Patricia A Patrician1, Lori A Loan2, Mary S McCarthy3, Pauline Swiger4, Sara Breckenridge-Sproat5, Laura Ruse Brosch6, Bonnie Mowinski Jennings7. 1. Department of Family, Community Health & Systems, University of Alabama at Birmingham, School of Nursing, Birmingham, AL. Electronic address: ppatrici@uab.edu. 2. Department of Family, Community Health & Systems, University of Alabama at Birmingham, School of Nursing, Birmingham, AL. 3. Madigan Army Medical Center, Tacoma, WA. 4. University of Alabama at Birmingham, School of Nursing, Birmingham, AL. 5. Regional Health Command Europe, Sembach, Germany. 6. Office of Research Protections (ORP) Headquarters, US Army Medical Research and Materiel Command, Fort Detrick, MD. 7. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Abstract
BACKGROUND: Two decades ago, findings from an Institute of Medicine (IOM) report sparked the urgent need for evidence supporting relationships between nurse staffing and patient outcomes. PURPOSE: This article provides an overview of nurse staffing, practice environment, and patient outcomes research, with an emphasis on findings from military studies. Lessons learned also are enumerated. METHOD: This study is a review of the entire Military Nursing Outcomes Database (MilNOD) program of research. DISCUSSION: The MilNOD, in combination with evidence from other health care studies, provides nurses and leaders with information about the associations between staffing, patient outcomes, and the professional practice environment of nursing in the military. Leaders, therefore, have useful empirical evidence to make data-driven decisions. The MilNOD studies are the basis for the current Army nursing dashboard, and care delivery framework, called the Patent CaringTouch System. CONCLUSION: Future research is needed to identify ideal staffing based on workload demands, and provide leaders with factors to consider when operationalizing staffing recommendations.
BACKGROUND: Two decades ago, findings from an Institute of Medicine (IOM) report sparked the urgent need for evidence supporting relationships between nurse staffing and patient outcomes. PURPOSE: This article provides an overview of nurse staffing, practice environment, and patient outcomes research, with an emphasis on findings from military studies. Lessons learned also are enumerated. METHOD: This study is a review of the entire Military Nursing Outcomes Database (MilNOD) program of research. DISCUSSION: The MilNOD, in combination with evidence from other health care studies, provides nurses and leaders with information about the associations between staffing, patient outcomes, and the professional practice environment of nursing in the military. Leaders, therefore, have useful empirical evidence to make data-driven decisions. The MilNOD studies are the basis for the current Army nursing dashboard, and care delivery framework, called the Patent CaringTouch System. CONCLUSION: Future research is needed to identify ideal staffing based on workload demands, and provide leaders with factors to consider when operationalizing staffing recommendations.
Authors: Patricia A Patrician; Danielle M Olds; Sara Breckenridge-Sproat; Tanekkia Taylor-Clark; Pauline A Swiger; Lori A Loan Journal: J Nurs Adm Date: 2022-06-01 Impact factor: 1.806
Authors: Marco M Ferrario; Giovanni Veronesi; Rossana Borchini; Marco Cavicchiolo; Oriana Dashi; Daniela Dalla Gasperina; Giovanna Martinelli; Francesco Gianfagna Journal: Int J Environ Res Public Health Date: 2021-04-20 Impact factor: 3.390