Nursing workload and patient safety - a mixed method study with an ecological restorative approach

Revista Latino-Americana de Enfermagem

Ana Maria Müller De Magalhães²  Clarice Maria Dall'agnol²  Patricia Beryl Marck¹ 

[1] ,Universidade Federal do Rio Grande do Sul Escola de Enfermagem ,Brazil

关键词: Nursing Service;    Hospital;    Workload;    Nursing Staff;    Hospital;    Safety Management;    Patient Safety;    Serviço Hospitalar de Enfermagem;    Carga de Trabalho;    Recursos Humanos de Enfermagem no Hospital;    Gerenciamento de Segurança;    Segurança do Paciente;    Servicio Hospitalario de Enfermería;    Carga de Trabajo;    Recursos Humanos de Enfermería en el Hospital;    Gerenciamiento de Seguridad;    Seguridad del Paciente;   

DOI  :  10.1590/S0104-11692013000700019

来源: SciELO

【 摘 要 】

OBJECTIVE: The aim of this study was to analyze the potential association between nursing workload and patient safety in the medical and surgical inpatient units of a teaching hospital. METHOD: a mixed method strategy (sequential explanatory design). RESULTS: the initial quantitative stage of the study suggest that increases in the number of patients assigned to each nursing team lead to increased rates of bed-related falls, central line-associated bloodstream infections, nursing staff turnover, and absenteeism. During the subsequent qualitative stage of the research, the nursing team stressed medication administration, bed baths, and patient transport as the aspects of care that have the greatest impact on workload and pose the greatest hazards to patient, provider, and environment safety. CONCLUSIONS: The findings demonstrated significant associations between nursing workload and patient safety. We observed that nursing staff with fewer patients presented best results of care-related and management-related patient safety indicators. In addition, the tenets of ecological and restorative thinking contributed to the understanding of some of the aspects in this intricate relationship from the standpoint of nursing providers. They also promoted a participatory approach in this study.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License