| Quality outcomes of hospital supplemental nurse staffing. | |
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MedLine Citation:
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PMID: 23151931 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ying Xue; Linda H Aiken; Deborah A Freund; Katia Noyes |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of nursing administration Volume: 42 ISSN: 1539-0721 ISO Abbreviation: J Nurs Adm Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-11-15 Completed Date: 2013-01-08 Revised Date: 2013-04-26 |
Medline Journal Info:
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Nlm Unique ID: 1263116 Medline TA: J Nurs Adm Country: United States |
Other Details:
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Languages: eng Pagination: 580-5 Citation Subset: AIM; IM; N |
Affiliation:
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School of Nursing, University of Rochester, New York. ying_xue@urmc.rochester.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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statistics & numerical data Hospital Mortality Hospital Units / organization & administration*, statistics & numerical data Humans 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 | |
ID/Acronym/Agency:
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UL1 RR024160/RR/NCRR NIH HHS; UL1 RR024160/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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