An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality

Health Affairs

Volumn 32, Issue 3, 2013, Pages 579-586

  Kutney Lee, Ann ^a   Sloane, Douglas M ^a   Aiken, Linda H ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; EMPLOYMENT; FEMALE; GENERAL SURGERY; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; NURSE; NURSING EDUCATION; NURSING STAFF; ORTHOPEDIC SURGERY; RETROSPECTIVE STUDY; SENSITIVITY ANALYSIS; SURGICAL MORTALITY; VASCULAR SURGERY;

CLINICAL COMPETENCE; EDUCATION, NURSING, BACCALAUREATE; HOSPITAL MORTALITY; HUMANS; NURSING STAFF, HOSPITAL; PATIENT OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATIONS; STATISTICS AS TOPIC; UNITED STATES;

EID: 84875046587     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0504     Document Type: Article

References (34)

1. Institute of Medicine. The future of nursing: leading change, advancing health. Washington (DC): National Academies Press; 2011.
2. Health Resources and Services Administration. The registered nurse population: initial findings from the 2008 National Sample Survey of Registered Nurses [Internet]. Rockville (MD): HRSA; 2010 Mar [cited 2013 Jan 24]. Available from: http://bhpr.hrsa .gov/healthworkforce/rnsurveys/ rnsurveyinitial2008.pdf
3. Aiken LH, Clarke SP, Cheung RB, Sloane DP, Silber JH. Education levels of hospital nurses and surgical patient mortality. JAMA. 2003; 290(12):1617-23.
4. Aiken LH, Cimiotti J, Sloane DM, Smith HL, Flynn L, Neff D. The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011; 49(12):1047-53.
5. Estabrooks CA, Midodzi WK, Cummings GG, Ricker KL, Giovannetti P. The impact of hospital nursing characteristics on 30-day mortality. Nurs Res. 2005;54(2): 74-84.
6. Friese CR, Lake ET, Aiken LH, Silber J, Sochalski JA. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Serv Res. 2008;43:1145-63.
7. Tourangeau AE, Doran DM, McGillis Hall L, O'Brien Pallas L, Pringle D, Tu JV, et al. Impact of hospital nursing care on 30-day mortality for acute medical patients. J Adv Nurs. 2006;57(1):32-44.
8. Van den Heede K, Lesaffre E, Diya L, Vleugels A, Clarke SP, Aiken LH, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Int J Nurs Stud. 2009;46(6): 796-803.
9. You LM, Aiken LH, Sloane DM, Liu K, He G, Hu Y, et al. Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. Int J Nurs Stud. 2013;50(2):154-61.
10. Sales A, Sharp N, Li YF, Lowy E, Greiner G, Liu CF, et al. The association between nursing factors and patient mortality in the Veterans Health Administration: the view from the nursing unit level. Med Care. 2008;46(9):938-45.
11. Kutney-Lee A, Lake ET, Aiken LH. Development of the hospital nurse surveillance capacity profile. Res Nurs Health. 2009;32(2):217-28.
12. Johnson TP, Wislar JS. Response rates and nonresponse errors in surveys. JAMA. 2012;307(17): 1805-6.
13. Smith HL. A double sample to minimize bias due to non-response in a mail survey. Chapter 8 in: Ruiz-Gazen A, Guilbert P, Haziza D, Tille Y, editors. Survey methods: applications to longitudinal investigations, health, electoral investigations in the developing countries. Paris: Dunod; 2008. p. 334-9.
14. Spratley E, Johnson A, Sochalski J, Fritz M, Spencer W. The registered nurse population: March 2000 findings from the National Sample Survey of Registered Nurses [Internet]. Rockville (MD): HRSA; 2002 [cited 2013 Jan 24]. Available from: http://bhpr.hrsa.gov/health workforce/rnsurveys/rnsurvey2000 .pdf
15. To access the Appendix, click on the Appendix link in the box to the right of the article online
16. Volpp KG, Rosen AK, Rosenbaum PR, Romano PS, Even-Shoshan O, Canamucio A, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reduction. JAMA. 2007; 298:984-92.
17. Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG. Failure to rescue: comparing definitions to measure quality of care. Med Care. 2007;45 (10):918-25.
18. Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, et al. Nursing: a key to patient satisfaction. Health Aff (Millwood). 2009;28(4):w669-77. DOI: 10.1377/ hlthaff.28.4.w669.
19. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36(1):8-27.
20. Glance LG, Dick AW, Osler TM, Mukamel DB. Does date stamping ICD-9-CM codes increase the value of clinical information in administrative data? Health Serv Res. 2006;41: 231-51.
21. Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi J, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43:1130-9.
22. Allison PD. Fixed effects regression methods for longitudinal data using SAS. Cary (NC): SAS Institute; 2005.
23. Finks JF, Osbourne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med. 2011;364: 2128-37.
24. Harless DW, Mark BA. Nurse staffing and quality of care with direct measurement of inpatient staffing. Med Care. 2010;48(7):659-63.
25. Mark BA, Harless DW, McCue M, Xu Y. A longitudinal examination of hospital registered nurse staffing and quality of care. Health Serv Res. 2004;39(2):279-300.
26. Sochalski J, Konetzka RT, Zhu J, Volpp K. Will mandated minimum nurse staffing ratios lead to better patient outcomes? Med Care. 2008; 46(6):606-13.
27. Benner P. From novice to expert: excellence and power in clinical nursing practice. Menlo Park (CA): Addison-Wesley; 1984.
28. Robert Wood Johnson Foundation. Implementing the IOM Future of Nursing report-part 1: how to dramatically increase the formal education of America's nursing workforce by 2020. Charting Nursing's Future [serial on the Internet]. 2011 Aug [cited 2013 Feb 15]. Available from: http://www.rwjf.org/content/ dam/farm/reports/issue_briefs/ 2011/rwjf70968
29. National Center for Education Statistics. IPEDS data center [home page on the Internet]. Washington (DC): NCES; [cited 2013 Feb 13]. Available from: http://nces.ed.gov/ ipeds/datacenter/DataFiles.aspx
30. National Council of State Boards of Nursing. 2011 number of candidates taking NCLEX examination and percent passing, by type of candidate [Internet]. Chicago (IL): NCSBN; 2012 Jan 13; [cited 2013 Jan 24]. Available from: https://www.ncsbn .org/Table_of_Pass_Rates_2011.pdf
31. Aiken LH. Nurses for the future. N Engl J Med. 2011;364:196-8.
32. Cronenwett LR, editor. The future of nursing education. Chapter I in: Institute of Medicine. The future of nursing: leading change, advancing health. Washington (DC): National Academies Press; 2011. p. 477-564.
33. Melichar L. Physicians' opinions about nurses' educational preparation [Internet]. Princeton (NJ): Robert Wood Johnson Foundation; 2010 Dec [cited 2013 Feb 14]. (Research Brief). Available from: http://www.thefutureofnursing.org/sites/default/files/Research%20Brief-%20Physicians'%20Opinions%20about%20Nurses'%20Edu%20Prep.pdf
34. Zimmermann DT, Miner DC, Zittel B. Advancing the education of nurses: a call for action. J Nurs Adm. 2010;40(12):529-33.