Title : The association between nursing human resources investment and patient outcomes in intensive care Unit
Background: The Intensive Care Unit (ICU) is a special place for the centralized treatment and monitoring of all kinds of critically ill patients. Nursing human resource allocation not only affects the quality of nursing services, but also directly affects patient safety. ICU patients are in critical condition, their condition may change at any time, and the patients' poor self-care ability makes life care relatively more demanding, and the nursing task is especially heavy. The investment of nursing human resources is directly related to the prognosis of ICU patients. Therefore, the rational allocation and investment of nursing resources, identifying factors related to nursing resources at various levels can help improve these outcomes.
Objective: This study aims to explore the association of nursing human resources investment with outcomes of ICU patients. We also identified factors associated with nursing resource investment.
Method: Systematic literature searches of PubMed, Embase, Cochrane Library, Web of Science, Chinese Biomedical Databases (CBM) and Open Grey will be performed, with no restrictions on the year of publication or language. We will include studies on the impact of nursing human resources (e.g., nurse-patient ratios, nurses' education levels, training, and experience). Study selection, data extraction and assessment of study bias will be conducted independently by a pair of independent reviewers. The Cochrane Risk of Bias Tool (ROB) and Newcastle-Ottawa Scale (NOS) tool will be used for the risk of bias assessment. The Grading of Recommendations Assessment Development and Evaluation (GRADE) system will be used to assess the quality of evidence. Meta-analysis will perform with R software. Outcomes of interest included pain intensity, mortality and adverse events.
Results: The results of this study will be published in a peer-reviewed journal.
Conclusion: The findings of this review will provide meaningful conclusions and high-quality evidence for clinical practice and further research. It can provide a basis for managers to quickly, effectively and rationally allocate ICU nursing human resources?meet the different needs of ICU patients, and improv the prognosis of patients.
Keywords: Nursing resources, Intensive care units, Outcome’s assessment