Associations of safe nurse staffing coverage and care complexity factors with nursing-sensitive adverse events in cardiac inpatients: a cross-sectional multicenter study - Summary - MDSpire

Associations of safe nurse staffing coverage and care complexity factors with nursing-sensitive adverse events in cardiac inpatients: a cross-sectional multicenter study

  • By

  • Susana Asensio-Flores

  • Jordi Adamuz

  • Rosa Soldevila-Cases

  • Mònica Castellà-Creus

  • Esperanza Zuriguel-Perez

  • Oliver Polushkina-Merchanskaya

  • Pilar Delgado-Hito

  • Maria-Eulàlia Juvé-Udina

  • June 12, 2026

  • 0 min

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Objective:

To examine the associations between safe nurse staffing coverage, care complexity factors, and nursing-sensitive adverse events (AEs) in patients hospitalized for cardiac conditions.

Key Findings:
  • 11.4% of the 6,873 patients experienced one of the studied nursing-sensitive AEs, with APE being the most common at 5%.
  • Mean nurse staffing coverage was 64.3%, with the highest coverage in step-down units (97.7%).
  • Independent risk factors for nursing-sensitive AEs included old age, consciousness disorders, chronic disease, hemodynamic instability, and transmissible infection.
Interpretation:

Remove this section or revise to reflect only findings directly from the study.

Limitations:
  • The study was limited to three hospitals in Catalonia, which may affect generalizability.
  • Data were collected retrospectively from electronic health records, which may introduce biases.
Conclusion:

Remove this section or revise to reflect only the findings without unsupported implications.

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