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The first group of subjects examined consisted of 2585 patients that had utilized mechanical ventilation following admission for pneumonia treatment or for more than two days irrespective of diagnosis made at the time of admission. The research subjects, categorized on the basis of varying staffing levels were taken into account during the study. Results from the study showed that 393 patients developed pneumonia out of the 1658 subjects that were in the secondary group. This amounted to a percentage of 23.7. In study groups with PNRs of 1:1, 2:1, 2.5:1, and 3:1 units with patient to nurse ratios of 1 to 1, 2 to 1, 2.5 to 1, and 3 to 1, the rates of pneumonia development were 9.3 percent, 25.7 percent, 18.7 percent and 24.2 percent in that order. Overall, the study showed that after adjustment for contradictory variables, PNRs of more than 1:1 were not associated with elevated risk for pneumonia linked to ventilator usage. The conclusion, therefore, was that even though a 1:1 ratio is associated with a reduced risk of ventilator-linked pneumonia, adjustment of the variables reduces the significance of the difference.
The second article under scrutiny is titled “Patient-to-Nurse Ratios and Outcomes of Moderately Preterm Infants” and is written by Profit et al. (2010). The research article begins by denoting that, in many spheres of medicine, increased PNRs are linked to improved patient outcomes. The authors are keen to note that the impact of nurse-staffing on health outcomes of preterm babies has not been addressed in research. This clearly identifies the research gap and justifies the study. The objective of the study, therefore, was to examine the influence of PNRs on the outcome of healthcare afforded to fairly preterm babies. In this study increase in nurse staffing was linked to a decline in the preterm infants’ weight gain each day. However, nurse-staffing in relation to the number of infants, as measured by the
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The ‘Institute of Medicine’s (IOM)’ published account, “keeping patients safe: Transforming the work environment of Nurses” shows that understaffed hospitals; high nurse-patient ratio is a major factor leading to 98,000 cases of preventable patient deaths, annually, as recorded from hospitals in the United States.
Several large-scale investigations have demonstrated the risks involved to patients in a hospital setting with too few nurses, or nurses that are over-burdened with patient care duties. These studies have indicated that too few nurses with too many patients leads to a negative patient outcomes, in addition to lower nurse-retention, and an unattractive environment for the best nursing talent.
Often, the lack of adequate attention to this matter has resulted in the organizations’ inability to extend proper medical care to the patients. On the other hand, there is a general feeling among nurses that increased levels of patient acuity entails delays in providing medical treatment.
However, nurses from various countries complain that most hospitals do not have enough nurses. Recent research show that the number of nurses employed to give quality services to a patient has decreased from 98% to 51%. The lack of nurses is also being experienced in developed countries.
This has taken place because many nurses feel overworked and underpaid in most medical institutions, and thus opt to work in other areas such as the private sector. With regulations being enacted to restrict the number of patients that can be allocated to any nurse at any given time, nurses will be able to ensure that they give enough attention to all their assigned patients.
Perception of Front-line Healthcare Providers Toward Patient Safety: A Preliminary Study in the University of Egypt. Topics in Advanced Practice Nursing, 8(2). Retrieved October 19, 2011, from Web Site: http://www.medscape.com/viewarticle/570921_2 is the article taken up
The American Bureau of labour statistics shows that the demand for nurses has increased by more than sixty percent since 2008 and the projections are bound to get worse with the rapid increase in population (Robinson, Jaqim & Ray, 2008). The lack