Nurse staffing in critical access hospitals: Structural factors linked to quality care

Journal of Nursing Care Quality

Volumn 26, Issue 4, 2011, Pages 335-343

  Cramer, Mary E ^a   Jones, Katherine J ^a   Hertzog, Melody ^b  

^a UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

^b UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

critical access hospital; nurse staffing; patient safety; quality care; rural

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HOSPITAL; HUMAN; NURSING EVALUATION RESEARCH; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; STANDARD; TREATMENT OUTCOME; UNITED STATES;

HOSPITALS, RURAL; HUMANS; NEBRASKA; NURSING EVALUATION RESEARCH; NURSING STAFF, HOSPITAL; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PERSONNEL STAFFING AND SCHEDULING; QUALITY OF HEALTH CARE;

EID: 80052738391     PISSN: 10573631     EISSN: None     Source Type: Journal    
DOI: 10.1097/NCQ.0b013e318210d30a     Document Type: Article

References (35)

1. Friese C, Lake E, Aiken L, Silber J, Sochalski J. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Serv Res. 2008;43(4):1145-1163. (Pubitemid 352019144)
2. Tourangeau AE, Doran DM, Hall LM, et al. Impact of hospital nursing care on 30-day mortality for acute medical patients. J Adv Nurs. 2007;57(1):32-44. (Pubitemid 44973839)
3. Cheung R, Aiken L. Hospital initiatives to support a better-educated workforce. J Nurs Adm. 2006;36(7-8):357-362. (Pubitemid 44221811)
4. Needleman J, Buerhaus P, Stewart M, Zelevinsky K, Mattke S. Nurse staffing in hospitals: is there a business case for quality? Health Aff. 2006;25(1):204-211. (Pubitemid 43202443)
5. Estabrooks C, Midodzi W, Cummings G, Ricker K, Giovannetti P. The impact of hospital nursing characteristics on 30-day mortality. Nurs Res. 2005;54(2):74-84. (Pubitemid 40528985)
6. Person S, Allison J, Kiefe C, et al. Nurse staffing mortality for Medicare patients with acute myocardial infarction. Med Care. 2004;42(1):4-12.
7. Aiken L, Clarke S, Cheung R, Sloane D, Silber J. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. (Pubitemid 37430386)
8. Schilling P, Campbell D, Englesbe M, Davis M. A comparisonof in-hospital mortality risk conferred by high hospital occupancy, differences in nurse staffing levels, weekend admission, and seasonal influenza. Med Care. 2010;48(3):224-232.
9. Naylor M, Pauly M. Ten years later: look to nurses as champions of patient safety. Kaiser Health News. http://www.kaiserhealthnews.org/Columns/ 2009/December/1210NaylorPauly.aspx. Accessed May 27, 2010.
10. Kutney-Lee A, McHugh M, Slaone D, Cimiotti J, Flynn L, Aiken L. Nursing: a key to patient satisfaction. Health Aff. 2009;28(4):669-677.
11. Clark PA, Leddy K, Drain M, Kaldenberg D. State nursing shortages and patient satisfaction: more RNs-better patient experiences. J Nurs Care Qual. 2007;22(2):119-127.
12. Rambur B, McIntosh B, Palumbo M, Reinier K. Education as a determinant of career retention and job satisfaction among registered nurses. J Nurs Scholarsh. 2005;37(2):185-192. (Pubitemid 41638492)
13. National Quality Forum (NQF). National Quality Forum (NQF) Endorsed Nursing-Sensitive Care Performance measures. http://www.jointcommission.org/ nationalqualityforumnqfendorsednursingsensitivecareperformancemeasures/. Accessed March 7, 2011.
14. Centers for Medicare & Medicaid Services. Hospital-acquired conditions (present on admission indicator). https://www.cms.gov/ HospitalAcqCond/. Accessed July 15, 2010.
15. Flex Monitoring Team. CAH Information. http://www.flexmonitoring.org/ cahlistRA.cgi. Accessed October 11, 2010.
16. CMS Fact Sheet: Critical Access Hospital. https://www.cms.gov/ MLNProducts/downloads/CritAccess Hospfctsht.pdf. Accessed December 20, 2010.
17. Rural Assistance Center. Critical access hospitals. http://www.raconline. org/info guides/hospitals/cah.php. Accessed March 9, 2008.
18. Frontier Education Center. Addressing the Nursing Shortage Impacts and Innovations in Frontier America. Ojo Sarco, NM: Frontier Education Center National Clearing; 2004.
19. Newhouse R. Exploring nursing issues in rural hospitals. J Nurs Adm. 2005;35(7-8):350-358. (Pubitemid 41134345)
20. Glasser M, Peters K, MacDowell M. Rural Illinois hospital chief executive officers'perceptions of provider shortages and issues in rural recruitment and retention. J Rural Health. 2006;22(1):59-62.
21. Blegen M, Vaughn T, Vojir C. Nurse staffing levels: impact of organizational characteristics and registered nurse supply. Health Serv Res. 2008;43(1):154-173. (Pubitemid 351601523)
22. Cramer M, Nienaber J, Helget P, Agrawal S. Comparative analysis of urban and rural nursing workforce shortages in Nebraska hospitals. Policy Polit Nurs Pract. 2006;7(4):248-260.
23. Buerhaus P, Donelan K, Ulrich B, Norman L, DesRoches C, Dittus R. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff. 2007;26(3):853-862.
24. Buerhaus P, Donelan K, Ulrich B, Norman L, Williams M, Dittus R. Hospital RNs' and CNOs' perceptions of the impact of the nursing shortage on the quality of care. Nurs Econ. 2005;23(5):214-221. (Pubitemid 41582637)
25. American Nurses Association. Poll indicates that staffing problems driving nurses from positions. http://www.safestaffingsaveslives.org/WhatisANA Doing/PollResults/Safe-Staffing-Poll-Results.aspx. Accessed October 26, 2009.
26. Jones KJ, Skinner A, Xu L, Sun J, Mueller K. The AHRQ hospital survey on patient safety culture: a tool to plan and evaluate patient safety programs. In: Henriksen K, Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches. vol 1. AHRQ Publication No 08-0034-2. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
27. California Nurses Association/National Nurses Organizing Committee. The Ratio Solution: RN to Patient Ratios Work-Better Care, More Nurses. http://nurses.3cdn.net/cd91f6731ee0c22b41 uqm6yx8dy.pdf. Accessed March 7, 2011.
28. Dillman DA. Mail and Internet Surveys: The Tailored Design Method. New York, NY: John Wiley & Sons; 2000.
29. Upenieks V, Akhavan J, Kotlerman J, Esser J, Ngo M. Value-added care: a new way of assessing nursing staffing ratios and workload variability. J Nurs Adm. 2007;37(5):243-252.
30. Biron A, Lavoie-Tremblay M, Loiselle C. Characteristics of work interruptions during medication administration. J Nurs Scholarsh. 2009;41(4):330-336.
31. Thomson M, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266-272.
32. Briggs LA, Brown H, Kesten K, Heath J. Certification. A benchmark for critical care nursing excellence. Crit Care Nurs. 2006;26(6):47-53.
33. Aiken L, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital are environment on patient mortality and nurse outcomes. J Nurs Adm. 2008;38(5):223-229.
34. The Institute of Medicine/Robert Wood Johnson Foundation. The future of nursing: Leading change, advancing health. National Academies Press. 2010. http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing- Health.aspx. Accessed March 7, 2011.
35. Buerhaus P. Avoiding mandatory hospital nurse staffing ratios: an economic commentary. Nurs Outlook. 2009;57(2):107-112.