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1

Hong, Kyung Jin, Hyesook Chung, and Young Mi Jo. "Relationships between Alternative Nurse Staffing Level Measurements and Nurses’ Perceptions of Nurse Staffing Level Adequacy, Fatigue, and Care Quality." Journal of Nursing Management 2023 (August 17, 2023): 1–12. http://dx.doi.org/10.1155/2023/6060536.

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Aims. This study examined the influence of nurse staffing level, measured using various methods, on nurses’ perceived adequacy of nurse staffing level, fatigue, and nursing care quality. Background. Although previous studies have recommended various methods of measuring nurse staffing level, there is a lack of research that compares different measurement methods or considers nurses’ perceptions of staffing level on a daily basis. Methods. We conducted a cross-sectional study using work sampling and the questionnaire method in a general hospital in South Korea from July 18 to August 14, 2022. R
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Twigg, Di, Christine Duffield, Peter L. Thompson, and Pat Rapley. "The impact of nurses on patient morbidity and mortality - the need for a policy change in response to the nursing shortage." Australian Health Review 34, no. 3 (2010): 312. http://dx.doi.org/10.1071/ah08668.

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Context.Workforce projections indicate that by 2012 there will be a shortfall of 61 000 registered nurses in Australia. There is a growing body of evidence that links registered nurse staffing to better patient outcomes. Purpose.This article provides a comprehensive review of the research linking nurse staffing to patient outcomes at a time of growing shortages, highlighting that a policy response based on substituting registered nurses with lower skilled workers may have adverse effects on patient outcomes. Method.An electronic search of articles published in English using the Cumulative Inde
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Johanson, Wanda. "Nurse Staffing." Health Affairs 22, no. 1 (2003): 281–82. http://dx.doi.org/10.1377/hlthaff.22.1.281.

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4

Bagg, Halsey M. "Nurse staffing." Computers & Industrial Engineering 13, no. 1-4 (1987): 175–79. http://dx.doi.org/10.1016/0360-8352(87)90076-3.

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5

Laskowski-Jones, Linda. "Nurse staffing." Nursing 53, no. 10 (2023): 6. http://dx.doi.org/10.1097/01.nurse.0000977580.70842.9f.

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Dayama, Neeraj, Ganisher Davlyatov, Rohit Pradhan, and Robert Weech-Maldonado. "EXPLORING THE ASSOCIATION BETWEEN CONTRACT NURSE STAFFING AND NURSE TURNOVER IN NURSING HOMES." Innovation in Aging 7, Supplement_1 (2023): 227. http://dx.doi.org/10.1093/geroni/igad104.0749.

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Abstract NHs face a significant problem with nurse staffing---a critical factor in providing high-quality care to residents. Although contract nurse staffing in NHs may provide a relatively flexible option to address acute nurse shortages, it raises its own challenges including requirement of increased supervision, lower levels of teamwork, and increased workload for the permanent staff. This may lead to disenchantment of the remaining nursing staff, increased turnover---a perfect vicious cycle. Therefore, we examined whether higher ratios of contract nurse utilization were associated with hig
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Jester, Dylan, Kali Thomas, Lindsay Peterson, David Dosa, Ross Andel, and Kathryn Hyer. "Nurse Staffing in Nursing Homes During Hurricane Irma." Innovation in Aging 5, Supplement_1 (2021): 284. http://dx.doi.org/10.1093/geroni/igab046.1103.

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Abstract Little is known about the effect of hurricanes on nurse staffing in nursing homes. Hurricane Irma made landfall on September 10th, 2017 in Florida. This study examined daily nurse staffing levels from September 3rd-24th, 2017 in 653 nursing homes; 81 facilities evacuated and 572 facilities sheltered-in-place. Data from Payroll-Based Journaling (PBJ), Certification and Survey Provider Enhanced Reports (CASPER), and Florida’s health providers’ emergency reporting system were used. Among all facilities, we found significant increases in staffing for licensed practical nurses (p=.02) and
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Clark, Rebecca R. S., Morgan E. Peele, Aleigha Mason, and Eileen T. Lake. "Effects of Nurse Staffing on Missed Breastfeeding Support in Maternity Units With Different Nurse Work Environments." Journal of Perinatal & Neonatal Nursing 38, no. 2 (2024): 158–66. http://dx.doi.org/10.1097/jpn.0000000000000824.

