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来源类型Publication
An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences between Cross-Sectional and Longitudinal Estimates
Grant R. Martsolf; Teresa B. Gibson; Richele Benevent; H. Joanna Jiang; Carol Stocks; Emily D. Ehrlich; Ryan Kandrack; and David I. Auerbach
发表日期2016-12-01
出版者Health Services Research, vol. 51, issue 6
出版年2016
语种英语
概述This article presents findings to study the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.\n",
摘要

Objective. To study the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.

Data Sources. State hospital financial and utilization reports, Healthcare Cost and Utilization Project State Inpatient Databases, HCAHPS survey, and American Hospital Association Annual Survey of Hospitals.

Study Design. Retrospective study using cross-sectional and longitudinal models to estimate the effect of nurse staffing levels and skill mix on seven HCAHPS measures.

Data Collection/Extraction Methods. Hospital-level data measuring nurse staffing, patient experience, and hospital characteristics from 2009 to 2011 for 341 hospitals (977 hospital years) in California, Maryland, and Nevada.

Principal Findings. Nurse staffing level (i.e., number of licensed practical nurses and registered nurses per 1,000 inpatient days) was significantly and positively associated with all seven HCAHPS measures in cross-sectional models and three of seven measures in longitudinal models. Nursing skill mix (i.e., percentage of all staff who are registered nurses) was significantly and negatively associated with scores on one measure in cross-sectional models and none in longitudinal models.

Conclusions. After controlling for unobserved hospital characteristics, the positive influences of increased nurse staffing levels and skill mix were relatively small in size and limited to a few measures of patients' inpatient experience.

URLhttps://www.mathematica.org/our-publications-and-findings/publications/an-examination-of-hospital-nurse-staffing-and-patient-experience-with-care
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/488714
推荐引用方式
GB/T 7714
Grant R. Martsolf,Teresa B. Gibson,Richele Benevent,et al. An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences between Cross-Sectional and Longitudinal Estimates. 2016.
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