The Effect of Multi-Unit Hospitalizations on Nursing Interventions and Healthcare Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/148696
Type:
Presentation
Title:
The Effect of Multi-Unit Hospitalizations on Nursing Interventions and Healthcare Outcomes
Abstract:
The Effect of Multi-Unit Hospitalizations on Nursing Interventions and Healthcare Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Kanak, Mary F., RN, APRN, BC
P.I. Institution Name:University of Iowa
Title:Doctoral Candidate
Co-Authors:Marita Titler, PhD, RN, FAAN; Leah L. Shever, RN; Qiang Fei, MA; Joanne McCloskey Dochterman, PhD, RN, FAAN; Debra M. Picone, PhD
[Scientific session research presentation] Concern has been verbalized that quality of care is compromised by patient "hand-offs" between healthcare providers. Patient hand-offs occur repeatedly as patients move between units during hospitalization. This study examined the effect of patient residence on multiple units during hospitalization upon selected nursing care indicators and quality outcomes. The sample was comprised of 7,851 acute-care patients, (superscript 3) 60 years old, at risk for falling while hospitalized at a Midwest academic medical center. The data were obtained from a data repository that had been constructed for a larger funded study of nursing outcomes effectiveness research. The independent variable was the number of units on which the patient resided during hospitalization. The dependent variables were: 1) the use rates for the nursing interventions of Patient Teaching and Discharge Planning, 2) length of stay, 3) total hospital costs, 4) nosocomial infection, 5) adverse occurrence, 6) mortality, 7) fall, 8) medication error, and 9) discharge disposition.  The control variables were the primary medical diagnosis, comorbid medical conditions, and severity of illness. The analysis consisted of general linear model analysis for the continuous dependent variables and binary logistic regression analysis for the dichotomous dependent variables. The number of units per hospitalization variable was associated (p < .001) with all dependent variables except for mortality. An increasing number of units per hospitalization was associated with: 1) decreased use rate for Patient Teaching and Discharge Planning, 2) increased length of stay and total hospital cost, 3) an increase in the odds that an infection, adverse occurrence, fall, or medication error would occur during hospitalization, and 4) a decrease in the odds that the patient would be discharged to home. The findings of this study suggest that care and quality may be compromised as patients are handed-off between, and reside on, multiple units during hospitalization.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Effect of Multi-Unit Hospitalizations on Nursing Interventions and Healthcare Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148696-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Effect of Multi-Unit Hospitalizations on Nursing Interventions and Healthcare Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kanak, Mary F., RN, APRN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">maryfkanak@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marita Titler, PhD, RN, FAAN; Leah L. Shever, RN; Qiang Fei, MA; Joanne McCloskey Dochterman, PhD, RN, FAAN; Debra M. Picone, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Concern has been verbalized that quality of care is compromised by patient &quot;hand-offs&quot; between healthcare providers. Patient hand-offs occur repeatedly as patients move between units during hospitalization. This study examined the effect of patient residence on multiple units during hospitalization upon selected nursing care indicators and quality outcomes. The sample was comprised of 7,851 acute-care patients, (superscript 3) 60 years old, at risk for falling while hospitalized at a Midwest academic medical center. The data were obtained from a data repository that had been constructed for a larger funded study of nursing outcomes effectiveness research. The independent variable was the number of units on which the patient resided during hospitalization. The dependent variables were: 1) the use rates for the nursing interventions of Patient Teaching and Discharge Planning, 2) length of stay, 3) total hospital costs, 4) nosocomial infection, 5) adverse occurrence, 6) mortality, 7) fall, 8) medication error, and 9) discharge disposition.&nbsp; The control variables were the primary medical diagnosis, comorbid medical conditions, and severity of illness. The analysis consisted of general linear model analysis for the continuous dependent variables and binary logistic regression analysis for the dichotomous dependent variables. The number of units per hospitalization variable was associated (p &lt; .001) with all dependent variables except for mortality.&nbsp;An increasing number of units per hospitalization was associated with: 1) decreased use rate for Patient Teaching and Discharge Planning, 2) increased length of stay and total hospital cost, 3) an increase in the odds that an infection, adverse occurrence, fall, or medication error would occur during hospitalization, and 4) a decrease in the odds that the patient would be discharged to home. The findings of this study suggest that care and quality may be compromised as patients are handed-off between, and reside on, multiple units during hospitalization.</td></tr></table>en_GB
dc.date.available2011-10-26T09:49:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:49:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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