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Updated: Apr 17, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Planning and evaluating evidence-based perinatal nurse staffing
Optimizing nurse staffing balances costs and patient outcomes. This study presents frameworks to guide decisions, preventing errors from understaffing and excess costs from overstaffing.
Area of Science:
- Healthcare Management
- Nursing Practice
- Health Services Research
Background:
- Nurse staffing is a critical, high-cost factor in healthcare.
- Inadequate staffing can lead to medical errors, missed care, and adverse patient outcomes.
- Overstaffing increases healthcare expenditures without proportional benefits.
Purpose of the Study:
- To introduce organizing frameworks for calculating and evaluating nurse staffing decisions.
- To provide evidence-based models for optimizing nurse staffing levels.
- To enhance the quality of patient care and healthcare cost-efficiency.
Main Methods:
- Building upon the American Nurses' Association's principle-based staffing models.
- Integrating Donabedian's framework for evaluating healthcare quality.
- Developing systematic approaches for nurse staffing calculation and evaluation.
Main Results:
- The proposed frameworks offer structured methods for nurse staffing decisions.
- These frameworks aim to mitigate risks associated with both understaffing and overstaffing.
- Implementation can lead to improved patient safety and resource allocation.
Conclusions:
- Effective nurse staffing frameworks are essential for quality healthcare delivery.
- Strategic staffing decisions impact patient outcomes and healthcare costs.
- The presented models provide a foundation for evidence-based nurse staffing practices.
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