Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review

Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review BACKGROUNDThe increasing demand, fiscal constraints and an increased need for accountability have brought about a reorganisation of health services focused essentially on the optimization of resources. At times, this optimization has led to unjustified and inappropriate cutbacks of human and material resources (Reeves, McKee, Basu, & Stuckler, ). Among health professions, nursing is the one that is most affected by reductions in salary, rest days and recruitment, as well as by poorer working conditions and the elimination of bonuses (Phua & Hue, ).The World Health Statistics by the World Health Organization (WHO) indicate that the global average ratio (AR) of nurses is 28.6 per 10,000 inhabitants. There are significant differences between the least developed regions (Africa 12.4, South‐East Asia 15.3) and the most developed ones (the Americas 44.9, Europe 80.2) (World Health Organization, ). The intra‐hospital nurse‐to‐patient ratio is also used as a coefficient to determine the workload of professionals. A study conducted by Aiken et al. () establishes an AR of 8.3 patients per nurse in Europe. The countries with the lowest AR are Norway (5.2) and Ireland (6.9), whereas the countries with the highest AR are Spain (12.7) and Belgium (10.8) (Aiken et al., ).The Registered Nurse Forecasting (RN4CAST) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Nursing Management Wiley

Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review

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Publisher
Wiley
Copyright
Copyright © 2018 John Wiley & Sons Ltd
ISSN
0966-0429
eISSN
1365-2834
D.O.I.
10.1111/jonm.12538
Publisher site
See Article on Publisher Site

Abstract

BACKGROUNDThe increasing demand, fiscal constraints and an increased need for accountability have brought about a reorganisation of health services focused essentially on the optimization of resources. At times, this optimization has led to unjustified and inappropriate cutbacks of human and material resources (Reeves, McKee, Basu, & Stuckler, ). Among health professions, nursing is the one that is most affected by reductions in salary, rest days and recruitment, as well as by poorer working conditions and the elimination of bonuses (Phua & Hue, ).The World Health Statistics by the World Health Organization (WHO) indicate that the global average ratio (AR) of nurses is 28.6 per 10,000 inhabitants. There are significant differences between the least developed regions (Africa 12.4, South‐East Asia 15.3) and the most developed ones (the Americas 44.9, Europe 80.2) (World Health Organization, ). The intra‐hospital nurse‐to‐patient ratio is also used as a coefficient to determine the workload of professionals. A study conducted by Aiken et al. () establishes an AR of 8.3 patients per nurse in Europe. The countries with the lowest AR are Norway (5.2) and Ireland (6.9), whereas the countries with the highest AR are Spain (12.7) and Belgium (10.8) (Aiken et al., ).The Registered Nurse Forecasting (RN4CAST)

Journal

Journal of Nursing ManagementWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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