Joyce M Black
Mar 5, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Jaseon KimJae Yong Yoo
Apr 21, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Ana María Porcel-GálvezSergio Barrientos-Trigo
Jun 4, 2021·Journal of Advanced Nursing·Diane E TwiggSonia El-Zaemey
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Aug 17, 2021·Nursing Management·Susan K Steele-Moses
Aug 19, 2021·The Journal of Nursing Administration·Laurie Walker SeidelKimberly Ferren Carter
Jul 6, 2021·Computers, Informatics, Nursing : CIN·Oliver HaasEva Rothgang

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