List three outcomes for patients and three outcomes for nurses for a unit where there is a higher RN to non-RN ratio

Question

What will be an ideal response?

Answer 1

Correct answers should include three points from each following categories.
o Patient/Client Outcomes
o most research has been conducted in acute care hospital setting, is recently expanded to home care and long term care
o nursing staff mix is a significant predictor of functional independence, pain, social functioning, and satisfaction with obstetrical care
o higher number of medication errors and wound infections was noted on units with lower proportion of RNs to RPNs; on units with less experienced nurses, wound infection rates were higher
o lower patient mortality was associated with higher nurse education levels, a higher RN to non-RN skill mix, better nurse–physician relationships, and less use of casual and temporary employees
o higher proportion of RNs demonstrated positive effect on patient outcomes for ICUs and surgical units (lower mortality, failure to rescue, cardiac arrest, hospital-acquired pneumonia, and other adverse events)
o Nurse Outcomes
o nursing shortages have historically led to burnout, moral and psychological distress, fatigue and exhaustion, and absenteeism
o the higher the perceived level of care, the greater the job satisfaction of nurses
o the lower the perceived level of care, the higher the level of job pressure, job threat, and role tension
o high turnover rates were associated with higher levels of role ambiguity and role conflict and lower job satisfaction
o a study exploring fatigue among nurses revealed that "relentless and excessive workloads, ongoing staffing issues, and sicker patients as the key reasons for their fatigue"