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Pediatric Nursing Shortage

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Pediatric Nursing Shortage
LITERATURE REVIEW ON SAFE STAFFING FOR PEDIATRIC PATIENTS
Kathleen Van Allen, MSN, RN, CPN Chairperson, SPN Public Policy Committee

The Society of Pediatric Nurses (SPN) has been instrumental in advocating for high quality, culturally sensitive, and comprehensive care for children and families. The healthcare needs of pediatric patients present unique challenges due to different developmental stages, limited communication skills, and differences in epidemiology and approaches to treatment as compared to adults. Nurse staffing is a focus of major concern because of the impact of staffing patterns on patient safety and quality of care. The advent of managed care, shortened hospital stays, and public reporting of quality measures demand that healthcare organizations objectively define and assess the quality of care delivered to children and families. Registered Nurses are the primary caregivers within the healthcare setting and are the essential link in assisting patients and families with navigating and humanizing a highly technical and impersonal healthcare system. An organization’s commitment to high quality pediatric care is dependent upon appropriate staffing levels with adequately prepared nurses and the implementation of collaborative, evidence-based practice (Schwalenstocker, Bisarya, Lau, & Adebimpe, 2007). In 2007, members of the Public Policy Committee developed the Safe Staffing Position Statement. This document outlined recommendations for safe and effective nursing care for children and their families. The position statement was recently updated and is intended to serve as the framework to assist organizations providing care to children in the implementation of evidenced based staffing plans to promote high-quality care. It is imperative that schools of nursing, healthcare institutions and pediatric nurses utilize this document as a resource to ensure that appropriate education, training, resources and effective staffing plans are provided to ensure



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Position statement on family centered care content in the nursing education curriculum. Retrieved on-line: February 21, 2011. http://www.pedsnurses.org/component/option,com_docman/Itemid,222/task,doc_view/gid,193/ Society of Pediatric Nurses. (2007). Position statement on child health content in the undergraduate curriculum. Retrieved on-line: February 21, 2011. http://www.pedsnurses.org/component/option,com_docman/Itemid,222/task,doc_view/gid,102/. Stanton, M. W. (2004). Hospital nurse staffing and quality of care. Agency for Healthcare Research and Quality Research in Action Issue 14. Rockville, MD: AHRQ Pub. No. 04-0029. Stratton, K. M. (2008). Pediatric nurse staffing and quality of care in the hospital setting. Journal of Nursing Care Quality, 23(2); 105-114. Woodring, B. (Ed.). (1998). Standards and guidelines for pre-licensure and early professional education for nursing care of children and their families. DDHS, Bureau of MCH, Document #H112R77. Washington, DC: US Government Printing Office. Safe Staffing Position Statement initially developed: September 7, 2007 by the Public Policy Committee Revised by: Kathleen Van Allen, MSN, RN, CPN, February 2011 Co-Chair, Public Policy Committee Revisions approved by the Public Policy Committee on April 1, 2011 Approved by the SPN Board of Directors on September 2011

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