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1Institute of Vocational Learning, London South Bank University.
Nursing Times
|April 28, 2012
Summary
Low nurse-to-patient ratios may impact patient outcomes. This review suggests caution when interpreting evidence on nursing skill mix and its effect on health results.
Area of Science:
- Healthcare Management
- Nursing Workforce Studies
- Patient Outcomes Research
Background:
- Concerns exist regarding the negative effects of low nurse-to-patient ratios on patient health outcomes.
- The composition of the nursing workforce, or skill mix, is increasingly scrutinized for its role in healthcare quality.
Purpose of the Study:
- To critically evaluate the existing evidence linking nursing workforce skill mix to patient health outcomes.
- To provide a nuanced perspective on the relationship between nurse staffing levels and patient well-being.
Main Methods:
- Systematic review and critical appraisal of studies examining nursing skill mix and patient outcomes.
- Analysis of evidence considering various components of nursing workforce composition.
Main Results:
- Evidence suggests a complex relationship between nursing skill mix and patient outcomes, not solely determined by nurse-to-patient ratios.
- The impact of skill mix on outcomes may vary depending on specific patient populations and healthcare settings.
Conclusions:
- Conclusions drawn about the adverse effects of low nurse-to-patient ratios should be made with caution.
- Further research is needed to fully understand the multifaceted influence of nursing workforce skill mix on patient health outcomes.
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