Nurse Staffing and Patient Outcomes in Hemodialysis Units: A Literature Review
DOI:
https://doi.org/10.46799/ijssr.v2i8.130Keywords:
Nurse Staffing, Patient Outcomes, HemodialysisAbstract
The hemodialysis unit manager must be able to ensure that the high-quality services are provided to ensure patient outcomes. Several previous studies have shown that nurse staffing is one of the components that needs to be considered to improve patient outcomes, but this has not been specifically proven in hemodialysis units. The study aims to determine the effect of nurse staffing and patient outcomes in hemodialysis units. This research is a literature review where the process of article searches is carried out through the Pubmed, Emerald, Science direct and Google Scholar electronic databases using certain some keyword combinations in articles published from 2012-2022. The review process used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and three research articles were analyzed. Results of study show that there is no significant relationship between the ratio of patient to nurses with various patient outcomes in assessed from the Standardized Hospitalization Ratio (SHR), Standardized Mortality Rate (SMR) and Standardized Readmission Ratio (SRR). Moreover, this study provides no evidence that the ratio of patients to nurses affects patient outcomes. Comparative studies with clear staffing parameters are needed to prove this issue.
References
Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., … Lesaffre, E. (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. The Lancet, 383(9931), 1824–1830. Scopus
Bao, C., & Bardhan, I. (2017). Antecedents of patient health outcomes in dialysis clinics: a national study. Journal of Centrum Cathedra. Google Scholar
Chen, Y., Rhee, C., Senturk, D., Kurum, E., Campos, L., Li, Y., … Nguyen, D. (2019). Association of US dialysis facility staffing with profiling of hospital-wide 30-day unplanned readmission. Kidney Diseases, 5(3), 153–162. Google Scholar
Fissell, R. B., Bragg-Gresham, J. L., Woods, J. D., Jadoul, M., Gillespie, B., Hedderwick, S. A., … Young, E. W. (2004). Patterns of hepatitis C prevalence and seroconversion in hemodialysis units from three continents: the DOPPS. Kidney International, 65(6), 2335–2342. Scopus
Foley RN, Hakim RM. Why is the mortality of dialysis patients in the United States much higher than the rest of the world? J Am Soc Nephrol. 2009 Jul;20(7):1432–5 Google Scholar
Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., Monks, T., 2020. Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies 103, 103487. https://doi.org/10.1016/j.ijnurstu.2019.103487 Scopus
Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., Monks, T., & Group, S. N. C. S. (2020). Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies, 103, 103487. https://doi.org/10.1016/j. ijnur stu.2019.103487 Scopus
Hand, R.K., Albert, J.M., Sehgal, A.R., 2018. Structural Equation Modeling to Explore Patient to Staff Ratios as an Explanatory Factor For Variation in Dialysis Facility Outcomes. J Ren Nutr 28, 309–316. https://doi.org/10.1053/j.jrn.2018.01.014 Google Scholar
Saran, R., Bragg-Gresham, J. L., Rayner, H. C., Goodkin, D. A., Keen, M. L., Van Dijk, P. C., … Fukuhara, S. (2003). Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS. Kidney International, 64(1), 254–262. Scopus
Saville, C. E., Griffiths, P., Ball, J. E., & Monks, T. (2019). How many nurses do we need? A review and discussion of operational research techniques applied to nurse staffing. International Journal of Nursing Studies, 97, 7–13. https://doi.org/10.1016/j.ijnurstu.2019.04.015 Scopus
Thomas-Hawkins, C., Flynn, L., & Clarke, S. P. (2008). Relationships between registered nurse staffing, processes of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association, 35(2), 123. Google Scholar
Twigg, D., Whitehead, L., Doleman, G., El?Zaemey, S., 2021. The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review. Journal of Advanced Nursing 77. https://doi.org/10.1111/jan.14909 Google Scholar
Published
Issue
Section
License
Copyright (c) 2022 Salasatul Aisiyah, Elsye Maria Rosa
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International. that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
