Document Detail

Quality outcomes of hospital supplemental nurse staffing.
MedLine Citation:
PMID:  23151931     Owner:  NLM     Status:  MEDLINE    
Use of supplemental RNs (SRNs) is common practice among US hospitals to fill gaps in nurse staffing. The objective of this study was to examine the relationship between use of SRNs and patient outcomes. Multilevel modeling was performed to analyze hospital administrative data from 19 hospital units in a large tertiary medical center for the years 2003 to 2006. Patient outcomes included in-hospital mortality, medication errors, falls, pressure ulcers, and patient satisfaction with nurses. Use of SRNs ranged from 0% to 30.4% of total RN hours per unit quarter. Among 188 of the 304 unit quarters in which SRNs were used, the average SRN use was 9.8% in non-ICUs and 6.4% in ICUs. All observed effects of SRN use on patient outcomes were nonsignificant. Use of SRNs was substantial and varied widely by unit. No evidence was found that links SRN use to either adverse or positive patient outcomes.
Ying Xue; Linda H Aiken; Deborah A Freund; Katia Noyes
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nursing administration     Volume:  42     ISSN:  1539-0721     ISO Abbreviation:  J Nurs Adm     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-15     Completed Date:  2013-01-08     Revised Date:  2013-04-26    
Medline Journal Info:
Nlm Unique ID:  1263116     Medline TA:  J Nurs Adm     Country:  United States    
Other Details:
Languages:  eng     Pagination:  580-5     Citation Subset:  AIM; IM; N    
School of Nursing, University of Rochester, New York.
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MeSH Terms
Accidental Falls / statistics & numerical data
Hospital Mortality
Hospital Units / organization & administration*,  statistics & numerical data
Medication Errors / statistics & numerical data
Multilevel Analysis
Nursing Administration Research
Nursing Evaluation Research
Nursing Staff, Hospital / organization & administration*,  supply & distribution
Outcome Assessment (Health Care)*
Patient Satisfaction / statistics & numerical data
Personnel Staffing and Scheduling / organization & administration*
Pressure Ulcer / epidemiology
Quality of Health Care*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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