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A research protocol for testing relationships between nurse workload, missed nursing care and neonatal outcomes: the neonatal nursing care quality study.
- Source :
-
Journal of Advanced Nursing (John Wiley & Sons, Inc.) . Mar2015, Vol. 71 Issue 3, p632-641. 10p. - Publication Year :
- 2015
-
Abstract
- Aim We describe an innovative research protocol to test the role of missed nursing care as a mediator of the association between nurse workload and patient outcomes in the neonatal intensive care unit. Background Increases in nurses' workloads are associated with adverse patient outcomes in neonatal intensive care settings. Missed nursing care is a frequently hypothesized explanation for the association between workload and outcomes. Few studies to date have tested missed care as a variable that mediates the workload-outcomes relationship. Design We use a longitudinal, observational study design. Methods We will recruit approximately 125 nurses (80% of target population) providing direct patient care in one neonatal intensive care unit. Four, 6-week data collection cycles occur over 1 year. At the end of every shift, nurses report on their workloads and the frequency with which specific patient care activities were missed for each infant cared for during the shift. Infant-specific nurse reports of missed care are linked to shift-level infant outcomes data extracted from the electronic health record. Funding for the study began in July 2012; Research Ethics Committee approval was granted in December 2012. Discussion Missed care may explain the effects of nurse workload on patient outcomes. This research will generate preliminary evidence regarding the causal relationships among nurses' workloads, missed care and infant outcomes that we will confirm in a future multi-site study. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BLOODBORNE infections
*CATHETERIZATION complications
*CHILDREN'S hospitals
*CLASSIFICATION
*CLINICAL medicine
*STATISTICAL correlation
*EMPLOYEES
*EXPERIENCE
*LENGTH of stay in hospitals
*INTENSIVE care nursing
*LONGITUDINAL method
*MATHEMATICAL models
*RESEARCH methodology
*EVALUATION of medical care
*MEDICAL quality control
*NEONATAL intensive care
*NURSES
*NURSING
*NURSING practice
*NURSING audit
*NURSING records
*PATH analysis (Statistics)
*PATIENTS
*PATIENT safety
*PNEUMONIA
*INDUSTRIAL psychology
*RESEARCH funding
*SCALE analysis (Psychology)
*URINARY tract infections
*EMPLOYEES' workload
*MECHANICAL ventilators
*THEORY
*CERTIFICATION
*SOCIOECONOMIC factors
*KEY performance indicators (Management)
*EDUCATIONAL attainment
*NEONATAL intensive care units
*EXTRAVASATION
*EXTUBATION
*ELECTRONIC health records
*DESCRIPTIVE statistics
*HOSPITAL mortality
*CATHETER-related infections
*HOSPITAL nursing staff
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 71
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 100853673
- Full Text :
- https://doi.org/10.1111/jan.12507