The nurse is appointed to a clinical-administrative task force studying critical staffing issues and care delivery models for the hospital
Which evidence on the effects of different staffing choices and care delivery models should the task force consider?
Select all that apply.
A) Higher nurse-client ratios have been linked to a decrease in the amount of time clients are hospitalized.
B) Shared governance is linked to a reduction in adverse outcomes.
C) A higher proportion of registered nurses can reduce the risk of mortality in surgical clients.
D) Research indicates that functional assignment of staff improves the likelihood of meeting clients' emotional needs.
E) There is little or no research studying nursing ratios and client outcomes.
Answer: A, C
Higher nurse-client ratios have been associated with shorter lengths of stay and fewer complications. A recent study depicted a significant reduction in the risk of mortality in surgical clients when the proportion of registered nurses was higher. There is little research on care delivery models since it is more difficult to compare outcomes because each unit may employ slight variations of the model. Research continues to prove that higher nursing ratios result in fewer adverse outcomes for clients.
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