Increased nurse staff levels tied to lower odds of Medicare readmissions penalties, s - page 2

Nursing unions wanting higher staffing ratios have more ammunition thanks to a new study concluding that increasing nurse staffing levels could help hospitals avoid Medicare penalties for avoidable... Read More

  1. Visit  jfratian profile page
    0
    I understand the recommended ratios, and I think 4:1 or 5:1 for med surg is fine generally speaking. What I don't agree with in these studies is the concept that every single nurse you add improves patient care equally...say 5% or 10% improvement in measurement 'X.' That logically doesn't make sense. Having 6 nurses versus 5 for a 35 bed floor is a much bigger change than 8 versus 7 for a 35 bed floor. You're watering things down when you say "every extra nurse saves you 10% in readmission rates." That's like saying every cigarette cuts your life by 10 minutes based on a statistical analysis of life spans of smokers and non-smokers controlled for socioeconomic status and healthcare access; you don't actually get that 10 minutes back by not smoking 1 more cigarette.

    You have to make the data applicable to the specific situation, and a lot of these studies don't do that. Administrators want to know: "What should my ideal ratios be to minimize costs?" They want research to support specific ratios for a specific acuity level. Without that focus, I think these studies won't have nearly the impact that they otherwise could have.
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  3. Visit  Chisca profile page
    2
    Quote from jfratian
    Administrators want to know: "What should my ideal ratios be to minimize costs?" They want research to support specific ratios for a specific acuity level. Without that focus, I think these studies won't have nearly the impact that they otherwise could have.
    Which is why we, as nurses, need to give up on trying to convince a group of people whose behaviour towards safe staffing is that of a sociopath. Unless staffing is mandated by law with penalites for failure I have yet to meet a hospital adminstrator who is persuaded by any study that calls for better staffing. The CDC ten years ago linked nosocomial infections to staffing ratios but every time I have mentioned that to a nurse manager there is....silence.
    wooh and herring_RN like this.
  4. Visit  LadyFree28 profile page
    2
    Quote from Chisca
    Which is why we, as nurses, need to give up on trying to convince a group of people whose behaviour towards safe staffing is that of a sociopath. Unless staffing is mandated by law with penalites for failure I have yet to meet a hospital adminstrator who is persuaded by any study that calls for better staffing. The CDC ten years ago linked nosocomial infections to staffing ratios but every time I have mentioned that to a nurse manager there is....silence.
    Bring it to the people that matter...our patients.

    Also, I thought that there were penalties for unsafe staffing in place...if so, there needs to be a way for no loopholes to occur.
    laborer and herring_RN like this.


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