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Purpose: To examine the effect of nurse staffing in varying work environments on missed breastfeeding teaching and support in inpatient maternity units in the United States. Background: Breast milk is the optimal food for newborns. Teaching and supporting women in breastfeeding are primarily a nurse's responsibility. Better maternity nurse staffing (fewer patients per nurse) is associated with less missed breastfeeding teaching and support and increased rates of breastfeeding. We examined the extent to which the nursing work environment, staffing, and nurse education were associated with misse
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Zhu, Xiaowen, Jing Zheng, Ke Liu, and Liming You. "Rationing of Nursing Care and Its Relationship with Nurse Staffing and Patient Outcomes: The Mediation Effect Tested by Structural Equation Modeling." International Journal of Environmental Research and Public Health 16, no. 10 (2019): 1672. http://dx.doi.org/10.3390/ijerph16101672.

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Purpose: The purpose of this study is to test the mediation effect of rationing of nursing care (RONC) and the relationship this has between nurse staffing and patient outcomes. Methods: The analytic sample included 7802 nurse surveys and 5430 patient surveys. Three patient outcome indicators, nurse staffing, RONC, and confounding factors were considered in the model pathways. Results: The hypothesized model was shown to be statistically significant. In the model, nurses who were in the units with lower nurse-to-patient ratios reported higher scores on RONC, which meant that an increased level
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Damanik, Rani Kawati, and Adventy Riang Bevy Gulo. "Satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information system." Malahayati International Journal of Nursing and Health Science 3, no. 2 (2021): 124–30. http://dx.doi.org/10.33024/minh.v3i2.3366.

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Background: The Indonesian National Nurses Association (INNA) has a method and tool for staffing calculation-performance-oriented calculation based on information systemPurpose: To identify of satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information systemMethod: The technique of determining the sample using the Cohen effect size (d) formula, the total sample is 30 nurses, divided by two groups, each group comprise 15 nurses the as control group and intervention group 15. The pr
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11

Oliveira, Leonel, Beatrice Gehri, and Michael Simon. "The deployment of temporary nurses and its association with permanently-employed nurses’ outcomes in psychiatric hospitals: a secondary analysis." PeerJ 11 (April 28, 2023): e15300. http://dx.doi.org/10.7717/peerj.15300.

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Aims This study’s objective was to investigate possible associations between the frequency of temporary nurse deployments and permanently-employed nurses’ outcomes including staffing levels in Swiss psychiatric hospitals. Background Faced with widespread nursing shortages, some nursing managers frequently deploy temporary nurses to meet their staffing needs. While various studies have investigated the relationships between temporary nurses’ deployment and permanently-employed nurse outcomes, few anywhere, and none in Switzerland, have explored such deployments’ relationships with permanently-e
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Mukamel, Dana B., Debra Saliba, Heather Ladd, and R. Tamara Konetzka. "Association of Staffing Instability With Quality of Nursing Home Care." JAMA Network Open 6, no. 1 (2023): e2250389. http://dx.doi.org/10.1001/jamanetworkopen.2022.50389.

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ImportanceRecent work suggests that instability in nursing home staffing levels may be an important marker of nursing home quality. Whether that association holds when controlling for average staffing levels is unknown.ObjectiveTo examine whether staffing instability, defined as the percentage of days below average staffing levels, is associated with nursing home quality when controlling for average staffing levels.Design, Setting, and ParticipantsThis quality improvement study of 14 717 nursing homes used the merged Centers for Medicare & Medicaid Services Payroll Based Journal, M
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Griffiths, Peter, Christina Saville, Jane Ball, David Culliford, Natalie Pattison, and Thomas Monks. "Performance of the Safer Nursing Care Tool to measure nurse staffing requirements in acute hospitals: a multicentre observational study." BMJ Open 10, no. 5 (2020): e035828. http://dx.doi.org/10.1136/bmjopen-2019-035828.

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ObjectivesThe best way to determine nurse staffing requirements on hospital wards is unclear. This study explores the precision of estimates of nurse staffing requirements made using the Safer Nursing Care Tool (SNCT) patient classification system for different sample sizes and investigates whether recommended staff levels correspond with professional judgements of adequate staffing.DesignObservational study linking datasets of staffing requirements (estimated using a tool) to professional judgements of adequate staffing. Multilevel logistic regression modelling.Setting81 medical/surgical unit
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Iqra Zulfiqar, Nimra zafar, Aqib Dil Awaiz, and Nida Abid. "Evaluating The Impact of Nursing Staffing Ratio on Patient Outcomes in Tertiary Care Setting." Physical Education, Health and Social Sciences 3, no. 1 (2025): 422–42. https://doi.org/10.63163/jpehss.v3i1.204.

