The economic benefits of increased levels of nursing care in the hospital setting

Journal of Advanced Nursing

Volumn 69, Issue 10, 2013, Pages 2253-2261

  Twigg, Diane E ^a,b   Geelhoed, Elizabeth A ^c   Bremner, Alexandra P ^c   M Duffield, Christine ^d  

^a EDITH COWAN UNIVERSITY   (Australia)

^b SIR CHARLES GAIRDNER HOSPITAL   (Australia)

^c UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^d UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

Author keywords

Cost effectiveness; Health policy; Healthcare quality; Nurses; Patient outcomes; Staffing

Indexed keywords

ARTICLE; AUSTRALIA; COST BENEFIT ANALYSIS; COST-EFFECTIVENESS; ECONOMICS; FEMALE; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH ECONOMICS; HUMAN; LONGITUDINAL STUDY; MALE; MIDDLE AGED; NURSE; NURSING CARE; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PATIENT OUTCOMES; STAFFING; TEACHING HOSPITAL; TIME; TREATMENT OUTCOME;

COST-EFFECTIVENESS; HEALTH POLICY; HEALTHCARE QUALITY; NURSES; PATIENT OUTCOMES; STAFFING;

COST-BENEFIT ANALYSIS; ECONOMICS, NURSING; FEMALE; HOSPITALS, TEACHING; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; NURSING CARE; NURSING STAFF, HOSPITAL; TIME FACTORS; TREATMENT OUTCOME; WESTERN AUSTRALIA;

EID: 84884204272     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/jan.12109     Document Type: Article

References (41)

