메뉴 건너뛰기




Volumn 17, Issue 1, 2018, Pages 6-22

The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis

Author keywords

nurse to patient ratio; Nursing; staffing; systematic review; workforce

Indexed keywords

ACETYLSALICYLIC ACID;

EID: 85039919992     PISSN: 14745151     EISSN: 18731953     Source Type: Journal    
DOI: 10.1177/1474515117721561     Document Type: Review
Times cited : (198)

References (46)
  • 6
    • 85028990923 scopus 로고    scopus 로고
    • Cardiff, Welsh Government
    • Welsh Government. Nurse Staffing Levels Act 2016. Cardiff: Welsh Government, 2016.
    • (2016) Nurse Staffing Levels Act 2016
  • 8
    • 0023721998 scopus 로고
    • Structural attributes of care setting, processes of care and outcomes
    • Donabedian A., Structural attributes of care setting, processes of care and outcomes. JAMA: Journal of the American Medical Association 1988; 260: 1743–1748.
    • (1988) JAMA: Journal of the American Medical Association , vol.260 , pp. 1743-1748
    • Donabedian, A.1
  • 10
    • 36248999952 scopus 로고    scopus 로고
    • The association of registered nurse staff levels and patient outcomes: systematic review and meta-analysis
    • Kane RL, Shamliyan TA, Mueller C. The association of registered nurse staff levels and patient outcomes: systematic review and meta-analysis. Med Care 2007; 45: 1195–1204.
    • (2007) Med Care , vol.45 , pp. 1195-1204
    • Kane, R.L.1    Shamliyan, T.A.2    Mueller, C.3
  • 11
    • 77954087084 scopus 로고    scopus 로고
    • Nurse staffing and patient outcomes in critical care: a concise review
    • Penyoyer DA., Nurse staffing and patient outcomes in critical care: a concise review. Crit Care Med 2010; 38: 1521–1528.
    • (2010) Crit Care Med , vol.38 , pp. 1521-1528
    • Penyoyer, D.A.1
  • 12
    • 68049122102 scopus 로고    scopus 로고
    • Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
    • Moher D, Liberati A, Tetzlaff J.; The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009; 6: e1000097.
    • (2009) PLoS Med , vol.6 , pp. e1000097
    • Moher, D.1    Liberati, A.2    Tetzlaff, J.3
  • 13
    • 0037198432 scopus 로고    scopus 로고
    • Nurse-staffing levels and the quality of care in hospitals
    • Needleman J, Buerhaus P, Mattke S. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med 2002; 346: 1715–1722.
    • (2002) N Engl J Med , vol.346 , pp. 1715-1722
    • Needleman, J.1    Buerhaus, P.2    Mattke, S.3
  • 15
    • 85039898596 scopus 로고    scopus 로고
    • Copenhagen, Nordic Cochrane Centre, accessed 6 July 2017
    • Cochrane Collaboration. Review Manager (RevMan) (Version 5.4). Copenhagen: Nordic Cochrane Centre. 2016. http://ims.cochrane.org/revman (accessed 6 July 2017).
    • (2016) Review Manager (RevMan) (Version 5.4)
  • 16
    • 77956602372 scopus 로고    scopus 로고
    • Physical restraint use in intensive care units across Europe: the PRICE study
    • Benbenbishty J, Adam S, Endacott R., Physical restraint use in intensive care units across Europe: the PRICE study. Intens Crit Care Nurs 2010; 26: 241–245.
    • (2010) Intens Crit Care Nurs , vol.26 , pp. 241-245
    • Benbenbishty, J.1    Adam, S.2    Endacott, R.3
  • 17
    • 78751547499 scopus 로고    scopus 로고
    • Patient to nurse ratio and risk of ventilator-associated pneumonia in critically ill patients
    • Blot SI, Serra ML, Koulenti D. Patient to nurse ratio and risk of ventilator-associated pneumonia in critically ill patients. Am J Crit Care. 2011; 20: e1–e9.
    • (2011) Am J Crit Care , vol.20 , pp. e1-e9
    • Blot, S.I.1    Serra, M.L.2    Koulenti, D.3
  • 18
    • 84893216822 scopus 로고    scopus 로고
    • Structure, process and annual intensive care unit mortality across 69 centers: United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study (USCIITG-CIOS)
    • Checkley W, Martin GS, Brown SM. Structure, process and annual intensive care unit mortality across 69 centers: United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study (USCIITG-CIOS). Crit Care Med 2014; 42: 344–356.
    • (2014) Crit Care Med , vol.42 , pp. 344-356
