Another potentially relevant finding is that ICUs with the highest bed occupancy had significantly (p < 0.05) lower infection rates, which would be consistent with the theory that nurse contact time with patients increases quality of care (Despins, Scott-Cawiezell, and Rouder, 2009)
This implies that more nursing assistants will not make up for a lack of RNs and LPNs. A longitudinal and cross-sectional study in Australia examined the effect of an equivalent RN:LPN:NA ratio in randomly selected medical, surgical, ICU, and emergency units in 19 hospitals (Duffield et al
They also controlled for the impact that patient turnover would have on nursing load and patient mortality. Staffing levels were generally found to be near target levels for most units, but 16% were more than 8 hours below target, including over 19% of ICUs (Needleman et al
The first is related to a specific type of omitted variable bias. "There is a relative amount of variation across various hospitals at the level of resources which are devoted to patient care" (Cimiotti, 2012)
Some other mishaps done by the nurses are as follows, the patient may fall very easily since it requires getting up on its own for restroom and if the nurse is not there for help. "Nurses are commonly known to reply to the patients that they don't want to bother them just so they can avoid their duty of service" (Blegen, 2011)
It could help the management implement a better work schedule for everyone as well as giving better advantages in terms of timesharing for its staff. "If the staffing is just appropriate enough to serve all the needs of the patients then the problem is just with maintenance rather than the overall management of resources" (Needleman, 2011)