Increases in nurses' workloads, both in the emergency department and inpatient setting, were associated with more emergency department patients leaving against medical advice. When nurses care for more patients at a time, patients are attended to less frequently, which can result in more self-directed patient departures. Insufficient staffing in medical-surgical units contributes to longer length of stay and lower inpatient bed turnover. Hospital investments in safer staffing may reduce against medical advice departures.
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K Jane Muir
Daniela Golinelli
Karen B. Lasater
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Muir et al. (Thu,) studied this question.
www.synapsesocial.com/papers/6975b2c8feba4585c2d6e367 — DOI: https://doi.org/10.1016/j.jen.2025.12.009