    • Checkley, W.1    Martin, G.S.2    Brown, S.M.3
  • 19
    • 84902341175 scopus 로고    scopus 로고
    • Effects of ICU characters, human resources and workload to outcome indicators in thai ICUs: the results of ICU-RESOURCE i study
    • Chittawatanarat K, Permpikul C, Chaiwat O. Effects of ICU characters, human resources and workload to outcome indicators in thai ICUs: the results of ICU-RESOURCE i study. J Med Assoc Thailand 2014; 97(1 Suppl. 1): S22–S30.
    • (2014) J Med Assoc Thailand , vol.97 , Issue.1 , pp. S22-S30
    • Chittawatanarat, K.1    Permpikul, C.2    Chaiwat, O.3
  • 20
    • 53049105450 scopus 로고    scopus 로고
    • Nurse staffing and patient mortality in intensive care units
    • Cho SH, Hwang JH, Kim J., Nurse staffing and patient mortality in intensive care units. Nurs Res 2008; 57: 322–330.
    • (2008) Nurs Res , vol.57 , pp. 322-330
    • Cho, S.H.1    Hwang, J.H.2    Kim, J.3
  • 21
    • 67649111997 scopus 로고    scopus 로고
    • Bed-to-nurse ratios, provision of basic nursing care, and in-hospital and 30-day mortality among acute stroke patients admitted to an intensive care unit: Cross-sectional analysis of survey and administrative data
    • Cho SH, Yun SC., Bed-to-nurse ratios, provision of basic nursing care, and in-hospital and 30-day mortality among acute stroke patients admitted to an intensive care unit: Cross-sectional analysis of survey and administrative data. Int J Nurs Studies 2009; 46: 1092–1101.
    • (2009) Int J Nurs Studies , vol.46 , pp. 1092-1101
    • Cho, S.H.1    Yun, S.C.2
  • 22
    • 84858864624 scopus 로고    scopus 로고
    • The relationship between in-hospital mortality, readmission into the intensive care nursing unit and/or operating theatre and nurse staffing levels
    • Diya L, Van den Heede K, Sermeus W. The relationship between in-hospital mortality, readmission into the intensive care nursing unit and/or operating theatre and nurse staffing levels. J Adv Nurs 2012; 68: 1073–1081.
    • (2012) J Adv Nurs , vol.68 , pp. 1073-1081
    • Diya, L.1    Van den Heede, K.2    Sermeus, W.3
  • 23
    • 79953110803 scopus 로고    scopus 로고
    • Effects of nursing care and staff skill mix on patient outcomes within acute care nursing units
    • Hart P, Davis N., Effects of nursing care and staff skill mix on patient outcomes within acute care nursing units. J Nurs Care Quality 2011; 26: 161–168.
    • (2011) J Nurs Care Quality , vol.26 , pp. 161-168
    • Hart, P.1    Davis, N.2
  • 24
    • 84879961846 scopus 로고    scopus 로고
    • Impact of Patient-Level Risk Adjustment on the Findings About Nurse Staffing and 30-Day Mortality in Veterans Affairs acute care hospitals
    • He J, Almenoff PL, Keighley J. Impact of Patient-Level Risk Adjustment on the Findings About Nurse Staffing and 30-Day Mortality in Veterans Affairs acute care hospitals. Nurs Res 2013; 62: 226–232.
    • (2013) Nurs Res , vol.62 , pp. 226-232
    • He, J.1    Almenoff, P.L.2    Keighley, J.3
  • 25
    • 33845918207 scopus 로고    scopus 로고
    • The effect of workload on infection risk in critically ill patients
    • Hugonnet S, Chevrolet J-C, Pittet D., The effect of workload on infection risk in critically ill patients. Crit Care Med 2007; 35: 76–81.
    • (2007) Crit Care Med , vol.35 , pp. 76-81
    • Hugonnet, S.1    Chevrolet, J.-C.2    Pittet, D.3
  • 26
    • 34547676500 scopus 로고    scopus 로고
    • Staffing level: a determinant of late-onset ventilator-associated pneumonia
    • Hugonnet S, Uckay I, Pittet D., Staffing level: a determinant of late-onset ventilator-associated pneumonia. Crit Care 2007; 11: R80.
    • (2007) Crit Care , vol.11 , pp. R80
    • Hugonnet, S.1    Uckay, I.2    Pittet, D.3
  • 27
    • 84928075743 scopus 로고    scopus 로고
    • The implications of nurse resources on cardiac care in the emergency department
    • Johansen ML, de Cordova PB, Cimiotti JP., The implications of nurse resources on cardiac care in the emergency department. Appl Nurs Res 2015; 28: 210–212.
    • (2015) Appl Nurs Res , vol.28 , pp. 210-212
