PMID- 31999385
OWN - NLM
STAT- MEDLINE
DCOM- 20210108
LR  - 20210108
IS  - 1365-2834 (Electronic)
IS  - 0966-0429 (Linking)
VI  - 28
IP  - 3
DP  - 2020 Apr
TI  - Nurse managers' perceptions of nurse staffing and nursing care quality: A 
      cross-sectional study.
PG  - 625-633
LID - 10.1111/jonm.12966 [doi]
AB  - AIM: To verify the association between the nurse staffing and the quality of 
      nursing care, mediated by the care process, based on a hypothetical model, in 
      Portuguese public hospitals. BACKGROUND: Nurse staffing influences health 
      outcomes. Understaffing is associated with an increased risk for adverse events 
      (AEs) and a reduction in the quality of care. METHOD: A cross-sectional study was 
      conducted using a sample of 55 Portuguese nurse managers. A path model was 
      developed to analyse potential causal mediation effects on care quality. RESULTS: 
      Nurse staffing (number and competencies) and teamwork indirectly influence the 
      quality of care. This process is mediated by the response capacity, the use of 
      new techniques and work methods and patient's surveillance capacity. The AEs 
      occurrence also has a mediating role, being negatively associated with the 
      quality of care. CONCLUSIONS: Optimizing nursing care safety and quality requires 
      an adequate nurse staffing level, both in terms of number and competencies, as 
      well as teamwork. Process components seem to play a mediating role in these 
      relations. IMPLICATIONS FOR NURSING MANAGEMENT: These results deserve the 
      attention of nursing management for investment in the nursing staff and in the 
      care process, to improve quality and create value in health care.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Neves, Teresa Margarida Almeida
AU  - Neves TMA
AUID- ORCID: 0000-0002-1053-4909
AD  - Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal.
FAU - Parreira, Pedro Miguel Santos Dinis
AU  - Parreira PMSD
AUID- ORCID: 0000-0002-3880-6590
AD  - Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
FAU - Graveto, Joao Manuel Garcia Nascimento
AU  - Graveto JMGN
AUID- ORCID: 0000-0001-6974-9421
AD  - Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
FAU - Freitas, Maria Joao Baptista Dos Santos de
AU  - Freitas MJBDS
AUID- ORCID: 0000-0003-3248-2326
AD  - Escola Superior de Enfermagem Sao Francisco das Misericordias, Lisboa, Portugal.
FAU - Rodrigues, Victor Jose Lopes
AU  - Rodrigues VJL
AUID- ORCID: 0000-0003-4174-9061
AD  - Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
LA  - eng
PT  - Journal Article
DEP - 20200403
PL  - England
TA  - J Nurs Manag
JT  - Journal of nursing management
JID - 9306050
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nurse Administrators/*psychology
MH  - Nursing Care/methods/*standards/statistics & numerical data
MH  - Nursing Staff, Hospital/supply & distribution
MH  - *Perception
MH  - Personnel Staffing and Scheduling/*standards/trends
MH  - Portugal
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - cross-sectional studies
OT  - hospital
OT  - nursing care
OT  - nursing staff
OT  - patient safety
OT  - quality of health care
EDAT- 2020/01/31 06:00
MHDA- 2021/01/09 06:00
CRDT- 2020/01/31 06:00
PHST- 2019/03/09 00:00 [received]
PHST- 2020/01/16 00:00 [revised]
PHST- 2020/01/26 00:00 [accepted]
PHST- 2020/01/31 06:00 [pubmed]
PHST- 2021/01/09 06:00 [medline]
PHST- 2020/01/31 06:00 [entrez]
AID - 10.1111/jonm.12966 [doi]
PST - ppublish
SO  - J Nurs Manag. 2020 Apr;28(3):625-633. doi: 10.1111/jonm.12966. Epub 2020 Apr 3.