9
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Distribución de enfermeras por Unidades de pacientes agudos y Unidades de Cuidados Intensivos en España Translated title: Allocation of nurses by acute or Intensive Care Units in Spain

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen En el contexto sociodemográfico y económico en el que nos encontramos, es necesario que los sistemas sanitarios, potencien la promoción y prevención de la salud e implementen nuevas estrategias para atender a la población. En España se aprecia un importante déficit de enfermeras, con respecto a los países de nuestro entorno. Este déficit implica un aumento de la ratio enfermera-paciente, lo que conlleva un incremento de la morbi-mortalidad de la población y un aumento de costes. Los objetivos de este estudio son conocer la distribución de enfermeras en España en entornos de pacientes agudos y analizar las necesidades por provincias, así como compararlo con las ratios de seguridad recomendadas por organismos oficiales. Para ello se realizó un estudio descriptivo transversal multicéntrico durante 2016. Del análisis de los datos se desprende que la media de pacientes por enfermera y turno es elevada en unidades de agudos polivalentes, situación que se agrava en los turnos de noche, fines de semana y festivos. Y por lo tanto ninguna Comunidad Autónoma cumple en todos los turnos de trabajo las ratios recomendadas. En las Unidades de Cuidados Intensivos, en todas las Comunidades Autónomas, en todos los turnos, están por encima de dos pacientes por enfermera por lo que tampoco se sitúan en estándares recomendados. Es necesario, junto con un cambio de modelo sanitario, incorporar enfermeras al sistema nacional de salud, ya que esto aportara retornos económicos, sociales y de salud.

          Translated abstract

          Abstract In the socio-demographic and economic context in which we are, it is necessary that the health systems empower health promotion and prevention and implement new strategies to assist the population. In Spain there is a significant deficit in nurses with respect to other countries of our surroundings. This deficit implies an increase in the ratio patient-nurse, which leads to an increase in the morbi-mortality of the population and an increase of the costs. The objectives of this study are to know the distribution of nurses in Spain in acute patient settings and to analyze the needs provinces, as well as to compare it with the safety ratios recommended by official bodies. To this end, a multicentric cross-sectional descriptive study was carried out during 2016. From the analysis of the data it is discovered that both at the level of the province and Autonomous Community, the average number of patients per nurse and shift is high in acute polyvalent care units, a situation that gets worse in night shifts, weekends and holidays. Therefore, no Autonomous Community fulfills the recommended ratios in all shifts. In Intensive Care Units, in all Autonomous Communities, in all shifts, they are above two patients per nurse, so they are not placed within the recommended standards either. It is necessary, together with a change of the health model, to incorporate nurses into the national health system, since this will provide economic, social and health returns.

          Related collections

          Most cited references14

          • Record: found
          • Abstract: found
          • Article: not found

          Nurse-staffing levels and the quality of care in hospitals.

          It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die. We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcomes. We conducted regression analyses in which we controlled for patients' risk of adverse outcomes, differences in the nursing care needed for each hospital's patients, and other variables. The mean number of hours of nursing care per patient-day was 11.4, of which 7.8 hours were provided by registered nurses, 1.2 hours by licensed practical nurses, and 2.4 hours by nurses' aides. Among medical patients, a higher proportion of hours of care per day provided by registered nurses and a greater absolute number of hours of care per day provided by registered nurses were associated with a shorter length of stay (P=0.01 and P<0.001, respectively) and lower rates of both urinary tract infections (P<0.001 and P=0.003, respectively) and upper gastrointestinal bleeding (P=0.03 and P=0.007, respectively). A higher proportion of hours of care provided by registered nurses was also associated with lower rates of pneumonia (P=0.001), shock or cardiac arrest (P=0.007), and "failure to rescue," which was defined as death from pneumonia, shock or cardiac arrest, upper gastrointestinal bleeding, sepsis, or deep venous thrombosis (P=0.05). Among surgical patients, a higher proportion of care provided by registered nurses was associated with lower rates of urinary tract infections (P=0.04), and a greater number of hours of care per day provided by registered nurses was associated with lower rates of "failure to rescue" (P=0.008). We found no associations between increased levels of staffing by registered nurses and the rate of in-hospital death or between increased staffing by licensed practical nurses or nurses' aides and the rate of adverse outcomes. A higher proportion of hours of nursing care provided by registered nurses and a greater number of hours of care by registered nurses per day are associated with better care for hospitalized patients.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Patient Mortality Is Associated With Staff Resources and Workload in the ICU: A Multicenter Observational Study.

            Matching healthcare staff resources to patient needs in the ICU is a key factor for quality of care. We aimed to assess the impact of the staffing-to-patient ratio and workload on ICU mortality.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review.

              To identify the best evidence on the impact of healthcare organizations' supply of nurses and nursing workload on the continuing professional development opportunities of Registered Nurses in the acute care hospital.
                Bookmark

                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                September 2019
                : 28
                : 3
                : 147-151
                Affiliations
                [3] Madrid orgnameUniversidad Camilo José Cela orgdiv1Facultad de Educación y Salud orgdiv2Departamento de enfermería Spain
                [1] Andalucía orgnameUniversidad de Jaén orgdiv1Facultad de Ciencias de la Salud orgdiv2Departamento de Enfermería Spain
                [2] Andalucía orgnameUniversidad de Granada orgdiv1Departamento de enfermería Spain
                Article
                S1132-12962019000200012 S1132-1296(19)02800300012
                ee88f0cd-e26e-4ee2-9615-dd57b0ea5d5b

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 16 April 2019
                : 18 December 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 22, Pages: 5
                Product

                SciELO Spain

                Categories
                Informe Especial

                Patient safety,Mortality,Morbidity,Nurse -patient relations,Seguridad del paciente,Mortalidad,Morbilidad,Ratio enfermera-paciente

                Comments

                Comment on this article