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Missed Nursing Care, Staffing, and Patient Falls

2011; Lippincott Williams & Wilkins; Volume: 27; Issue: 1 Linguagem: Inglês

10.1097/ncq.0b013e318225aa23

1550-5065

Beatrice J. Kalisch, Dana Tschannen, Kyung Hee Lee,

Hospital Admissions and Outcomes

Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = −0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.