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Do staffing levels predict missed nursing care?
Beatrice J Kalisch1, Dana Tschannen, Kyung Hee Lee
1University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. bkalisch@umich.edu
Summary
Higher nurse staffing levels, measured in hours per patient day (HPPD), significantly predict less missed nursing care. Adequate staffing is crucial for patient safety and quality outcomes.
Area of Science:
- Nursing
- Healthcare Management
- Patient Safety
Background:
- Missed nursing care is a critical issue impacting patient outcomes.
- Understanding the relationship between nurse staffing and missed care is essential for quality improvement.
Purpose of the Study:
- To investigate the predictive relationship between actual nurse staffing levels and missed nursing care.
- To control for other unit characteristics that may influence missed nursing care.
Main Methods:
- Cross-sectional, descriptive study design.
- Utilized the MISSCARE Survey to assess missed nursing care and unit characteristics.
- Collected actual staffing data (HPPD, RN HPPD, skill mix) from 10 hospitals in the Midwestern USA.
Main Results:
- Actual nursing hours per patient day (HPPD) was a significant predictor of missed nursing care (β = -0.45, P = 0.002).
- Higher HPPD was associated with lower instances of missed nursing care.
Conclusions:
- Findings indicate that nurse staffing levels are a key factor in preventing missed nursing care.
- Missed nursing care may mediate the relationship between staffing and patient outcomes.
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