The nursing staffing mix—more specifically, a higher RN-to-RPN ratio—has been associated with which following outcome?
a. lower mortality rates
b. higher rates of nosocomial infection
c. poor nurse–physician collaboration
d. higher rates of adverse events
a
a. Correct: An Alberta study of hospital nursing characteristics and patient mortality at 49 acute care hospitals found that a higher RN to non-RN skills mix was associated with lower patient mortality, better nurse–physician relationships, and less use of casual and temporary employees.
b. Incorrect: A higher RN-to-RPN ratio has been associated with lower rates of nosocomial infection, not higher rates.
c. Incorrect: A higher RN-to-RPN ratio has been associated with better nurse–physician collaboration.
d. Incorrect: A higher RN-to-RPN ratio has been associated with lower rates of adverse events in hospitals, such as mortality, hospital-acquired pneumonia, and cardiac arrest.
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