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Implications for practice and research
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The level of nurse staffing influences the priority nurses give to surveillance; nursing units should be adequately staffed to support the surveillance of all patients.
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Managers should routinely check with staff nurses to learn which patients they are monitoring most frequently.
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Nurses caring for postoperative patients should give extra attention to patients with comorbidities.
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Nursing systems research should focus on the pathways through which nursing system features influence care processes and patient outcomes.
Context
Over the past decade, considerable evidence from cross-sectional studies has established that patient outcomes are better in hospitals with better nursing features, with staffing being the dominant feature studied.1 Other prominent …
Footnotes
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Competing interests None.
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