Trauma centers feel a need to reduce nurse staffing considering the tremendous fiscal pressures they face. Many trauma centers instead use personnel who are less skilled and hence less expensive. Trauma…
Cho et al. (2009) measured staffing with the help of two indicators; the first being the number of patients attended by a nurse counted at unit level, and the second being nurses’ perceptions of the adequacy of staffing. Cho et al. (2009) measured the quality of care and dissatisfaction with job using a burnout and a four-point scale gauged with the help of the Maslach Burnout Inventory, and determined the relationships between the three variables using the multilevel logistic regression models. Their research led them to the conclusion that nurse staffing is related to the care quality as well as job outcomes in the intensive care units of Korean hospitals. This conclusion was drawn on the basis of these findings; 20 per cent of the nurses perceived that the number of nurses needed to provide quality care was sufficient, whereas 33.33 per cent of the nurses were dissatisfied, 50 per cent were extremely burnt out with 25 per cent nurses contemplating to leave the hospital in the following year. The optimal number of patients per nurse for high quality care as determined by the nurses was two or fewer.
Kiekkas et al. (2008) explored variations in mortality of intensive care unit (ICU) patients based on the ratio between the total demands of patient care and staffing of nurses. Unlike Cho et al. (2009), whose design of research was cross-sectional along with a survey spanning August to October 2007, Kiekkas et al. (2008) conducted an observational and prospective study. Another major difference between the research of Cho et al. (2009) and Kiekkas et al. (2008) is that while the former included 1365 nurses in the survey who belonged to 65 units of intensive care in 22 different Korean hospitals to study the relationship between the staffing of nurses and the quality of nursing care related to nurses and job outcomes, the latter enrolled patients who were consecutively admitted in a Greek hospital’s medical ...
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