Educational levels of hospital nurses and surgical patient mortality.
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Cites background from "Educational levels of hospital nurs..."
...In the multidisciplinary approach nursing care is essential to both adjust the care to both somatic and psychologic needs, and more attention should be paid to nurse specialization and overall nurse structure in surgical departments because the educational levels of nurses may have an important impact on postoperative morbidity and mortality.(122,123)...
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1,091 citations
Cites background from "Educational levels of hospital nurs..."
...95).(37,38,42,47,49,54,57,59) An increase by 1 RN FTE per patient day was associated with 7 fewer hospital-related deaths at patient and 3 deaths at hospital level analysis per 1000 hospitalized patients....
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...0001).(37,38,42,49,54,57) In the studies that measured the number of RN FTE per patient day, 1 additional RN FTE was associated with a significant decrease in hospital related mortality by 6% (OR, 0....
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...One large study suggests a 5% reduction in hospital-related morality in surgical patients corresponding to a 10% increase in RNs with BSN degrees.(54) Possible staffing decisions to improve quality of care would involve comparing existing RN ratios with estimated Medical Care • Volume 45, Number 12, December 2007 RN Staffing Levels and Patient Outcomes...
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References
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"Educational levels of hospital nurs..." refers methods in this paper
...With all patients and using the final fully adjusted models for predicting death and failure to rescue, the probabilities of poor outcomes were calculated for patients in hospitals assuming that 20%, 40%, and 60% of the hospital RNs held bachelor’s or master’s degrees and under various patient-to-nurse ratios (4, 6, and 8 patients per nurse), with all other patient and hospital characteristics unchanged.(28) All analyses were conducted using STATA version 7....
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4,911 citations
"Educational levels of hospital nurs..." refers background or methods or result in this paper
...Last year we reported the results of a study of 168 Pennsylvania hospitals showing that each additional patient added to the average workload of staff registered nurses (RNs) increased the risk of death following common surgical procedures by 7%, and that the risk of death was more than 30% higher in hospitals where nurses’ mean workloads were 8 patients or more each shift than in hospitals where nurses cared for 4 or fewer patients.(2) These findings are daunting given the widespread shortage of nurses, increasing concern about recruiting an adequate supply of new nurses to replace those expected to retire over the next 15 years,(3) and constrained hospital budgets....
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...The improved outcomes associated with higher levels of BSNs in a hospital was found to be independent of and additive to the associations of superior outcomes in hospitals with better nurse staffing we reported previously.(2) Thus, both lower patient-to-nurse ratios and having a majority of RNs educated at the baccalaureate level appear to be jointly associated with substantially lower mortality and failure-to-rescue rates for patients undergoing common surgical procedures....
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...We analyzed outcomes data derived from hospital discharge abstracts that were merged with information on the characteristics of the treating hospitals, including unique data obtained from surveys of hospital nurses.(2) The institutional review board of the University of Pennsylvania approved the study protocol....
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...A list of the diagnosis related groups studied was provided previously.(2) We examined the association between the educational attainments of nurses across hospitals and both deaths within 30 days of hospital admission (derived by linking discharge abstract data and Pennsylvania vital statistics data) and deaths within 30 days of admission among patients who experienced complications (failure to rescue)....
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...The sample consisted of 168 (80%) of the 210 adult acute-care general hospitals operating in Pennsylvania in 1999 that (1) reported surgical discharges to the Pennsylvania Health Care Cost Containment Council in the specific categories studied here, (2) had data on structural characteristics available from 2 external administrative databases (American Hospital Association [AHA] annual survey(18)...
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2,154 citations
"Educational levels of hospital nurs..." refers result in this paper
...Surveys were completed by 10184 nurses, an average of more than 60 nurses per hospital, and the 52% response rate compares favorably with other voluntary, anonymous surveys of health professionals.(20) We compared our data with information from the AHA annual survey and found that the number of nurses from each hospital responding to our survey was directly proportional to the number of RN positions in each hospital....
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2,069 citations