Evidence-Based Staffing Enhances Patient-Centered Care

Rebecca Hendren, for HealthLeaders Media , August 2, 2011

Loftin says PMC has not had a case of ventilator-acquired pneumonia in more than four years, the fall rate is well below the national best percentile ranking, and the hospital has decreased the catheter-associated urinary tract infection rate to all but nothing, with just one in the last six months.

"All those are [National Database of Nursing Quality Indicators] NDNQI nursing indicators," says Loftin. "It's not just science we're using, it's making sure we have the right staffing and support of the workload of staff so they can pay attention to the important things."

The acuity system has also contributed to increased nurse morale. Loftin says nurses feel the units are staffed appropriately when following the guidelines. In the real world no system works perfectly. Sick days and vacations mean not every shift is always staffed at the correct level. But PMC is flexible and works around problems.

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2 comments on "Evidence-Based Staffing Enhances Patient-Centered Care"

Lisa Sams (8/5/2011 at 3:48 PM)
Using defined indicators that are based on evidence certainly removes the variability that is seen when staffing is determined by each unit according to perception or inconsistent criteria. The article would have been more helpful if the evidence based indicators were listed and the citations for their support were included. Also knowing the size of the organization, scope of clinical care, and population demographics would help the reader interpret the story.

Katrina Howard (8/4/2011 at 9:38 PM)
Hmmm,I'm confused. Do patient needs not translate into nurses workload? Also, what outcomes were improved and how did you guage staff morale? I think there is more to this story.




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