Is there an association between the proportion of registered nurses (skill-mix) in the hospital health care team, and patient mortality or risk for falls or pressure ulcers?
Andersson B, Carlström E, Dahlborg E, Jonsdottir IH, Sjöland H, Ulin K, Wolf A, Eriksson M, Svanberg T, Petzold M, Sandman L, Svensson M, Wallerstedt SM, Wartenberg C, Sjövall H
Record ID 32018011331
English
Authors' objectives:
Shortage of registered nurses has led to changes of staff mix in the health care system. The aim of the current health technology assessment (HTA) was to identify patient risks associated with a reduced skillmix, here defined as a lower percentage of registered nurses (RNs) versus other staff in the hospital health
care team. The question was restricted to patients in general or acute care hospitals open 24/7, excluding hospital outpatient care, primary care, and municipal care. Three adverse medical outcomes were analysed: mortality, falls and pressure ulcers.
Authors' results and conclusions:
This systematic review only found observational studies, mainly data
from large registries used for other purposes. The certainty of evidence was very low for all outcomes. We were not able to identify any consistent scientific support for an association between a moderate reduction (-10%) in the proportion of registered nurses (skill mix), and increased risks for the three serious adverse events mortality, falls and pressure ulcers.
Details
Project Status:
Completed
Year Published:
2020
URL for published report:
https://mellanarkiv-offentlig.vgregion.se/alfresco/s/archive/stream/public/v1/source/available/sofia/su4372-1728378332-390/native/2020_118%20HTA-rapport%20Workshifting.pdf
English language abstract:
An English language summary is available
Publication Type:
Full HTA
MeSH Terms
- Nursing Staff, Hospital
- Accidental Falls
- Pressure Ulcer
- Primary Prevention
- Nurses
- Personnel Staffing and Scheduling
- Hospital Mortality
- Mortality
Keywords
- Skill-mix
Contact
Organisation Name:
The Regional Health Technology Assessment Centre
Contact Address:
The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name:
hta-centrum@vgregion.se
Contact Email:
hta-centrum@vgregion.se
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.