The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
A Longitudinal Examination of Hospital Registered Nurse Staffing and Quality of Care
Open accessAbstract
Objective. To evaluate previous research findings of the relationship between nurse staffing and quality of care by examining the effects of change in registered nurse staffing on change in quality of care. Data Sources/Study Setting. Secondary data from the American Hospital Association (AHA)(nurse staffing, hospital characteristics), InterStudy and Area Resource Files (ARF) (market characteristics), Centers for Medicare and Medicaid Services (CMS) (financial performance), and Healthcare Cost and Utilization Project (HCUP) (quality measures—in‐hospital mortality ratio and the complication ratios for decubitus ulcers, pneumonia, and urinary tract infection, which were risk‐adjusted using the Medstat® disease staging algorithm). Study Design. Data from a longitudinal cohort of 422 hospitals were analyzed from 1990–1995 to examine the relationships between nurse staffing and quality of care. Data Collection/Extraction Methods. A generalized method of moments estimator for dynamic panel data was used to analyze the data. Principal Findings. Increasing registered nurse staffing had a diminishing marginal effect on reducing mortality ratio, but had no consistent effect on any of the complications. Selected hospital characteristics, market characteristics, and financial performance had other independent effects on quality measures. Conclusions. The findings provide limited support for the prevailing notion that improving registered nurse (RN) staffing unconditionally improves quality of care.
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Cites
Hospital Characteristics and Mortality Rates
Hartz, A. J., Krakauer, H., Kuhn, E. M., Young, M., Jacobsen, S. J., Gay, G., Muenz, L., Katzoff, M., Bailey, R. C., & Rimm, A. A. (1989) · New England Journal of Medicine · doi:10.1056/nejm198912213212506 · Cited by 513
Cited by
Nurse Staffing and Inpatient Hospital Mortality
Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1001025 · Cited by 942
Nurse Staffing In Hospitals: Is There A Business Case For Quality?
Needleman, J., Buerhaus, P. I., Stewart, M., Zelevinsky, K., & Mattke, S. (2006) · Health Affairs · doi:10.1377/hlthaff.25.1.204 · Cited by 300
Nurses' Work Schedule Characteristics, Nurse Staffing, and Patient Mortality
Trinkoff, A. M., Johantgen, M., Storr, C. L., Gurses, A. P., Liang, Y., & Han, K. (2011) · Nursing Research · doi:10.1097/nnr.0b013e3181fff15d · Cited by 208
Queenan, C. C., Angst, C. M., & Devaraj, S. (2011) · Journal of Operations Management · doi:10.1016/j.jom.2011.03.001 · Cited by 77
Thornlow, D. K., Anderson, R., & Oddone, E. (2009) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.06.015 · Cited by 74
Metadata
- Authors
- Mark, B. A., Harless, D. W., McCue, M., & Xu, Y.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2004-02-20
- Volume
- 39
- Issue
- 2
- Pages
- 279-300
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- OpenAlex
- W2124312569
- Cited by
- 230
- References
- 1
- FWCI
- 71.76
- Type
- journal article
- Language
- en
- Open access
- green
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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