Running head: TOPIC SEARCH STRATEGY 1
RUA: Topic Search Strategy
Chamberlain College of Nursing
NR 449: Evidenced Based Practice
https://www.coursehero.com/file/34797404/RUAdocx/
This study resource was
shared via
...
Running head: TOPIC SEARCH STRATEGY 1
RUA: Topic Search Strategy
Chamberlain College of Nursing
NR 449: Evidenced Based Practice
https://www.coursehero.com/file/34797404/RUAdocx/
This study resource was
shared via CourseHero.comTOPIC SEARCH STRATEGY 2
RUA: Topic Search Strategy
Clinical Question
For my RUA, I was asked to research unsafe staffing levels and the impact on patient
safety. This topic has been very popular in recent years within the state of Ohio. The Ohio State
University Wexner Medical Center made a move in 2017 to take a stand against unsafe staffing
ratios after there were cuts to nursing staff and an increase in the nurse to patient ratio. As one
nurse who works at OSUWMC states “when you cut staffing and you expect a nurse to care for
multiple ICU patients, you're jeopardizing our ability to safely protect them and get them the care
they need in a timely manner” (McEntyre, 2017). Also, the Ohio Nurses Assocation (ONA) has
been speaking out on the issue recently and is working with state legislators to work towards a
mandating safer staffing ratios.
Research shows that “there is a strong relationship between nurse staffing, including both
the number of nurses and the mix of competent nurses, and patient safety”. It has also shown that
“higher RN staffing levels were associated with lower rates of healthcare-associated pneumonia,
failure to rescue, and healthcare-associated bloodstream infections” (Mennella, Karakashian,
2017). Shekelle (2013) says that in a study comparing staffing levels at 8:1 vs. 4:1, “there were 1
to 5 fewer deaths per 1000 inpatient days with more nurse staffing per patient”. Using the PICO
method is way to formulate an organized and concise research question. PICO stands for
population, intervention, comparison, and outcome. My PICO question is as follows:
Population: Patients in a hospital (inpatient unit)
Intervention: lower nurse staffing ratios
Comparison: higher nurse staffing ratios
Outcome: improved patient outcomes
https://www.coursehero.com/file/34797404/RUAdocx/
This study resource was
shared via CourseHero.co
[Show More]
.png)
.png)
