In this large sample of hospitals, fall and injurious fall prevalence varied by nursing unit type in U.S. hospitals, with a small, but statistically significant, decrease in falls over the 27-month study.Expand
Information on unit type and different aspects of nurse staffing, with advanced statistical modeling, resulted in a more precise understanding of the relationship between nurse staffing and falls.Expand
This article reviews what is known from previous nursing outcomes research and identifies gaps in the current state of knowledge, and describes the contribution to research that can be made through the National Database of Nursing Quality Indicators TM (NDNQI®).Expand
The Hospital-Acquired Conditions Initiative was associated with improvements in CLABSI and CAUTI trends, conditions for which there is strong evidence that better hospital processes yield better outcomes, but the HACs Initiative was not associated with improved in HAPU or injurious fall trends, which means there is less evidence that changing hospital processes leads to significantly better outcomes.Expand
The findings from the two studies indicate that the adapted Index of Work Satisfaction has a structure similar to the original instrument and is a reliable and valid measure of work satisfaction at the patient care unit level.Expand
In multivariate models, the fall rate was 5% lower in Magnet than non-Magnet hospitals and an additional registered nurse hour per patient day was associated with a 3% lower fall rate in ICUs.Expand
The fall rate in the United States hospitals decreased over time, but the large variation in the fall rate at both the hospital and the unit level indicates much room for improvement in the quality of nursing care related to fall prevention.Expand
The fall rate was negatively associated with registered nurse skill mix and average registered nurse tenure on the unit, and the relation between the fall rate and total nurse staffing was positive at lower staffing levels and negative for levels around and above the median.Expand
Differences in RN workgroup job satisfaction were examined among 10 unit types—medical-surgical, step-down, critical care, pediatric, maternal-newborn, psychiatric, emergency department, rehabilitation, surgical services, and outpatient clinics and labs.Expand