Effect of The Nursing Staff levels on patients Outcomes at The Intensive Care Units

Document Type : Original Research

Authors

1 Teacher at Technical Nursing School of boys in Assiut, Egypt.

2 Professor of Anesthesia and Intensive Care, Faculty of Medicine, Assiut University, Egypt.

3 Professor of anesthesia Faculty of medicine, Assiut University

Abstract

Background: Intensive care units (ICUs) required higher nurse staffing levels than other healthcare settings due to the need for continuous monitoring of critically ill patients and the management of complex life support equipment. Aim of the study: To assess the effect of the nursing staffing levels on patients’ outcomes at the intensive care units. Research design: Descriptive research design was used in this study. Setting: This study was conducted in four intensive care units at Al-Eman general Hospital which includes (general intensive care unit, medical intensive care unit, coronary care unit and neurological intensive care unit). Tools: Tool one: personal data of nurse’s. Tool two: measurement levels of nursing staffing assessment tool and tool three: patient`s outcomes assessment tool. Results: The results revealed  a small proportion (9.6%) achieved an excellent staffing level. There were statistically significant associations between nurse staffing levels and gender, experience, and education (p < 0.05), as well as with patients’ hospital stay and level of progress (p = 0.001). Conclusion: This study highlights the significant impact of nursing staff levels on patient outcomes in ICUs, showing that lower nurse-to-patient ratios were linked to higher complication rates, longer stays, and increased mortality. Recommendations: Implement evidence-based nurse-to-patient ratios, develop national ICU staffing standards, invest in recruitment, retention, and ongoing training.

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