Table 1

Nurse staffing and proportion of understaffed shifts, by staff category, unit type and shift

VariableICUsMedical unitsMed/Surg unitsStep-down unitsAll
Day shift
 No. of shifts27 33118 79310 01610 73166 871
 RN
 RN nursing hours/patients (mean (SD))11.5 (6.6)3.4 (2.2)2.6 (2.1)3.8 (1.6)6.7 (6.0)
 75% of RN staffing median7.82.11.82.84.5
 Understaffed shifts (%)13861010
 NS
 NS nursing hours/patients (mean (SD))2.3 (2.3)1.8 (1.0)2.0 (1.3)1.5 (0.8)2.0 (1.7)
 75% of NS staffing median1.41.31.41.11.3
 Understaffed shifts (%)2815182322
Night shift
 No. of shifts27 33118 79310 01610 73166 871
 RN
 RN nursing hours/patients (mean (SD))11.1 (6.6)3.2 (2.1)2.4 (2.0)3.7 (1.5)6.4 (5.9)
 75% of RN staffing median7.42.01.62.74.3
 Understaffed shifts (%)136389
 NS
 NS nursing hours/patients (mean (SD))1.9 (2.1)1.5 (1.0)1.6 (1.2)1.3 (0.7)1.6 (1.5)
 75% of NS staffing median1.21.01.21.01.1
 Understaffed shifts (%)2819172223
  • Understaffing defined as the staffing is lower than 75% of the shift median for each unit type and each type of nursing staff.

  • ICU, intensive care unit; NS, nursing supporting staff; RN, registered nurses.