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dc.contributor.authorTrinier, Ruth M.en
dc.date.accessioned2016-09-16T14:23:08Z
dc.date.available2016-09-16T14:23:08Z
dc.date.issued2016-09-26
dc.identifierLEAD16PST74en
dc.identifier.urihttp://hdl.handle.net/10755/620252en
dc.description<p>Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.</p>en
dc.description.abstract<p>Session presented on Sunday, September 18, 2016:</p> <p>Patient care error, a leading cause of death and disability in the critical care setting, contributes to suffering of the patient and family; can precipitate an emotional crisis for health care staff; and creates an increased financial burden to the health care system. Nurses, who provide the majority of direct patient care in the hospital setting, have reported a perception that increased workload contributes to many of these errors. Nursing practice, which requires complex knowledge work and vigilant patient assessment to promote best outcomes, may be compromised by time and manpower constraints. To examine the relationship between nursing workload and the delivery of best-practice care in the paediatric critical care setting, a prospective observational study was performed. This study was nested within a larger study, using direct observation strategies of critically ill patients admitted to a critical care unit over a period of 5 months. The main outcome was the occurrence of 13 complications of care. For each patient-day, nursing workload scores, which quantified physical and emotional care of the patient including underlying cognitive activities and indirect care, were determined for each patient using data entered directly by the patient's nurse. Using a correlational design, the presence or absence of complications was compared to the workload score for the nurse(s) over a 24 hour period. Data for 2,117 total patient days representing 3,845 nursing shifts over the 5 months of the study identified 665 complications that occurred on 497 (23%) patient days. A statistically significant (p &lt; .001) association between nursing workload and patient care error was identified. Although the relationship was small (rho (2117) =.11), the odds of error increased as the nursing workload increased. The difference in mean workload hours between those entries with an error and those without was 1.77 hours over 24. Further findings indicated that a large number of patients in the study required nursing care in excess of what was suggested that one nurse could provide. Staffing models responsive to the nursing care needs of individual patients have been suggested as a method to reduce the potential for error and increase the nurse's ability to complete appropriate patient care in the time allotted.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectNursing-Workloaden
dc.subjectPatient Care Errorsen
dc.subjectNurse Staffingen
dc.titleNursing workload and its relationship to patient care error in the paediatric critical care settingen
dc.typePosteren
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelObservationalen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsRuth M. Trinier, RN, CNCCPen
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.date.conferenceyear2016
dc.contributor.affiliationThe Hospital for Sick Children, Toronto, Ontario, Canadaen
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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