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      El efecto de los ratio enfermera-paciente en los resultados de los pacientes en unidades especializadas de agudos: revisión sistemática y metaanálisis

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      Ene
      Martín Rodríguez Álvaro
      Nursing, workforce, staffing, systematic review, nurse-to-patient ratio

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          Abstract

          Resumen Referencia del documento de práctica clínica basada en la evidencia: Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Astin, F. (2018). EUROPEAN SOCIETY OF CARDIOLOGY ® The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 17(1): 6–22. https:// doi.org/10.1177/1474515117721561

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          Most cited references3

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          Nurse staffing and patient outcomes in critical care: a concise review.

          Studies over the past several decades have shown an association between nurse staffing and patient outcomes. Most of those studies were generated from general acute care units. Critically ill patients demand increased nurse staffing resources and nurses who have specialized knowledge and skills. Appropriate nurse staffing in critical care units may improve the quality of care of critically ill patients. To review the literature evaluating the association of nurse staffing with patient outcomes in critical care units and populations. An annotated review of major nursing and medical literature from 1998 to 2008 was performed to find research studies conducted in intensive care units or critical care populations where nurse staffing and patient outcomes were addressed. Twenty-six studies met inclusion for this review. Most were observational studies in which outcomes were retrieved from existing large databases. There was variation in the measurement of nurse staffing and outcomes. Outcomes most frequently studied were infections, mortality, postoperative complications, and unplanned extubation. Most studies suggested that decreased nurse staffing is associated with adverse outcomes in intensive care unit patients. Findings from this review demonstrate an association of nurse staffing in the intensive care unit with patient outcomes and are consistent with findings in studies of the general acute care population. A better understanding of nurse staffing needs for intensive care unit patients is important to key stakeholders when making decisions about provision of nurse resources. Additional research is necessary to demonstrate the optimal nurse staffing ratios of intensive care units.
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            Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients

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              Impact of critical care nursing on 30-day mortality of mechanically ventilated older adults.

              The mortality rate for mechanically ventilated older adults in ICUs is high. A robust research literature shows a significant association between nurse staffing, nurses' education, and the quality of nurse work environments and mortality following common surgical procedures. A distinguishing feature of ICUs is greater investment in nursing care. The objective of this study is to determine the extent to which variation in ICU nursing characteristics-staffing, work environment, education, and experience-is associated with mortality, thus potentially illuminating strategies for improving patient outcomes.
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                Author and article information

                Journal
                ene
                Ene
                Ene.
                Martín Rodríguez Álvaro (Santa Cruz de La Palma, La Palma, Spain )
                1988-348X
                2023
                : 17
                : 1
                : 2463
                Affiliations
                [1] orgnameServicio de salud de las Islas Baleares
                Article
                S1988-348X2023000100013 S1988-348X(23)01700100013
                6ac9a881-e4f2-4da3-b207-74942c2de14d

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                SciELO Spain

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                Resúmenes de Evidencia

                workforce,nurse-to-patient ratio,systematic review,staffing,Nursing

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