1. Aiken L.H., Clarke S.P., Sloane D.M., Sochalski J. & Silber J.H. (2002) Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction. Journal of the American Medical Association 288(16), 1987-1993.
2. Aiken L.H., Clarke S.P., Cheung R.B., Sloane D.M. & Silber J.H. (2003) Educational levels of hospital nurses and surgical patient mortality. Journal of the American Medical Association 290(12), 1617-1623.
3. Aiken L.H., Sloane D.M., Cimiotti J.P., Clarke S.P., Flynn L., Seago J.A., Spetz J. & Smith H.L. (2010) Implications of the California nurse staffing mandate for other states. Health Services Research 45(4), 904-921.
4. Australian Bureau of Statistics (2010) Australian Demographic Statistics, Dec 2010 Vol. 2011. Australian Bureau of Statistics, Canberra.
5. Australian Industrial Relations Commission (2002) Exceptional Matters Order. Vol. 2009, Sydney.
6. Australian Institute of Health and Welfare (2008) Nursing and midwifery labour force 2005. National Health Labour Force Series no. 39 Cat. no. HWL 40. AIHW, Canberra.
7. Australian Institute of Health and Welfare (2010) Hospital Performance: Cost per Casemix-Adjusted Separation, Vol. 2011. Australian Institute of Health and Welfare, Canberra.
8. Australian Nursing Federation (2009) Ensuring quality, safety and positive patient outcomes: Why investing in nursing makes $ence. Australian Nursing Federation, Melbourne.
9. Brameld K.J., Thomas M.A., Holman C.D., Bass A.J. & Rouse I.L. (1999) Validation of linked administrative data on end-stage renal failure: application of record linkage to a 'clinical base population. Australian and New Zealand Journal of Public Health 23(5), 464-467.
10. Clarke S.P. & Aiken L.H. (2006) More nursing, fewer deaths. Quality and Safety in Health Care 15, 2-3.
11. Dall T.M., Chen Y.J., Seifert R.F., Maddox P.L. & Hogan P.F. (2009) The economic value of professional nursing. Medical Care 47(1), 97-103.
12. Donaldson N. & Shapiro S. (2010) Impact of California mandated acute care hospital nurse staffing ratios: a literature synthesis. Policy Politics, & Nursing Practice 11(3), 184-201.
13. Duffield C., Diers D., O'Brien Pallas L., Aisbett C., Roche M., King M. & Aisbett K. (2011) Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research 24, 244-255.
14. Ehsani J.P., Jackson T. & Duckett S. (2006) The incidence and cost of adverse events in Victorian hospitals 2003-2004. Medical Journal of Australia 184(11), 551-555.
15. Eichler H.G., Kong S.X., Gerth W.C., Mavros P. & Jönsson B. (2004) Use of cost-effectiveness analysis in health-care resource allocation decision-making: how are cost-effectiveness thresholds expected to emerge? Value in Health 7, 518-528.
16. Estabrooks C.A., Midodzi W.K., Cummings G.G., Ricker K.L. & Giovannetti P. (2005) The impact of hospital nursing characteristics on 30-day mortality. Nursing Research 54(2), 74-84.
17. Hair J.F., Black W.C., Babin B.J. & Anderson R.E. (2010) Multivariate Data Analysis. Pearson, Upper Saddle River, NJ.
18. Health Reform Committee (2004) A Healthy Future for Western Australians: Report of the Health Reform Committee. Department of Health, Perth.
19. Health Workforce Australia (2012) National Training Plan Methodology Paper, Vol. 2012. Health Workforce Australia, Adelaide.
20. Irvine D., Sidani S. & McGillis Hall L. (1998) Linking outcomes to nurses' roles in health care. Nursing Economics 16(2), 58-64, 87.
21. (Johnson M. & Lass M., eds) (1997) Nursing Outcome Classification (NOC). Mosby, St. Louis MO.
22. Kalisch B.J. (2006) Missed nursing care: a qualitative study. Journal of Nursing Care Quality 21(4), 306-315.
23. Kane R.L., Shamliyan T.A., Mueller C., Duval S. & Wilt T.J. (2007) The association of Registered Nurse staffing levels and patient outcomes. Medical Care 45(12), 1195-1203.
24. Mass M., Johnson M. & Moorhead S. (1996) Classifying nursing-sensitive patient outcomes. IMAGE: Journal of Nursing Scholarship 28(4), 259-301.
25. Needleman J. & Buerhaus P. (2003) Nurse staffing and patient safety: current knowledge and implications for action. International Journal for Quality in Health Care 15(4), 275-277.
26. Needleman J., Buerhaus P., Mattke S., Stewart M. & Zelevinsky K. (2002) Nurse-staffing levels and the quality of care in hospitals. New England Journal of Medicine 346(22), 1715-22.
27. Needleman J., Buerhaus P.I., Stewart M., Zelevinsky K. & Mattke S. (2006) Nurse staffing in hospitals: Is there a business case for quality? Health Affairs (Project Hope) 25(1), 204-211.
28. Needleman J., Buerhaus P., Pankratz S., Leibson C.L., Stevens S.R. & Harris M. (2011) Nurse staffing and impatient hospital mortality. The New England Journal of Medicine 364(11), 1037-1045.
29. Newbold D. (2008) The production economics of nursing: a discussion paper. International Journal of Nursing Studies 45(1), 120-128.
30. OECD (2011) Society at a Glance 2001: OECD Social Indicators. OECD Publishing, Paris.
31. Page A. (ed.) (2004) Keeping Patients Safe: Transforming the Work Environment of Nurses. National Academies Press, Washington DC.
32. Rafferty A.M., Clarke S.P., Coles J., Ball J., James P., McKee M. & Aiken L.H. (2007) Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. International Journal of Nursing Studies 44, 175-182.
33. Rothberg M.B., Abraham I., Lindenauer P.K. & Rose D.N. (2005) Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care 43(8), 785-791.
34. Teng T.-H.K., Finn J., Hung J., Geelhoed E. & Hobbs M. (2008) A validation study: how effective is the Hospital Morbidity Data as a surveillance tool for heart failure in Western Australia. Australian and New Zealand Journal of Public Health 32(5), 405-407.
35. Thungjaroenkul P., Cummings G.G. & Embleton A. (2007) The impact of nurse staffing on hospital costs and patient length of stay: a systematic review. Nursing Economics 25(5), 255-265.
36. Tourangeau A.E. & Tu J.V. (2003) Developing risk-adjusted 30-day hospital mortality rates. Research in Nursing & Health 26, 483-496.
37. Tourangeau A.E., Doran D.M., Hall L.M., O'Brien Pallas L., Pringle D., Tu J.V. & Cranley L.A. (2007) Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing 57(1), 32-44.
38. Twigg D. & Duffield C. (2009) A review of workload measures: a context for a new staffing methodology in Western Australia. International Journal of Nursing Studies 46, 131-139.
39. Twigg D., Duffield C., Bremner A., Rapley P. & Finn J. (2011) The impact of the nursing hours per patient day (NHPPD) staffing method on patient outcomes: a retrospective analysis of patient and staffing data. International Journal of Nursing Studies 48, 540-548.
40. Twigg D., Duffield C., Bremner A., Rapley P. & Finn J. (2012) Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: a retrospective study. Journal of Advanced Nursing 68(12), 2710-2718.
41. Weiss M.E., Yakusheva O. & Bobay K.L. (2011) Quality and cost analysis of nurse staffing, discharge preparation and postdischarge utilization. Health Services Research 46(5), 1473-1494.