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- Title
Nursing workload and patient safety - a mixed method study with an ecological restorative approach.
- Authors
Maria Müller de Magalhães, Ana; Maria Dall'Agnol, Clarice; Beryl Marck, Patricia
- Abstract
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.
- Subjects
BRAZIL; ACADEMIC medical centers; FOCUS groups; RESEARCH methodology; NURSES; NURSING career counseling; PATIENTS; PATIENT safety; RESEARCH funding; SOUND recordings; EMPLOYEES' workload; DATA analysis software; DESCRIPTIVE statistics
- Publication
Revista Latino-Americana de Enfermagem (RLAE), 2013, p146
- ISSN
1518-8345
- Publication type
Article