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This study investigates the impact of nurse staffing ratios on patient outcomes in tertiary care settings, focusing on the relationship between staffing levels and care quality. Using a quantitative approach, data were collected from 30 nurses in a tertiary care hospital to assess perceptions of staffing adequacy, workload distribution, and patient outcomes. Findings reveal significant concerns, with 76.7% of nurses reporting inadequate nurse-to-patient ratios and 73.3% indicating inequitable workload distribution. Key challenges included medication administration safety (70% expressing concer
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Stafseth, Siv K., Sigbjørn Flatland, Ellen Granerud, Jan Berg, and Britt Sætre Hansen. "The Value of Nursing Competence and Staffing for Patients in Critical Care: A Scoping Review." Inspira 18, no. 2 (2023): 35–55. http://dx.doi.org/10.23865/inspira.v18.3052.

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Background: Nurse competence and staffing in critical care are of interest to hospital managers and politicians, especially if a relationship exists between educated nurses and patient outcomes. Observational data can describe and measure the impact of critical care nursing practices in intensive care units and may be linked to outcomes. Objective: The aim of this study was to provide an understanding of how levels of nursing competence and staffing in intensive care units are described and associated with nurse-sensitive outcomes. Methods: A scoping review was conducted. Electronic databases,
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Winter, Vera, Karina Dietermann, Udo Schneider, and Jonas Schreyögg. "Nurse staffing and patient-perceived quality of nursing care: a cross-sectional analysis of survey and administrative data in German hospitals." BMJ Open 11, no. 11 (2021): e051133. http://dx.doi.org/10.1136/bmjopen-2021-051133.

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ObjectiveTo examine the impact of nurse staffing on patient-perceived quality of nursing care. We differentiate nurse staffing levels and nursing skill mix as two facets of nurse staffing and use a multidimensional instrument for patient-perceived quality of nursing care. We investigate non-linear and interaction effects.SettingThe study setting was 3458 hospital units in 1017 hospitals in Germany.ParticipantsWe contacted 212 554 patients discharged from non-paediatric, non-intensive and non-psychiatric hospital units who stayed at least two nights in the hospital between January and October 2
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Rosenbaum, Kathleen E. Fitzpatrick, Karen B. Lasater, Mathew D. McHugh, and Eileen T. Lake. "Hospital Performance on Hospital Consumer Assessment of Healthcare Providers and System Ratings." Medical Care 62, no. 5 (2024): 288–95. http://dx.doi.org/10.1097/mlr.0000000000001966.

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Objective: To determine which hospital nursing resources (staffing, skill mix, nurse education, and nurse work environment) are most predictive of hospital Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) performance. Background: HCAHPS surveying is designed to quantify patient experience, a measure of patient-centered care. Hospitals are financially incentivized through the Centers for Medicare and Medicaid Services to achieve high HCAHPS ratings, but little is known about what modifiable hospital factors are associated with higher HCAHPS ratings. Patients and Methods:
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18

Harrington, Charlene, Mary Ellen Dellefield, Elizabeth Halifax, Mary Louise Fleming, and Debra Bakerjian. "Appropriate Nurse Staffing Levels for U.S. Nursing Homes." Health Services Insights 13 (January 2020): 117863292093478. http://dx.doi.org/10.1177/1178632920934785.

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US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate n
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19

Ellis, Judith, and Susan Chapman. "Nurse staffing requirements." Nursing Management 13, no. 4 (2006): 30–33. http://dx.doi.org/10.7748/nm.13.4.30.s15.

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20

Kalisch, Beatrice J., Christopher R. Friese, Seung Hee Choi, and Monica Rochman. "Hospital Nurse Staffing." Medical Care 49, no. 8 (2011): 775–79. http://dx.doi.org/10.1097/mlr.0b013e318222a6df.

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21

Swant, Lauren, Karin E. Warner, and Judith Zedreck-Gonzalez. "Legislating Nurse Staffing." JONA: The Journal of Nursing Administration 54, no. 7/8 (2024): 409–15. http://dx.doi.org/10.1097/nna.0000000000001449.

