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The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin.
- Source :
-
American journal of perinatology [Am J Perinatol] 2014 Feb; Vol. 31 (2), pp. 119-24. Date of Electronic Publication: 2013 Mar 18. - Publication Year :
- 2014
-
Abstract
- Objective: To examine the relationship between nurse-to-patient staffing ratios and perinatal outcomes in women receiving oxytocin during labor.<br />Study Design: A retrospective analysis of perinatal outcomes in women receiving oxytocin for induction or augmentation of labor during 2010. Outcomes examined were fetal distress, birth asphyxia, primary cesarean delivery, chorioamnionitis, endomyometritis, and a composite of adverse events. Frequency of 1:1 nurse-to-patient staffing was determined for each hospital. Outcomes were compared between hospitals categorized into quartiles of staffing ratios.<br />Results: In 208,033 women delivering during 2010, there was no relation between frequency of 1:1 nurse-to-patient staffing ratio and improved perinatal outcomes. Adoption of universal 1:1 staffing in the United States would result in the need for an additional 27,000 labor nurses and a cost of $1.6 billion.<br />Conclusion: Available data do not support the imposition of mandatory 1:1 nurse-to-patient staffing ratios for women receiving oxytocin in all U.S. facilities.<br /> (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)
- Subjects :
- Asphyxia Neonatorum epidemiology
Costs and Cost Analysis
Female
Humans
Labor, Induced economics
Labor, Obstetric
Nursing Staff, Hospital economics
Pregnancy
Pregnancy Outcome
Retrospective Studies
United States
Workforce
Workload
Labor, Induced nursing
Nursing Staff, Hospital standards
Obstetrics and Gynecology Department, Hospital economics
Obstetrics and Gynecology Department, Hospital standards
Oxytocin therapeutic use
Personnel Staffing and Scheduling standards
Subjects
Details
- Language :
- English
- ISSN :
- 1098-8785
- Volume :
- 31
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 23508699
- Full Text :
- https://doi.org/10.1055/s-0033-1338175