ArticleJournal of advanced nursing2022
Staffing, teamwork and scope of practice: Analysis of the association with patient safety in the context of rehabilitation.
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 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Standardized Communication Across Interprofessional Teams: A Quality-Improvement Initiative to Support Nursing Staff Retention.Nursing reports (Pavia, Italy) · 2026Article
- Nurse staffing models that rely on employment of temporary nurses: A realist review.International journal of nursing studies advances · 2026Review
- Organising Nurse Work Environments: (Reshaped) Roles of Nursing Teams-A Qualitative Descriptive Study.Journal of advanced nursing · 2026Article
- The Relationship Between Missed Nursing Care and Nursing Teamwork in Jordan.Health care science · 2026Article
- Evaluation of nursing care delivery methods using in a university hospital: a qualitative study.Revista da Escola de Enfermagem da U S P · 2025Article
- The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses.Healthcare (Basel, Switzerland) · 2023Article
- Staffing, teamwork and scope of practice: Analysis of the association with patient safety in the context of rehabilitation.Journal of advanced nursing · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo describe the organization of nursing services (staffing, scope of practice, teamwork) and its association with medication errors and falls, in rehabilitation units.
backgroundThe healthcare system is greatly impacted by the ageing population and the complexity of care associated with chronic diseases. It is therefore necessary to have enough staff who are using their full scope of practice and who are operating in a favourable working environment. However, these conditions are not always met, which can lead to threats to patient safety.
designA correlational descriptive study.
methodsStaffing data and reported safety incidents were collected by shift from 01 October 2019 until 15 January 2020 in five rehabilitation units. In addition, a total of 75 nursing staff members responded to a missed care and teamwork survey. Descriptive analysis and logistic regression analysis were performed.
resultsThe mean staff hours per patient shift was 1.39 (SD = 0.60). The teams reported a global missed care score as 'rarely missed' at 1.14 (SD = 0.07) and a moderate teamwork score at 3.36 (SD = 0.58) on a five-point scale. The safety incidents decreased 10-fold with a predominance of bachelor compared with technician nurses and decreased by 67% when there was an increase of 1 h of care per patient shift.
conclusionsThis study showed that the organization of nursing services in the observed rehabilitation units is characterized by a moderate staffing intensity, a moderate perception of teamwork level and a relatively low level of missed care. It indicated the key role of the staffing in reducing the risk of occurrence of safety incidents. Future research specific to rehabilitation hospitals are greatly needed to improve patient outcomes in this setting. IMPACT: Nurse Managers should consider all the aspects of the organization of nursing services (staffing, scope of practice and teamwork) in their efforts to improve patient safety in rehabilitation settings. A central finding of this study is that the staffing intensity, the proportion of bachelor prepared nurses and the proportion of agency staff were positively associated with a reduction of safety incidents.
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