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OBJECTIVE The aim of this study was to project the impact of legislated nurse staffing ratios on patient-, staff-, and system-level outcomes for Prospective Payment System (PPS) hospitals in Montana. BACKGROUND In 2023, House Bill 568 was introduced in Montana focused on legislating hospital safe nursing standards. METHODS A quantitative design was used for a convenience sample of Montana PPS hospitals. Data were gathered through a newly developed survey and from other publicly available sources for the years 2018 to 2022. Independent t tests were conducted when appropriate with the significan
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Miller, Lisa A. "Nurse Staffing Legislation." Journal of Perinatal & Neonatal Nursing 26, no. 1 (2012): 10–12. http://dx.doi.org/10.1097/jpn.0b013e3182432cdc.

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23

Pradhan, Rohit, Ganisher Davlyatov, Neeraj Dayama, and Robert Weech-Maldonado. "CONTRACT NURSE UTILIZATION AND FACILITY AND COMMUNITY FACTORS." Innovation in Aging 7, Supplement_1 (2023): 226. http://dx.doi.org/10.1093/geroni/igad104.0745.

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Abstract While NHs have long been plagued by nursing staff shortages, the situation has further deteriorated with the COVID 19 pandemic. The NH industry has attempted to address the persistent shortage of nursing staff by increasingly relying on contract nurse staffing. Research suggests that the increased utilization of contract nurses may have negative implications for NH quality and financial performance. However, all NHs are not equally likely to utilize nurse contract staffing. For instance, potentially, NHs with poorer quality of care and financial challenges may be forced to rely more o
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Davlyatov, Ganisher, Robert Weech-Maldonado, Rohit Pradhan, Akbar Ghiasi, and Justin Lord. "THE IMPACT OF CONTRACT NURSE UTILIZATION ON NURSING HOME QUALITY." Innovation in Aging 7, Supplement_1 (2023): 226. http://dx.doi.org/10.1093/geroni/igad104.0746.

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Abstract Nurse staffing intensity and skill mix have a significant impact on NH quality of care. For instance, higher staffing levels, particularly for registered nurses (RNs), have been associated with better resident outcomes. NHs have increasingly relied on contract nurse staffing to address pressing and persistent nursing shortages. Research suggests that contract nurses may be unfamiliar with institutional policies and procedures or organizational culture. They may require increased supervision, be less participatory in teamwork, and may increase the workload for the permanent staff. The
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Ajisola, Aderonke. "Perception of Nurses on Association between Healthy Workplace Environment and Nurse Retention at Federal Medical Center, Idi-Aba, Abeokuta, Ogun State, Nigeria." CURRENT TRENDS IN LIFE SCIENCES RESEARCH 2, no. 1 (2023): 31–45. http://dx.doi.org/10.61867/pcub.v2i1a.046.

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Low nurse retention is often attributed to unhealthy conditions within the workplace. A healthy workplace environment is a significant factor in retaining nurses within the workplace. This study assessed the perception of nurses on the association between healthy workplace environment and nurse retention at the Federal Medical Center, Idi-Aba, Abeokuta, Ogun State, Nigeria. A non-experimental descriptive survey method was used, sample size of 209 was determined using Cochran’s formula. A validated structured questionnaire with Cronbach’s alpha reliability ranged from 0.685 to 0.988. Data were
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Taylor, Warren Michael, Jonathan Pelletier, Julia A. Heneghan, et al. "Pediatric Intensive Care Nurse Staffing Measures and Patient Outcomes During the COVID-19 Pandemic." JAMA Network Open 8, no. 6 (2025): e2515376. https://doi.org/10.1001/jamanetworkopen.2025.15376.

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ImportanceDuring the COVID-19 pandemic, pediatric intensive care units (PICUs) reportedly relied more on temporary contract nurses hired through staffing agencies (agency nurses) to fill gaps related to increased nurse turnover. It is unknown whether these changes in nurse staffing were associated with patient outcomes.ObjectiveTo determine whether the proportion of PICU agency staff or nurse turnover was associated with patient outcomes during the pandemic.Design, Setting, and ParticipantsThis retrospective, multicenter, linked database cross-sectional study was performed at PICUs in the US b
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Herlina, Herlina, Luky Dwiantoro, and Megah Andriany. "Pelaksanaan Fungsi Staffing Kepala Ruang." Journal of Telenursing (JOTING) 5, no. 1 (2023): 314–22. http://dx.doi.org/10.31539/joting.v5i1.5503.

