The Impact of Nursing Care Hours, Use of Temporary Nursing Staff, and Nurse Turnover on Patient Outcomes in Acute Care Hospital Units

2.50
Hdl Handle:
http://hdl.handle.net/10755/304524
Category:
Abstract
Type:
Presentation
Title:
The Impact of Nursing Care Hours, Use of Temporary Nursing Staff, and Nurse Turnover on Patient Outcomes in Acute Care Hospital Units
Author(s):
Bae, Sung-Heui
Lead Author STTI Affiliation:
Gamma Kappa
Author Details:
Sung-Heui Bae, PhD, MPH, RN, sbae7@buffalo.edu
Abstract:

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose:

Shortages in the nursing workforce are expected to have severe effects on quality of patient care in the U.S. Nursing shortages often lead to suboptimal staffing characteristics, which include lower nursing care hours, higher turnover, and higher use of temporary nursing staff. Previously, the impact of these suboptimal nurse staffing characteristics were distinctively evaluated. This study examines the extent to which nurse staffing characteristics jointly affect patient outcomes with both concurrent and lagged impact approaches.

Methods:

A secondary data analysis was conducted with data from the Western New York Center for Nursing Workforce and Quality. This data consisted of nursing unit level data on 109 nursing units from 8 hospitals located in New York State. Patient outcomes include patient falls, pressure ulcers, ventilator-associated pneumonia, central line associated blood stream infection and physical restraint prevalence. Nurse staffing was measured by nursing care hours per patient day, use of temporary nursing staff, and nurse turnover data. All patient outcome and nurse staffing data were collected quarterly for a year. Other hospital and nursing unit characteristics were also collected.

Results:

The quarterly mean of patient falls was 3.5 per 1,000 patient days. The restraint prevalence rate and pressure ulcer rate were 2% and 21%, respectively. The mean of RN nursing care hours per patient day was 7.4. The mean of nurse turnover rate was 7.2 %. In further analyses, we will test to what extent all of these suboptimal nurse staffing characteristics affect patient outcomes.

Conclusion:

The findings of this study will show whether suboptimal nurse staffing affect patient quality of care jointly. The ultimate goal of nurse staffing strategy is to provide quality of patient care with appropriate staffing resources. We will discuss how these comprehensive nurse staffing characteristics can enrich to measure nurse staffing and what effort should be made for successful staffing strategies.

Keywords:
temporary nursing staff; nurse turnover; nursing care hours
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Impact of Nursing Care Hours, Use of Temporary Nursing Staff, and Nurse Turnover on Patient Outcomes in Acute Care Hospital Unitsen_GB
dc.contributor.authorBae, Sung-Heuien_GB
dc.contributor.departmentGamma Kappaen_GB
dc.author.detailsSung-Heui Bae, PhD, MPH, RN, sbae7@buffalo.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304524-
dc.description.abstract<p>Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013</p><b>Purpose: </b> <p>Shortages in the nursing workforce are expected to have severe effects on quality of patient care in the U.S. Nursing shortages often lead to suboptimal staffing characteristics, which include lower nursing care hours, higher turnover, and higher use of temporary nursing staff. Previously, the impact of these suboptimal nurse staffing characteristics were distinctively evaluated. This study examines the extent to which nurse staffing characteristics jointly affect patient outcomes with both concurrent and lagged impact approaches. <p><b>Methods: </b> <p>A secondary data analysis was conducted with data from the Western New York Center for Nursing Workforce and Quality. This data consisted of nursing unit level data on 109 nursing units from 8 hospitals located in New York State. Patient outcomes include patient falls, pressure ulcers, ventilator-associated pneumonia, central line associated blood stream infection and physical restraint prevalence. Nurse staffing was measured by nursing care hours per patient day, use of temporary nursing staff, and nurse turnover data. All patient outcome and nurse staffing data were collected quarterly for a year. Other hospital and nursing unit characteristics were also collected. <p><b>Results: </b> <p>The quarterly mean of patient falls was 3.5 per 1,000 patient days. The restraint prevalence rate and pressure ulcer rate were 2% and 21%, respectively. The mean of RN nursing care hours per patient day was 7.4. The mean of nurse turnover rate was 7.2 %. In further analyses, we will test to what extent all of these suboptimal nurse staffing characteristics affect patient outcomes. <p><b>Conclusion: </b> <p>The findings of this study will show whether suboptimal nurse staffing affect patient quality of care jointly. The ultimate goal of nurse staffing strategy is to provide quality of patient care with appropriate staffing resources. We will discuss how these comprehensive nurse staffing characteristics can enrich to measure nurse staffing and what effort should be made for successful staffing strategies.en_GB
dc.subjecttemporary nursing staffen_GB
dc.subjectnurse turnoveren_GB
dc.subjectnursing care hoursen_GB
dc.date.available2013-10-22T20:37:59Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:37:59Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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.en_GB
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