4.0 Article

Missed Nursing Care, Staffing, and Patient Falls

Journal

JOURNAL OF NURSING CARE QUALITY
Volume 27, Issue 1, Pages 6-12

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NCQ.0b013e318225aa23

Keywords

falls; missed nursing care; staffing

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Funding

  1. Blue Cross Blue Shield Foundation of Michigan
  2. Michigan Center for Health Intervention, University of Michigan School of Nursing, National Institutes of Health, National Institute of Nursing Research [P30 NR009000]

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Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.

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