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This study aims to describe the function of the staffing head of the room in the COVID-19 isolation room. The method used is a qualitative case study. The survey results obtained two main themes: proposing additional staff and carrying out arrangements for variations in team composition, duty schedules, and division of tasks into patient rooms and nurse stations. In conclusion, the head of the room carries out the staffing function in the COVID-19 isolation room, including staff recruitment, scheduling, and assignment of nurses. The charge of the room carries out staff recruitment by proposing
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McHugh, Matthew D., Linda H. Aiken, Carol Windsor, Clint Douglas, and Patsy Yates. "Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study." BMJ Open 10, no. 9 (2020): e036264. http://dx.doi.org/10.1136/bmjopen-2019-036264.

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ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety
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Morioka, Noriko, Suguru Okubo, Mutsuko Moriwaki, and Kenshi Hayashida. "Evidence of the Association between Nurse Staffing Levels and Patient and Nurses’ Outcomes in Acute Care Hospitals across Japan: A Scoping Review." Healthcare 10, no. 6 (2022): 1052. http://dx.doi.org/10.3390/healthcare10061052.

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We aimed to summarize the evidence of an association between nurse staffing and nursing sensitivity outcomes in Japanese hospitals. A scoping review was conducted and reported following the PRISMA-SR 2020 statement. The ICHUSHI and CiNii databases were searched for published articles written in Japanese and PubMed and CINAHL for those written in English. Out of the 15 included studies, all observational studies, 3 were written in Japanese and the others in English. The nurse staffing level measures were grouped into three categories: patient-to-nurse ratio, nursing hours per patient day, and n
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Peng, Xiaosong (David), Yuan Ye, Raymond Lei Fan, Xin (David) Ding, and Aravind Chandrasekaran. "Cost-quality tradeoff in nurse staffing: an exploration of USA hospitals facing market competition." International Journal of Operations & Production Management 42, no. 5 (2022): 577–602. http://dx.doi.org/10.1108/ijopm-07-2021-0453.

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PurposeThis research aims to explore the fine-grained relationships between nurse staffing and hospital operational performance with respect to care quality and operating costs. The authors also investigate the moderation effect of competition in local hospital markets on these relationships.Design/methodology/approachA six-year panel data is assembled from five separate sources to obtain information of 2,524 USA hospitals. Fixed-effect (FE) models are used to test the proposed hypotheses.FindingsFirst, nurse staffing is initially associated with improved care quality until nurse staffing reac
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Malatji, Moloko, Hafisa Ally, and Agnes Makhene. "Nurses experiences regarding staffing patterns in the surgical wards of a private hospital in Gauteng South Africa." Health SA Gesondheid 22 (December 15, 2017): 325–32. http://dx.doi.org/10.4102/hsag.v22i0.1062.

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Background: Staffing patterns refers to the number and types or categories of staff assigned to the particular wards in a hospital. Staffing patterns that accommodate imbalanced patient to nurse ratios can affect nursing staff negatively. The negative experiences increased emotional stress, physical exhaustion, high nurse turnover and consequences of poor patient outcomes. The high patient to nurse ratios and the profitability factor of private hospitals virtually dictates the type of staffing patterns that are used in these wards. As such, the current staffing patterns appear to require nursi
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Jones, Terry, Sung Heui Bae, Nicole Murry, and Patti Hamilton. "Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees." Policy, Politics, & Nursing Practice 16, no. 3-4 (2015): 79–96. http://dx.doi.org/10.1177/1527154415616254.

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Morioka, Noriko, Masanao Ochi, Suguru Okubo, et al. "Citation Network Analysis of Nurse Staffing Research from the Past Two Decades: 2000–2022." Healthcare 11, no. 23 (2023): 3050. http://dx.doi.org/10.3390/healthcare11233050.

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Studies have indicated that higher numbers of nurses regarding staffing ensure patient safety and a better practice environment. Using citation analysis, this study visualizes the landscape of nurse staffing research over the last two decades to show the overall publication trends, major contributors, and main research topics. We extracted bibliometric information from PubMed from January 2000 to September 2022. After clustering the network, we analyzed each cluster’s characteristics by keyword. A total of 2167 papers were considered for analysis, and 14 clusters were created. The analysis sho
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Haun, Courtney N., and Geoffrey A. Silvera. "A Bird in Hand: An Examination of the Influence of Nursing School Proximal Density on Hospital Quality of Care Outcomes in U.S. Hospitals." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802211001. http://dx.doi.org/10.1177/00469580221100166.

