Share This Article:

Unfavorable staffing and resources adequacy impact on patient outcomes and quality of care in the three university hospitals in Malaysia

Full-Text HTML Download Download as PDF (Size:135KB) PP. 58-63
DOI: 10.4236/ojn.2013.38A008    2,349 Downloads   3,743 Views  

ABSTRACT

The nursing shortage is a global issue that because there is a growing consensus that identifying flaws and opportunities for improving the working environment in hospital is vital to maintain positive patient outcomes, adequate staffing, high-quality care, nurses’ job satisfaction and hence their retention. The aim of this study was to explore the staffing and resource adequacy in NPE and the association with POs (adverse events). A descriptive correlational study was conducted and participated 395 staff nurses (94.3%) from three university hospitals in Malaysia over two months, from January to February 2011. In this paper, the results showed that 344 (87.1%) staff nurses rated that was unfavorable ( < 2.50) of “staffing and resources adequacy” in their nursing environment. The findings also indicated a significant negative association between “enough time and opportunity to discuss patient care problems with other staff nurses” and “patient falls” (p = 0.017), and medication errors (p = 0.027), and patient complaints (p = 0.021). In conclusion, adequate staffing and resources remain as an essential aspect in the working environment and thus, this study recommended that management would be well advised to deal with this aspect of creation of healthy work environments to worth the effort to maintain positive patient outcomes, adequate staffing and high quality care.

Cite this paper

Marzuki, M. , Wichaikhum, O. and Nantsupawat, R. (2013) Unfavorable staffing and resources adequacy impact on patient outcomes and quality of care in the three university hospitals in Malaysia. Open Journal of Nursing, 3, 58-63. doi: 10.4236/ojn.2013.38A008.

References

[1] Meleis, A.I. (2005) Shortage of nurses means shortage of nurse scientists. Journal of Advanced Nursing, 49, 111.
[2] Hannan, S., Norman, I.J. and Redfem, S.J. (2001) Care work and quality of care for older people, a review of the research literature. Reviews in Clinical Gerontology, 11, 189-203. http://dx.doi.org/10.1017/S0959259801112104
[3] Needleman, J., Buerhaus, P., Mattke, S., Stewart, M. and Zelevinsky, K. (2001) Nurse-staffing levels and patient outcomes in hospitals. Harvard School of Public Health, Boston.
[4] Smith, L.W. and Giuliano, K.K. (2010) Rapid response teams: Improve patient safety and patient outcomes. Journal of Advanced Critical Care, 21, 126-129.
http://dx.doi.org/10.1097/NCI.0b013e3181d24676
[5] Tourangeau, A.E. (2005) A theoretical model of the determinants of mortality. Advances in Nursing Science, 28, 58-69. http://dx.doi.org/10.1097/00012272-200501000-00007
[6] Aiken, L.H., Clarke, S.P., Sloane, D.M., Lake, E.T. and Cheney, T. (2008) Effects of hospital care environment on patient mortality and nurse outcomes. Journal Nursing Administration, 38, 223-229.
http://dx.doi.org/10.1097/01.NNA.0000312773.42352.d7
[7] Duffield, C., Diers, D., O’Berien-Pallas, L., Aisbett, C., Roche, M., King, M. and Aisbett, K. (2011) Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research, 24, 244-255. http://dx.doi.org/10.1016/j.apnr.2009.12.004
[8] Cohen-Mansfield, J. (1995) Stress in nursing home staff, a review and a theoretical model. The Journal of Applied Gerontology, 14, 444-466.
http://dx.doi.org/10.1177/073346489501400406
[9] (2010) Warning on patient safety. New Straits Times, 23.
[10] Sandars, J. and Cook, G. (2007) ABC of patient safety. Blackwell Publishing, Australia.
[11] Lake, E.T. (2002) Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25, 176-188.
http://dx.doi.org/10.1002/nur.10032
[12] Aiken, L.H., Clarke, S.P., Sloane, D., Sochalski, J. and Silber, J.H. (2002) Hospital nurse staffing and patient mortality, nurse burnout, and job satisfaction. JAMA, 288, 1987-1993. http://dx.doi.org/10.1001/jama.288.16.1987
[13] Bowles, C. and Candela, L. (2005) First job experiences of recent RN graduates. Journal of Nursing Administration, 35, 130-137.
http://dx.doi.org/10.1097/00005110-200503000-00006
[14] Scott, E., Engelke, M. and Swanson, M. (2008) New graduate nurse transitioning: Necessary or nice? Applied Nursing Research, 21, 75-83.
http://dx.doi.org/10.1016/j.apnr.2006.12.002
[15] Unruh, L.Y. and Zhang, N.J. (2012) Nursing staffing and patient safety in hospitals: New variables and longitudinal approaches. Nursing Research, 61, 3-12.
http://dx.doi.org/10.1097/NNR.0b013e3182358968
[16] Tourangeau, A.E., Doran, D.M., Hall, L.M., Pallas, L.O., Pringle, D., Tu, J.V. and Cranley, L.A. (2007) Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing, 57, 32-44.
http://dx.doi.org/10.1111/j.1365-2648.2006.04084.x
[17] Chiang, H.-Y. and Lin, S.-Y. (2008) Psychometric testing of the Chinese version of nursing practice environment scale. Journal of Clinical Nursing, 18, 919-929.
[18] Friese, C. R., Lake, E. T., Aiken, L. H., Jeffrey H. Silber, J. H. and Sochalski, J. (2008) Hospital nurse practice environments on outcomes of surgical oncology patients. Health Services Research, 43, 1145-1163.
http://dx.doi.org/10.1111/j.1475-6773.2007.00825.x
[19] Stam, L.M.P., Laschinger, H.K.S., Regan, S. and Wong, C.A. (2013) The influence of personal and workplace resources on new graduate nurses’ job satisfaction. Nursing Management. http://dx.doi.org/10.1111/jonm.12113
[20] Laschinger, H.K.S., Finegan, J., Shamian, J. and Casier, S. (2000) Organizational trust and empowerment in restructured healthcare settings: Effects on staff nurse commitment. Journal of Nursing Administration, 30, 413-425. http://dx.doi.org/10.1097/00005110-200009000-00008
[21] Department of Nursing Service UKMMC (2010) UKMMC and annual report. UKMMC, Cheras.
[22] World Health Organization (WHO) (2009) The world health report 2009-health system: Improving performance. World Health Organization, Geneva.
[23] Laschinger, H.K.S. and Leiter, M.P. (2006) The impact of nursing work environments on patient safety outcomes: The mediating role of burnout/ engagement. Journal of Nursing Administration, 36, 259-267.
http://dx.doi.org/10.1097/00005110-200605000-00019
[24] Nursing Management Department UKMMC of Malaysia (2010) UKMMC and annual report. UKMMC, Cheras.
[25] Rogers, A.E., Hwang, W., Scott, L.D., Aiken, L.H. and Dinges, D.F. (2004) The working hours of hospital staff nurses and patient safety. Health Affairs, 23, 202-212.
http://dx.doi.org/10.1377/hlthaff.23.4.202
[26] Hinno, S., Partanen, P. and Julkunen, K.V. (2012) The professional nursing practice environment and nurse-reported job outcomes in two European countries: A survey of nurses in Finland and the Netherlands. Scandinavian Journal of Caring Science, 26, 133-143.
http://dx.doi.org/10.1111/j.1471-6712.2011.00920.x

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.