The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review
Open Access
- 3 June 2021
- journal article
- review article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (12), 4599-4611
- https://doi.org/10.1111/jan.14909
Abstract
Aim Aim of this study is to systematically review and synthesize available evidence to identify the association between nurse staffing methodologies and nurse and patient outcomes. Design Systematic review and narrative synthesis. Data sources A search of MEDLINE (EBSCO), CINAHL (EBSCO) and Web of Science was conducted for studies published in English between January 2000 and January 2020. Review methods The reporting of this review and narrative synthesis was guided by the preferred reporting items for systematic and meta-analysis guidelines (PRISMA) statement and data synthesis guided by the Synthesis Without Meta-analysis (SWiM) guideline. The quality of each article was assessed using the Mixed Methods Appraisal Tool. Results Twenty-two studies met the inclusion criteria. Twenty-one used the mandated minimum nurse-to-patient ratio methodology and one study assessed the number of nurse hours per patient day staffing methodology. Both methodologies were mandated. All studies that reported on nurse outcomes demonstrated an improvement associated with the implementation of mandated minimum nurse-to-patient ratio, but findings related to patient outcomes were inconclusive. Conclusions Evidence on the impact of specific nurse staffing methodologies and patient and nurse outcomes remains highly limited. Future studies that examine the impact of specific staffing methodologies on outcomes are required to inform this fundamental area of management and practice.Keywords
This publication has 56 references indexed in Scilit:
- California’s Nurse-to-Patient Ratios, Part 1JONA: The Journal of Nursing Administration, 2013
- Statewide and National Impact of California's Staffing Law on Pediatric Cardiac Surgery OutcomesJONA: The Journal of Nursing Administration, 2011
- Nurse Staffing and Inpatient Hospital MortalityThe New England Journal of Medicine, 2011
- Changes in nurse satisfaction in California, 2004 to 2008Journal of Nursing Management, 2010
- Effect of Mandated Nurse–Patient Ratios on Patient Wait Time and Care Time in the Emergency DepartmentAcademic Emergency Medicine, 2010
- Effects of State Minimum Staffing Standards on Nursing Home Staffing and Quality of CareHealth Services Research, 2009
- Mandated Nurse Staffing Ratios in California: A Comparison of Staffing and Nursing-Sensitive Outcomes Pre- and PostregulationPolicy, politics & nursing practice, 2007
- Benchmarking in nursing care by the RAFAELA patient classification system – a possibility for nurse managersJournal of Nursing Management, 2007
- Nurses’ Work Environment Perceptions When Employed in States With and Without Mandatory Staffing Ratios and/or Mandatory Staffing PlansPolicy, politics & nursing practice, 2005