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While nurse staffing shortage is generally true, it is not universal, and it remains unclear the degree to which variation in local staffing markets might influence the relationship between nurse staffing and care quality. This study seeks to determine the effect of nurse staffing markets on the quality of hospital care delivered in U.S. hospitals by examining the relationship between the proximal density of nurse staffing resources to hospitals and patient-reported care quality outcomes. This examination analyzes hospital performance on (Hospital Consumer Assessment of Healthcare Providers an
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Driscoll, Andrea, Maria J. Grant, Diane Carroll, et al. "The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis." European Journal of Cardiovascular Nursing 17, no. 1 (2017): 6–22. http://dx.doi.org/10.1177/1474515117721561.

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Background: Nurses are pivotal in the provision of high quality care in acute hospitals. However, the optimal dosing of the number of nurses caring for patients remains elusive. In light of this, an updated review of the evidence on the effect of nurse staffing levels on patient outcomes is required. Aim: To undertake a systematic review and meta-analysis examining the association between nurse staffing levels and nurse-sensitive patient outcomes in acute specialist units. Methods: Nine electronic databases were searched for English articles published between 2006 and 2017. The primary outcome
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Shin, Juh Hyun, Jinhyun Ahn, Soo-Kyoung Lee, et al. "THE RELATED FACTORS ON HEALTH DEFICIENCIES IN NATIONAL NURSING HOMES USING PANEL LARGE DATASET." Innovation in Aging 7, Supplement_1 (2023): 1138. http://dx.doi.org/10.1093/geroni/igad104.3653.

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Abstract Health deficiencies are considered scientific research outcomes and should be reported as mandatory for all Medicare-Medicaid nursing homes (NHs). However, health deficiencies have been a concern for several decades. Previous studies have focused on regulatory deficiencies or used nurse staffing variables as control variables. This study investigated health deficiencies in relation to nurse staffing, facility size, and ownership across all Center for Medicare and Medicaid NHs in the United States. This study used secondary data analysis using Payroll-based Journal Daily Nurse Staffing
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Pradhan, Rohit, and Jane Banaszak-Holl. "NURSE WAGES IN NURSING HOMES: ANTECEDENTS AND CONSEQUENCES." Innovation in Aging 8, Supplement_1 (2024): 166. https://doi.org/10.1093/geroni/igae098.0533.

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Abstract A substantial body of research has established that nurse staffing intensity and skill mix have a consequential impact on nursing home (NH) care quality. Unfortunately, NH staffing has been marked by multitudes of challenges including high levels of turnover and absenteeism. The literature suggests that an important reason why NHs have struggled with nurse staffing is the relatively lower wages vis-à-vis other important areas of the U.S. healthcare system, such as hospitals. These challenges underscore the importance of examining nurse wages within the NH setting, as wages not only af
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Tate, Kaitlyn, Tatiana Penconek, Andrew Booth, et al. "Contextually appropriate nurse staffing models: a realist review protocol." BMJ Open 14, no. 5 (2024): e082883. http://dx.doi.org/10.1136/bmjopen-2023-082883.

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IntroductionDecisions about nurse staffing models are a concern for health systems globally due to workforce retention and well-being challenges. Nurse staffing models range from all Registered Nurse workforce to a mix of differentially educated nurses and aides (regulated and unregulated), such as Licensed Practical or Vocational Nurses and Health Care Aides. Systematic reviews have examined relationships between specific nurse staffing models and client, staff and health system outcomes (eg, mortality, adverse events, retention, healthcare costs), with inconclusive or contradictory results.
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Olley, Richard, Ian Edwards, Mark Avery, and Helen Cooper. "Systematic review of the evidence related to mandated nurse staffing ratios in acute hospitals." Australian Health Review 43, no. 3 (2019): 288. http://dx.doi.org/10.1071/ah16252.

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Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline. Only English lan
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Shin, Dong Yeong, Robert Weech-Maldonado, and Jongwha Chang. "The Relationship Between Nurse Staffing, Quality, And Financial Performance In Hospitals." Archives of Business Research 8, no. 7 (2020): 513–31. http://dx.doi.org/10.14738/abr.87.8745.

