Demanding safe staffing levels to ensure quality nursing care

'Care left undone' by nurses in English National Health Service (NHS) hospitals; the association with staffing levels, perceived quality and safety of nursing care (Abstract)

Aim: To examine the nature and prevalence of 'care left undone' by nurses in English National Health Service (NHS) hospitals and to assess whether the number of missed care episodes is associated with nurse staffing levels and nurse ratings of the quality of nursing care and patient safety environment. Background: There is strong evidence to show that lower nurse staffing levels in hospitals are associated with worse patient outcomes. However, little is known about how variations in staffing impact on patients. One hypothesised mechanism is the omission of necessary nursing care caused by time pressure - "missed care". Methods: Cross-sectional survey of 2,917 registered nurses (RN) working in 401 general medical/surgical wards in 46 general acute NHS hospitals in England.

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Journal: BMJ Quality & Safety., (in press).

Authors: Ball, J., Murrells T., Rafferty A.M., Morrow E., Griffiths P., ' BMJ Quality & Safety., (in press).

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