2.50
Hdl Handle:
http://hdl.handle.net/10755/182403
Category:
Abstract
Type:
Presentation
Title:
The Link Between Nurse Staffing and Patient Outcomes
Author(s):
Blegen, Mary
Author Details:
Mary Blegen, RN, PhD, FAAN, University of California San Francisco, San Francisco, California, USA, email: mary.blegen@nursing.ucsf.edu
Abstract:
The purpose of this research was to estimate the impact of direct care nurse staffing hours on risk adjusted patient outcomes. Staffing variables included total hours per patient day (THPPD) and the proportion of those hourse provided by RN's. Ownership of the 54 hospitals varied with 8 community owned, 14 local government owned, 29 University owned, and 3 owned by a religious organization. Two sets of anlaysis were done; one for general adult units on patient outcomes and one for adult intensive care units on patient outcomes. The outcomes were all hospital level rates for all discharges.Where available, NQF nurse sensitive measures were studied. The predicted percent change in an outcome if nurse staffing in the hospitals were raised from the 25th percentile to the 75th percentile will be presented. Controlling for the effects of hospital characteristics, the staffing on general adult units was associated with the following outcomes: when THPPD was higher, there were lower rates of pressure ulcers, failure to rescue, and average LOS. On adult intensive care units, higher THPPD was associated with lower pressure ulcer rates and LOS. The higher the RN%, the lower the rates of post op spesis and failure to rescue. Magnet hospitals compared to non magnet hospitals had lower pressure ulcer rates but contrary to expectations some other patient outcomes were worse in Magnet hospitals. The correlations with education were quite promissing in that hospitals with a higher proportion of RN's with BSN or higher degree had better outcomes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Link Between Nurse Staffing and Patient Outcomesen_GB
dc.contributor.authorBlegen, Maryen_US
dc.author.detailsMary Blegen, RN, PhD, FAAN, University of California San Francisco, San Francisco, California, USA, email: mary.blegen@nursing.ucsf.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182403-
dc.description.abstractThe purpose of this research was to estimate the impact of direct care nurse staffing hours on risk adjusted patient outcomes. Staffing variables included total hours per patient day (THPPD) and the proportion of those hourse provided by RN's. Ownership of the 54 hospitals varied with 8 community owned, 14 local government owned, 29 University owned, and 3 owned by a religious organization. Two sets of anlaysis were done; one for general adult units on patient outcomes and one for adult intensive care units on patient outcomes. The outcomes were all hospital level rates for all discharges.Where available, NQF nurse sensitive measures were studied. The predicted percent change in an outcome if nurse staffing in the hospitals were raised from the 25th percentile to the 75th percentile will be presented. Controlling for the effects of hospital characteristics, the staffing on general adult units was associated with the following outcomes: when THPPD was higher, there were lower rates of pressure ulcers, failure to rescue, and average LOS. On adult intensive care units, higher THPPD was associated with lower pressure ulcer rates and LOS. The higher the RN%, the lower the rates of post op spesis and failure to rescue. Magnet hospitals compared to non magnet hospitals had lower pressure ulcer rates but contrary to expectations some other patient outcomes were worse in Magnet hospitals. The correlations with education were quite promissing in that hospitals with a higher proportion of RN's with BSN or higher degree had better outcomes.en_GB
dc.date.available2011-10-28T15:22:43Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:22:43Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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