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Little evidence exists the relationship of nurse staffing and quality with financial performance in hospitals. This study aimed to measure the relationship between nurse staffing, quality of care, and profitability in hospitals. This study used longitudinal panel datasets from 2006 to 2010, drawn from various datasets including the American Hospital Association Annual Survey Database, Medicare Cost Report, and Hospital Compare Data. This study used the random-effects linear regression model to measure the relationship between nurse staffing, quality, and profitability. In addition, we tested a
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Anderson, Ida, Karen Grimley, and Rebecca Miltner. "When It Really Counts." JONA: The Journal of Nursing Administration 55, no. 1 (2025): 47–52. https://doi.org/10.1097/nna.0000000000001527.

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OBJECTIVE This program evaluation assessed the existing nursing workload acuity (NWA) tool embedded in the electronic health record at a large academic medical center in southern California. METHODS The NWA was evaluated using both quantitative and qualitative methods. The American Nurses Association's Principles for Nurse Staffing provided a conceptual framework with 5 core principles: healthcare consumer, interprofessional teams, workplace culture, practice environment, and evaluation. RESULTS Units met average staffing needs based on NWA 96% to 99% of the evaluation period. Statistical cont
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Chen, Wen-Yi. "On the Relationships among Nurse Staffing, Inpatient Care Quality, and Hospital Competition under the Global Budget Payment Scheme of Taiwan’s National Health Insurance System: Mixed Frequency VAR Analyses." Systems 10, no. 5 (2022): 187. http://dx.doi.org/10.3390/systems10050187.

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Background: Time series analyses on the relationship between nurse staffing and inpatient care quality are rare due to inconsistent frequencies of data between common observations of nurse-staffing (e.g., monthly) and inpatient care quality indicators (e.g., quarterly). Methods: In order to deal with the issue of mixed frequency data, this research adopted the MF-VAR model to explore causal relationships among nurse staffing, inpatient care quality, and hospital competition under the global budget payment scheme of Taiwan’s healthcare system. Results: Our results identified bi-directional caus
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43

Ghiasi, Akbar, Gani Davlyatov, Rohit Pradhan, and Justin Lord. "THE IMPACT OF CONTRACT NURSE UTILIZATION ON NURSING HOME FINANCIAL PERFORMANCE." Innovation in Aging 7, Supplement_1 (2023): 226–27. http://dx.doi.org/10.1093/geroni/igad104.0747.

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Abstract Ensuring the financial viability of NHs is an important policy and managerial concern. The financial sustainability of nursing homes has been threatened in the recent past by high staff turnover, growing competition, low Medicaid reimbursement, and declining occupancy rates. The literature suggests that nurse staffing may have a significant impact on NH financial performance. We examined whether higher ratios of contract nurse use were associated with NHs operating margin. Employing a pooled cross-sectional observational study design, we extracted secondary data from the PBJ nurse sta
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44

Leifer, Dina. "Predicting nurse staffing levels." Nursing Standard 10, no. 32 (1996): 14. http://dx.doi.org/10.7748/ns.10.32.14.s34.

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Seago, Jean Ann, Sue Davidson, and Diane Waldo. "Oregon Nurse Staffing Law." JONA: The Journal of Nursing Administration 42, no. 3 (2012): 134–37. http://dx.doi.org/10.1097/nna.0b013e31824808cb.

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46

Wallis, Laura. "Nurse–Patient Staffing Ratios." AJN, American Journal of Nursing 113, no. 8 (2013): 21. http://dx.doi.org/10.1097/01.naj.0000432956.03387.bd.

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Eschiti, Valerie, and Patti Hamilton. "Off-Peak Nurse Staffing." Dimensions of Critical Care Nursing 30, no. 1 (2011): 62–69. http://dx.doi.org/10.1097/dcc.0b013e3181fd03cd.

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48

Keepnews, David M. "Evaluating Nurse Staffing Regulation." Policy, Politics, & Nursing Practice 8, no. 4 (2007): 236–37. http://dx.doi.org/10.1177/1527154408315641.

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Simpson, Kathleen Rice. "AWHONN Nurse Staffing Guidelines." MCN, The American Journal of Maternal/Child Nursing 36, no. 6 (2011): 404. http://dx.doi.org/10.1097/nmc.0b013e31822de5fe.

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Gallagher, Rita Munley, Katherine A. Kany, Patricia A. Rowell, and Cheryl Peterson. "ANA's Nurse Staffing Principles." American Journal of Nursing 99, no. 4 (1999): 50. http://dx.doi.org/10.1097/00000446-199904000-00037.

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