Impact of Nurse Staffing Impact of Nurse Staffing on Nursing - - PowerPoint PPT Presentation

Impact of Nurse Staffing Impact of Nurse Staffing

• n Nursing Outcomes
• n Nursing Outcomes

Nurse Nurse-

• to

to-

• Patient Ratios: Research and Reality

Patient Ratios: Research and Reality

Federal Reserve Bank of Boston Federal Reserve Bank of Boston Massachusetts Health Policy Forum Massachusetts Health Policy Forum March 30, 2005 March 30, 2005

Julie Sochalski, Ph.D. RN Julie Sochalski, Ph.D. RN School of Nursing School of Nursing University of Pennsylvania University of Pennsylvania

Percent of Hospital Nurses Percent of Hospital Nurses with High Job Dissatisfaction with High Job Dissatisfaction

41 33 17 37 30 10 20 30 40 50 US Canada Germany UK New Zealand

Source: Aiken LH, et al., Health Affairs, May-June, 2001.

Percent of Hospital Nurses Percent of Hospital Nurses with High Job with High Job-

• Related Burnout

Related Burnout

43 36 15 33 33 10 20 30 40 50 US Canada Germany UK New Zealand

Source: Aiken LH, et al., Health Affairs, May-June, 2001.

Percent of of Nurses Reporting Percent of of Nurses Reporting Patient Care in Their Hospital is Deteriorating Patient Care in Their Hospital is Deteriorating

44 45 17 25 27 10 20 30 40 50 US Canada Germany UK New Zealand

Source: Aiken LH, et al., Health Affairs, May-June, 2001.

Percent of Nurses Agreeing Management Will Percent of Nurses Agreeing Management Will Resolve Patient Care Problems Resolve Patient Care Problems

27 27 50 37 39 10 20 30 40 50 60 US Canada Germany UK New Zealand

Source: Aiken LH, et al., Health Affairs, May-June, 2001.

Relationship Between Nurse Staffing Relationship Between Nurse Staffing and Nurse Outcomes: Job Burnout and Nurse Outcomes: Job Burnout

• Nursing workload has significant impact on nurse

Nursing workload has significant impact on nurse

• utcomes in hospitals.
• utcomes in hospitals.
• Job burnout increased 23% for every additional

Job burnout increased 23% for every additional patient that is added to the average nurse’s workload. patient that is added to the average nurse’s workload.

• Implications:

Implications: A nurse working in a hospital with an A nurse working in a hospital with an average patient average patient-

• per

per-

• nurse ratio of 8:1 is more than

nurse ratio of 8:1 is more than twice as likely to show high job burnout than a nurse twice as likely to show high job burnout than a nurse working in a hospital with a ratio of 4:1. working in a hospital with a ratio of 4:1.

Source: Aiken LH, et al., JAMA, October 23/30, 2002, pp. 1987-93

Relationship Between Nurse Staffing Relationship Between Nurse Staffing and Nurse Outcomes: Job Satisfaction and Nurse Outcomes: Job Satisfaction

• Nursing workload had similar effects on nurse job

Nursing workload had similar effects on nurse job satisfaction. satisfaction.

• Job dissatisfaction increased 15% for every additional

Job dissatisfaction increased 15% for every additional patient that is added to the average nurse’s workload. patient that is added to the average nurse’s workload.

• Implications:

Implications: A nurse working in a hospital with an A nurse working in a hospital with an average patient average patient-

• per

per-

• nurse ratio of 8:1 is 75% more

nurse ratio of 8:1 is 75% more likely to be dissatisfied than a nurse working in a likely to be dissatisfied than a nurse working in a hospital with a ratio of 4:1. hospital with a ratio of 4:1.

Source: Aiken LH, et al., JAMA, October 23/30, 2002, pp. 1987-93

Relationship Between Nurse Staffing Relationship Between Nurse Staffing and Nurse Outcomes and Nurse Outcomes

• Burnout and job satisfaction have effect on

Burnout and job satisfaction have effect on nursing turnover. nursing turnover.

• 43% of nurses reporting high levels of burnout

43% of nurses reporting high levels of burnout and job dissatisfaction intend to leave their jobs in and job dissatisfaction intend to leave their jobs in the next year, compared to 11% of those who are the next year, compared to 11% of those who are not burned out and are satisfied. not burned out and are satisfied.

Source: Aiken LH, et al., JAMA, October 23/30, 2002, pp. 1987-93

Frequency of “Great Stress” Reported Frequency of “Great Stress” Reported by Hours worked per Week by Hours worked per Week

3.11 3.60 3.62 3.88 3.88 3.91 3.97 4.03 3.00 3.25 3.50 3.75 4.00 4.25 < 35 35-39 40-44 45-49 50-54 55-59 60-64 65+ Scale: “0” = never; “3” = 1 Scale: “0” = never; “3” = 1-

• 2x/wk; “5” = almost every day

2x/wk; “5” = almost every day

Source: USNY State Education Dept., Registered Nurses in New York State, 2002, September, 2003.

Percent of RNs Reporting Job Dissatisfaction Percent of RNs Reporting Job Dissatisfaction by Overtime Reports, 2002 by Overtime Reports, 2002-

• 03

03

25.7 13.8

5 10 15 20 25 30 Mandatory Overtime No Mandatory Overtime

Source: PA Dept. of Health, White Paper: The Nurse Workforce in Pennsylvania, June, 2004.