Le but de cette analyse documentaire Cochrane était de déterminer si les changements apportés à la dotation en personnel infirmier dans les hôpitaux amélioraient les résultats pour les patients ou les infirmières, ou avaient un impact sur le coût des soins de santé.
Plain language summary (excerpt)
What do we know about the impact of hospital nurse staffing on patients, staff and the costs of care?
What is the aim of this review?
The aim of this Cochrane Review was to find out if changes made to nurse staffing in hospitals improve outcomes for patients or nurses, or have an impact on the cost of health care. Nurse staffing can refer to the number of nurses per patient, the mix of different types of nurses in a hospital unit, or models used to allocate nurses to patients in a hospital unit.
The research relating to hospital nurse staffing is very limited and the findings should be treated with caution.
It is unlikely that adding nurses with advanced nursing skills (Nurse Practitioners (NPs)) or with expertise in a particular area of practice (Clinical Nurse Specialists (CNSs)) to hospital nurse staffing makes any difference to patient death rates. We cannot be sure what other effect it might have on patients, for example, if it reduces the time patients spend in hospital or the costs of patient care. We cannot be sure if changes to the way in which nurses are allocated to patient care reduces the numbers of nurses resigning, or if introducing unqualified nurses to the nursing workforce reduces costs, as the research here is very limited too.
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