Impact of Nurse-Patient Ratios on Patient Outcomes in Acute Care Settings in Mogadishu, Somalia

Nurse-patient ratios are critical in determining the quality of care in healthcare settings. In acute care environments, appropriate staffing levels can significantly influence patient safety, satisfaction, and overall health outcomes. In Somalia, particularly in Mogadishu, the healthcare system faces numerous challenges, including limited resources and high patient loads. Understanding the impact of nurse-patient ratios in this context is essential for improving care quality. This study aims to assess the impact of nurse-patient ratios on patient outcomes in acute care settings in Mogadishu, Somalia. Employing a mixed-methods approach, the research combines quantitative data from hospital records—focusing on mortality rates, readmission rates, and patient satisfaction—with qualitative insights gathered through semi-structured interviews with nurses regarding staffing challenges. A cross-sectional design encompasses a sample of 200 patients and 50 nurses, selected through stratified random sampling. Preliminary findings reveal significant disparities in nurse-patient ratios, with many nurses managing high patient loads, which correlates with increased patient complications and compromised care. While 60% of respondents felt the ratios were adequate, 66.7% noted a rise in complications tied to staffing levels. Recommendations include improving staffing levels, enhancing management support, providing ongoing training, strengthening communication, and addressing barriers to staffing. Overall, the study underscores the critical role of adequate nurse-patient ratios in enhancing patient care quality and safety in Somali healthcare settings.