Roger Watson, Editor-in-Chief
Does the ratio of different types of nurses make any difference to patient outcomes? It seems that in some cases it does and not always how you would expect. A study in ICU from Taiwan by Yang et al. (2015) titled 'The impact of three nursing staffing models on nursing outcomes' and published in JAN addresses this by looking at three different models with different percentages of Registered Nurses (RN) to nurse aides and with different ratios of graduate and ICU trained nurses.
The authors conclude: 'These findings suggest that use of different skill mix models that substitute nurse aides for RNs impact nursing care activities and quality of care' and 'we suggest that hospitals employ and train their own nurse aides and develop a training system and education materials for RNs and nurse aides to maintain patient safety and improve quality of care.
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Yang P-H, Hung C-H, Chen Y-C (2015) The impact of three nursing staffing models on nursing outcomes Journal of Advanced Nursing doi: 10 1111/jan.12643