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American Psychiatric Nurses Association Position: Staffing Inpatient Psychiatric Units.

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PubMed
Summary
This summary is machine-generated.

Psychiatric mental health (PMH) nurses should evaluate inpatient unit staffing using patient, nurse, and system outcomes, not a single model. A data repository is needed to benchmark PMH nurse-sensitive outcomes and improve staffing.

Keywords:
inpatient psychiatric nursingnurse staffingpatient outcomes

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Area of Science:

  • Nursing
  • Psychiatric Mental Health Nursing
  • Healthcare Management

Background:

  • The American Psychiatric Nurses Association (APNA) updated its position paper on staffing inpatient psychiatric units.
  • Current research on staffing and its impact on nursing practice in inpatient settings was reviewed.
  • Variables influencing staffing, including patient needs and workplace culture, were considered.

Purpose of the Study:

  • To revise and update the 2011 APNA position paper on staffing inpatient psychiatric units.
  • To provide recommendations for psychiatric mental health (PMH) nurses to advocate for unit staffing needs.
  • To focus on the relationship between staffing and patient outcomes.

Main Methods:

  • A review of current research on staffing and nursing practice in inpatient psychiatric units.
  • Inclusion of variables such as consumer needs and workplace culture.
  • Literature search focused on staffing and related patient outcomes.

Main Results:

  • Limited data exist on the relationship between staffing levels and adverse events like staff injury or patient restraint.
  • There is a scarcity of research on optimal staffing models for inpatient psychiatric units.
  • Existing research provides little evidence linking staffing to specific patient outcomes.

Conclusions:

  • A universal, single method for determining staffing needs is not recommended.
  • PMH nurses should systematically evaluate unit staffing against patient, nurse, and system outcomes.
  • A data repository for PMH nurse-sensitive outcomes is essential for benchmarking and improving staffing.