    • Johansen, M.L.1    de Cordova, P.B.2    Cimiotti, J.P.3
  • 28
    • 84864119485 scopus 로고    scopus 로고
    • Influence of full-time intensivist and the nurse-to-patient ratio on the implementation of severe sepsis bundles in Korean intensive care units
    • Kim JH, Hong S-K, Kim KC. Influence of full-time intensivist and the nurse-to-patient ratio on the implementation of severe sepsis bundles in Korean intensive care units. J Crit Care 2012; 27: 414.e11–414e21.
    • (2012) J Crit Care , vol.27 , pp. e11-e21
    • Kim, J.H.1    Hong, S.-K.2    Kim, K.C.3
  • 29
    • 84951304580 scopus 로고    scopus 로고
    • Better nurse staffing and nurse work environments associated with increased survival of in-hospital cardiac arrest patients
    • McHugh MD, Rochman MF, Sloane DM. Better nurse staffing and nurse work environments associated with increased survival of in-hospital cardiac arrest patients. Med Care 2016; 54: 74–80.
    • (2016) Med Care , vol.54 , pp. 74-80
    • McHugh, M.D.1    Rochman, M.F.2    Sloane, D.M.3
  • 30
    • 84862973590 scopus 로고    scopus 로고
    • Variability in case-mix adjusted in-hospital cardiac arrest rates
    • Merchant RM, Yang L, Becker LB. Variability in case-mix adjusted in-hospital cardiac arrest rates. Med Care 2012; 50: 124–130.
    • (2012) Med Care , vol.50 , pp. 124-130
    • Merchant, R.M.1    Yang, L.2    Becker, L.B.3
  • 31
    • 62949246145 scopus 로고    scopus 로고
    • Patient volume affects outcome in critically ill patients
    • Metnitz B, Metnitz PGH, Bauer P. Patient volume affects outcome in critically ill patients. Wiener Klin Wochenschr 2009; 121: 34–40.
    • (2009) Wiener Klin Wochenschr , vol.121 , pp. 34-40
    • Metnitz, B.1    Metnitz, P.G.H.2    Bauer, P.3
  • 32
    • 84942259914 scopus 로고    scopus 로고
    • Patient Mortality is Associated with Staff Resources and Workload in the ICU: a multicenter observational study
    • Neuraz A, Guerin C, Payet C. Patient Mortality is Associated with Staff Resources and Workload in the ICU: a multicenter observational study. Crit Care Med 2015; 43: 1587–1594.
    • (2015) Crit Care Med , vol.43 , pp. 1587-1594
    • Neuraz, A.1    Guerin, C.2    Payet, C.3
  • 33
    • 79952459617 scopus 로고    scopus 로고
    • Evaluation of a patient care delivery model: system outcomes in acute cardiac care
    • O’Brien-Pallas L, Li XM, Wang S. Evaluation of a patient care delivery model: system outcomes in acute cardiac care. Can J Nurs Res 2010; 42: 98–120.
    • (2010) Can J Nurs Res , vol.42 , pp. 98-120
    • O’Brien-Pallas, L.1    Li, X.M.2    Wang, S.3
  • 34
    • 84959919768 scopus 로고    scopus 로고
    • Mortality of emergency general surgical patients and associations with hospital structures and processes
    • Ozdemir BA, Sinha S, Karthikesalingam A. Mortality of emergency general surgical patients and associations with hospital structures and processes. Br J Anaesth 2016; 116: 54–62.
    • (2016) Br J Anaesth , vol.116 , pp. 54-62
    • Ozdemir, B.A.1    Sinha, S.2    Karthikesalingam, A.3
  • 35
    • 84860604282 scopus 로고    scopus 로고
    • Patient turnover and the relationship between nurse staffing and patient outcomes
    • Park SH, Blegen MA, Spetz J. Patient turnover and the relationship between nurse staffing and patient outcomes. Res Nurs Health 2012; 35: 277–288.
    • (2012) Res Nurs Health , vol.35 , pp. 277-288
    • Park, S.H.1    Blegen, M.A.2    Spetz, J.3
  • 36
    • 29144474416 scopus 로고    scopus 로고
    • A Colombian survey found intensive care mortality ratios were better in private vs. public hospitals
    • Perez A, Dennis RJ, Rondon MA. A Colombian survey found intensive care mortality ratios were better in private vs. public hospitals. J Clin Epidemiol 2006; 59: 94–101.
    • (2006) J Clin Epidemiol , vol.59 , pp. 94-101
    • Perez, A.1    Dennis, R.J.2    Rondon, M.A.3
  • 37
    • 84924252130 scopus 로고    scopus 로고
    • The impact of hospital and ICU organizational factors on outcome in critically ill patients: results from the Extended Prevalence of Infection in Intensive Care Study
