Nurse-to-patient ratios and neonatal outcomes: A brief systematic review

Neonatology

Volumn 104, Issue 3, 2013, Pages 179-183

  Sherenian, Michael ^a,b   Profit, Jochen ^d   Schmidt, Barbara ^c   Suh, Sanghee ^a   Xiao, Rui ^c   Zupancic, John A F ^e   DeMauro, Sara B ^a,c  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^b DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d TEXAS CHILDREN S HOSPITAL   (United States)

^e BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

Health services research; Infant; Newborn; Nurse staffing; Systematic review; Workload

Indexed keywords

ADVERSE OUTCOME; ASSISTED VENTILATION; BRAIN HEMORRHAGE; EVIDENCE BASED MEDICINE; HEALTH CARE POLICY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL INFECTION; HUMAN; META ANALYSIS (TOPIC); NEWBORN INTENSIVE CARE; NEWBORN MORTALITY; NURSE PATIENT RATIO; NURSING STAFF; OUTCOME ASSESSMENT; PATIENT SAFETY; PRIORITY JOURNAL; REVIEW; SYSTEMATIC REVIEW; VERY LOW BIRTH WEIGHT; WEIGHT GAIN; WORKLOAD; ARTICLE; BIRTH WEIGHT; DISEASE ASSOCIATION; EMBASE; INFANT MORTALITY; MEDLINE; NEONATAL HEMORRHAGE; NEWBORN; NEWBORN INFECTION; NEWBORN INTENSIVE CARE NURSING; OXYGEN THERAPY; PROGNOSIS;

GREAT BRITAIN; HUMANS; INFANT, NEWBORN; INTENSIVE CARE, NEONATAL; NURSES; NURSING STAFF, HOSPITAL; PERSONNEL STAFFING AND SCHEDULING; WORKLOAD;

EID: 84885008295     PISSN: 16617800     EISSN: 16617819     Source Type: Journal    
DOI: 10.1159/000353458     Document Type: Review

References (16)

1. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K: Nurse-staffing levels and the quality of care in hospitals. N Engl J Med 2002; 346: 1715-1722.
2. Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M: Nurse staffing and inpatient hospital mortality. N Engl J Med 2011; 364: 1037-1045.
3. Tarnow-Mordi WO, Hau C, Warden A, Shearer AJ: Hospital mortality in relation to staff workload: a 4-year study in an adult intensive- care unit. Lancet 2000; 356: 185-189.
4. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH: Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288: 1987-1993.
5. Redshaw M, Hamilton K: A Survey of current neonatal unit organisation and policy; in National Perinatal Epidemiology Unit. Oxford, University of Oxford, 2005.
6. Tucker J, Tarnow-Mordi W, Gould C, Parry G, Marlow N: UK neonatal intensive care services in 1996. On behalf of the UK Neonatal Staffing Study Collaborative Group. Arch Dis Child Fetal Neonatal Ed 1999; 80:F233-F234.
7. Sink DW, Hope SAE, Hagardorn JI: Nurse:patient ratio and achievement of oxygen saturation goals in premature infants. Arch Dis Child Fetal Neonatal Ed 2011; 96:F93-F98.
8. Hamilton KE, Redshaw ME, Tarnow-Mordi W: Nurse staffing in relation to risk-adjusted mortality in neonatal care. Arch Dis Child Fetal Neonatal Ed 2007; 92:F99-F103.
9. Grandi C, Gonzalez A, Meritano J: Patient volume, medical and nursing staffing and its relationship with risk-adjusted outcomes of VLBW infants in 15 Neocosur neonatal network NICUs (in Spanish). Arch Argent Pediatr 2010; 108: 499-510.
10. Cimiotti JP, Haas J, Saiman L, Larson EL: Impact of staffing on bloodstream infections in the neonatal intensive care unit. Arch Pediatr Adolesc Med 2006; 160: 832-836.
11. Callaghan LA, Cartwright DW, O'Rourke P, Davies MW: Infant to staff ratios and risk of mortality in very low birthweight infants. Arch Dis Child Fetal Neonatal Ed 2003; 88:F94-F97.
12. Tucker J: Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluation. Lancet 2002; 359: 99-107.
13. Pillay T, Nightingale P, Owen S, Kirby D, Spencer A: Neonatal nurse staffing and delivery of clinical care in the SSBC Newborn Network. Arch Dis Child Fetal Neonatal Ed 2012; 97:F174-F178.
14. Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008; 61: 344-349.
15. Profit J, Petersen LA, McCormick MC, Escobar GJ, Coleman-Phox K, Zheng Z, et al: Patient-to-nurse ratios and outcomes of moderately preterm infants. Pediatrics 2010; 125: 320-326.
16. Tarnow-Mordi W, Parry G, McCabe C, Nicolson P, Baumer H, Tucker J: UK Neonatal Staffing Study Final Report: A prospective evaluation of risk-adjusted outcomes of neonatal intensive care in relation to volume, staffing and workload in UK neonatal intensive care units. NHS Executive Mother and Child Health Initiative, 2000.