Evidence map›Paper›PMID 34240461›Full record

ArticleJournal of advanced nursing2022

Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.

Stephanie A Andel, Archana M Tedone, Winny Shen, Maryana L Arvan

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Older Black Lesbians' Needs and Expectations in Relation to Long-Term Care Facility Use.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Stephanie A AndelDepartment of Psychology, Indiana University - Purdue University Indianapolis, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0002-9363-4058
Archana M TedoneDepartment of Psychology, University of Baltimore, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-1058-5132
Winny ShenSchulich School of Business, York University, Toronto, Canada.ORCID https://orcid.org/0000-0001-6238-0051
Maryana L ArvanDepartment of Psychology, University of North Carolina - Charlotte, Charlotte, NC, USA.ORCID https://orcid.org/0000-0003-0117-5593
University of Baltimore · USUniversity of Indianapolis · USUniversity of North Carolina at Charlotte · USYork University · CA

Funding

Office for the Vice President for Research, Indiana University
6 · The paper itself

Abstract

aimThe aim of this study was to investigate the processes through which personnel understaffing and expertise understaffing jointly shape near misses among nurses during the COVID-19 pandemic.

backgroundInadequate staffing is a chronic issue within the nursing profession, with the safety consequences of understaffing likely being exacerbated by the COVID-19 pandemic.

designThis study used a three-wave, time-separated survey design and collected data from 120 nurses in the United States working on the frontline of the pandemic in hospital settings.

methodsParticipants were recruited through convenience sampling in early April 2020. Eligible nurses completed three surveys across a 6-week period during the COVID-19 pandemic from mid-April to the end of May 2020. Study hypotheses were tested with path analyses. RESULTS/

findingsResults reveal that personnel understaffing and expertise understaffing jointly shape near misses, which are known to precede and contribute to accidents and injuries, through different mechanisms. Specifically, personnel understaffing led to greater use of safety workarounds, which only induced near misses when cognitive failures were high. Further, higher levels of cognitive failures appeared to be the result of greater expertise understaffing.

conclusionThis study highlights the importance of addressing issues of understaffing, especially during times of crisis, to better promote nurse and patient safety. IMPACT: This study was the first to examine the distinct mechanisms by which two forms of understaffing impact safety outcomes in the form of near misses. Understanding these mechanisms can help leaders and policymakers make informed staffing decisions by considering the safety implications of understaffing issues.

Indexed as

COVID-19PandemicsHospitalsHumansSARS-CoV-2United StatesWorkforcecognitive failuresCOVID-19near missesnursessafety workaroundsunderstaffing

Identifiers

PMID34240461
PMCPMC8450811
OpenAlexW3182418463

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.