    • Sakr Y, Moreira CL, Rhodes A. The impact of hospital and ICU organizational factors on outcome in critically ill patients: results from the Extended Prevalence of Infection in Intensive Care Study. Crit Care Med 2015; 43: 519–526.
    • (2015) Crit Care Med , vol.43 , pp. 519-526
    • Sakr, Y.1    Moreira, C.L.2    Rhodes, A.3
  • 38
    • 84856015343 scopus 로고    scopus 로고
    • Understaffing, overcrowding, inappropriate nurse:ventilated patient ratio and nosocomial infections: which parameter is the best reflection of deficits?
    • Schwab F, Meyer E, Geffers C. Understaffing, overcrowding, inappropriate nurse:ventilated patient ratio and nosocomial infections: which parameter is the best reflection of deficits? J Hosp Infect 2012; 80: 133–139.
    • (2012) J Hosp Infect , vol.80 , pp. 133-139
    • Schwab, F.1    Meyer, E.2    Geffers, C.3
  • 39
    • 84945290318 scopus 로고    scopus 로고
    • Impact of hospital characteristics on failure to rescue following major surgery
    • Sheetz KH, Dimick JB, Ghaferi AA., Impact of hospital characteristics on failure to rescue following major surgery Ann Surg 2016; 263: 692–697.
    • (2016) Ann Surg , vol.263 , pp. 692-697
    • Sheetz, K.H.1    Dimick, J.B.2    Ghaferi, A.A.3
  • 40
    • 67149127750 scopus 로고    scopus 로고
    • The relationship between nurse staffing and patient outcomes: a case study
    • s
    • Shuldham C, Parkin C, Firouzi A. The relationship between nurse staffing and patient outcomes: a case study. Int J Nurs Studies 2009; 46: 986–992.
    • (2009) Int J Nurs Studie , vol.46 , pp. 986-992
    • Shuldham, C.1    Parkin, C.2    Firouzi, A.3
  • 41
    • 34248993194 scopus 로고    scopus 로고
    • Nurse working conditions and patient safety outcomes
    • Stone PW, Mooney-Kane C, Larson EL. Nurse working conditions and patient safety outcomes. Med Care 2007; 45: 571–578.
    • (2007) Med Care , vol.45 , pp. 571-578
    • Stone, P.W.1    Mooney-Kane, C.2    Larson, E.L.3
  • 42
    • 33845765204 scopus 로고    scopus 로고
    • Impact of hospital nursing care on 30-day mortality for acute medical patients
    • Tourangeau AE, Doran DM, Hall LM. Impact of hospital nursing care on 30-day mortality for acute medical patients. J Adv Nurs 2007; 57: 32–44.
    • (2007) J Adv Nurs , vol.57 , pp. 32-44
    • Tourangeau, A.E.1    Doran, D.M.2    Hall, L.M.3
  • 43
    • 67649200265 scopus 로고    scopus 로고
    • Errors in administration of parenteral drugs in intensive care units: multinational prospective study
    • Valentin A, Capuzzo M, Guidet B. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ 2009; 338: 928–931.
    • (2009) BMJ , vol.338 , pp. 928-931
    • Valentin, A.1    Capuzzo, M.2    Guidet, B.3
  • 44
    • 67149137389 scopus 로고    scopus 로고
    • Nurse staffing and patient outcomes in Belgian acute hospitals: cross-sectional analysis of administrative data
    • Van den Heede K, Sermeus W, Diya L. Nurse staffing and patient outcomes in Belgian acute hospitals: cross-sectional analysis of administrative data. Int J Nurs Studies 2009; 46: 928–839.
    • (2009) Int J Nurs Studies , vol.46 , pp. 839-928
    • Van den Heede, K.1    Sermeus, W.2    Diya, L.3
  • 45
    • 67349101584 scopus 로고    scopus 로고
    • The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data
    • Van den Heede K, Lesaffre E, Diya L. The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Int J Nurs Studies 2009; 46: 796–803.
    • (2009) Int J Nurs Studies , vol.46 , pp. 796-803
    • Van den Heede, K.1    Lesaffre, E.2    Diya, L.3
  • 46
    • 84897029849 scopus 로고    scopus 로고
    • Nurse staffing, medical staffing and mortality in intensive care: an observational study
    • West E, Barron DN, Harrison D. Nurse staffing, medical staffing and mortality in intensive care: an observational study. Int J Nurs Studies 2014; 51: 781–794.
    • (2014) Int J Nurs Studies , vol.51 , pp. 781-794
    • West, E.1    Barron, D.N.2    Harrison, D.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.