Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study

BackgroundFew studies have captured the impact of inadequate nurse staffing levels and broader health patient conditions in admitted patients during the COVID-19 pandemic. We aimed to determine the association between nurse staffing coverage, care complexity individual factors (CCIFs) and adverse ev...

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Autores: Adamuz, Jordi, González Samartino, Maribel, Jiménez Martínez, Emilio, Tapia Pérez, Marta, López Jiménez, María Magdalena, Valero Valdelvira, Patricia, Zuriguel Pérez, Esperanza, Berbis Morelló, Carme, Asensio Flores, Susana, Juvé Udina, Eulàlia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/222220
Acceso en línea:https://hdl.handle.net/2445/222220
Access Level:acceso abierto
Palabra clave:Administració dels serveis d'infermeria
COVID-19
Nursing services administration
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spelling Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional studyAdamuz, JordiGonzález Samartino, MaribelJiménez Martínez, EmilioTapia Pérez, MartaLópez Jiménez, María MagdalenaValero Valdelvira, PatriciaZuriguel Pérez, EsperanzaBerbis Morelló, CarmeAsensio Flores, SusanaJuvé Udina, EulàliaAdministració dels serveis d'infermeriaCOVID-19Nursing services administrationCOVID-19BackgroundFew studies have captured the impact of inadequate nurse staffing levels and broader health patient conditions in admitted patients during the COVID-19 pandemic. We aimed to determine the association between nurse staffing coverage, care complexity individual factors (CCIFs) and adverse events (AEs) in patients admitted with COVID-19.MethodsA multicentre cross-sectional study was conducted from March 1, 2020 to March 31, 2022 at eight public health hospitals in Spain. All patients with COVID-19 who were admitted to these hospitals were included. The main variables included AEs, nurse staffing coverage (as measured using the ATIC patient classification system) and CCIFs to evaluate broader patient health conditions. Adjusted logistic models were performed to identify associations with AEs, stratified by patients admitted to wards and hospitalized patients who required admission to intensive care units (ICUs).ResultsA total of 11,968 hospitalized patients, 2,824 (23.6%) experienced AEs. Multivariate analysis showed that higher levels of nurse staffing coverage protected against AEs. Among patients admitted to acute wards, the independent risk factors for AEs included old age, haemodynamic instability, chronic disease, uncontrolled pain, urinary or faecal incontinence and mental status impairments. In addition to these factors, extreme weight, position impairment and communication disorders were factors associated with AEs in patients who required ICU admission.ConclusionsNurse staffing coverage was a protective factor for AEs. Several CCIFs related to comorbidity/complications, developmental, and mental-cognitive domains were strongly associated with AEs. Therefore, ensuring safe nurse staffing levels could be improve patient outcomes.Springer Science and Business Media LLC2025202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion12 p.application/pdfhttps://hdl.handle.net/2445/222220Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/s12912-025-03142-5BMC Nursing, 2025, vol. 24, 520https://doi.org/10.1186/s12912-025-03142-5cc-by-nc-nd (c) Adamuz Tomás, Jordi et al., 2025http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2222202026-05-29T05:05:01Z
dc.title.none.fl_str_mv Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
title Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
spellingShingle Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
Adamuz, Jordi
Administració dels serveis d'infermeria
COVID-19
Nursing services administration
COVID-19
title_short Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
title_full Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
title_fullStr Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
title_full_unstemmed Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
title_sort Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study
dc.creator.none.fl_str_mv Adamuz, Jordi
González Samartino, Maribel
Jiménez Martínez, Emilio
Tapia Pérez, Marta
López Jiménez, María Magdalena
Valero Valdelvira, Patricia
Zuriguel Pérez, Esperanza
Berbis Morelló, Carme
Asensio Flores, Susana
Juvé Udina, Eulàlia
author Adamuz, Jordi
author_facet Adamuz, Jordi
González Samartino, Maribel
Jiménez Martínez, Emilio
Tapia Pérez, Marta
López Jiménez, María Magdalena
Valero Valdelvira, Patricia
Zuriguel Pérez, Esperanza
Berbis Morelló, Carme
Asensio Flores, Susana
Juvé Udina, Eulàlia
author_role author
author2 González Samartino, Maribel
Jiménez Martínez, Emilio
Tapia Pérez, Marta
López Jiménez, María Magdalena
Valero Valdelvira, Patricia
Zuriguel Pérez, Esperanza
Berbis Morelló, Carme
Asensio Flores, Susana
Juvé Udina, Eulàlia
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Administració dels serveis d'infermeria
COVID-19
Nursing services administration
COVID-19
topic Administració dels serveis d'infermeria
COVID-19
Nursing services administration
COVID-19
description BackgroundFew studies have captured the impact of inadequate nurse staffing levels and broader health patient conditions in admitted patients during the COVID-19 pandemic. We aimed to determine the association between nurse staffing coverage, care complexity individual factors (CCIFs) and adverse events (AEs) in patients admitted with COVID-19.MethodsA multicentre cross-sectional study was conducted from March 1, 2020 to March 31, 2022 at eight public health hospitals in Spain. All patients with COVID-19 who were admitted to these hospitals were included. The main variables included AEs, nurse staffing coverage (as measured using the ATIC patient classification system) and CCIFs to evaluate broader patient health conditions. Adjusted logistic models were performed to identify associations with AEs, stratified by patients admitted to wards and hospitalized patients who required admission to intensive care units (ICUs).ResultsA total of 11,968 hospitalized patients, 2,824 (23.6%) experienced AEs. Multivariate analysis showed that higher levels of nurse staffing coverage protected against AEs. Among patients admitted to acute wards, the independent risk factors for AEs included old age, haemodynamic instability, chronic disease, uncontrolled pain, urinary or faecal incontinence and mental status impairments. In addition to these factors, extreme weight, position impairment and communication disorders were factors associated with AEs in patients who required ICU admission.ConclusionsNurse staffing coverage was a protective factor for AEs. Several CCIFs related to comorbidity/complications, developmental, and mental-cognitive domains were strongly associated with AEs. Therefore, ensuring safe nurse staffing levels could be improve patient outcomes.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/222220
url https://hdl.handle.net/2445/222220
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12912-025-03142-5
BMC Nursing, 2025, vol. 24, 520
https://doi.org/10.1186/s12912-025-03142-5
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Adamuz Tomás, Jordi et al., 2025
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Adamuz Tomás, Jordi et al., 2025
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Science and Business Media LLC
publisher.none.fl_str_mv Springer Science and Business Media LLC
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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