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Bae, S., Brewer, C. S., & Kovner, C. T. (2012). State mandatory overtime regulations and newly licensed nurses’
mandatory and voluntary overtime and total work hours. Nursing Outlook, 60(2), 60-71.
Birmingham, S., Dent, R. L., & Ellerbe, S. (2013). Reducing the Impact of RN Fatigue on Patient and Nurse Safety. Nurse Leader, 11(6), 31-34.
Impact of Working Conditions on Patient Safety: Fact Sheet. October 2002. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/factsheets/errors-safety/workfact/index.html
Knudson, L. (2013). Nurse staffing levels linked to patient outcomes, nurse retention. AORN Journal, 97(1), C1-9.
Patient Safety Threatened by Insufficient Nurse Staffing, Fatigue. (2013). AACN Bold Voices, 5(8), 8.
Ranji SR, Wachter RM. Limiting Individual Providers' Hours of Service: Brief Update Review. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 43. Available from: http://www.ncbi.nlm.nih.gov/books/NBK133396/.
Shekelle PG. Effect of Nurse-to-Patient Staffing Ratios on Patient Morbidity and Mortality. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 34. Available from: http://www.ncbi.nlm.nih.gov/books/NBK133362/.
Shipman, D., Hooten, J. (2008). Without enough nurse educators there will be a continual decline in RNs and the quality of nursing care: Contending with the faculty shortage. Nurse Education Today, 28(5), 521-523.
Increased morbidity and mortality with decreased staffing
Patients
Healthcare providers
Healthcare establishments
Insurers
Payers
Pharmaceutical manufacturers
Mental and physical fatigue in nursing leads to multiple issues that include medication errors,
decreased endurance, decreased effective communication, and inability to perform fine motor tasks such as inserting an IV.
Luanne Cruz, RN
Long working hours
Increasing patient to nurse ratios
Higher level of acuity
Nursing shortage-Aging workforce