The Relationship Between Nurse Staffing and 30-Day Readmission for Adults With Heart Failure.
| Autor: | Giuliano KK; Author Affiliations: Postdoctoral Fellow (Dr Giuliano) and Helen Porter Jayne and Martha Prosser Jayne Professor of Nursing (Dr Funk), Yale School of Nursing, Orange, Connecticut; and Corporate Manager (Dr Danesh), Research and Clinical Grants, Orlando Health, Florida., Danesh V, Funk M |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of nursing administration [J Nurs Adm] 2016 Jan; Vol. 46 (1), pp. 25-9. |
| DOI: | 10.1097/NNA.0000000000000289 |
| Abstrakt: | Objective: The purpose of this study was to better understand the relationship between nurse staffing and 30-day excess readmission ratios for patients with heart failure in the top US adult cardiology and heart surgery hospitals. Background: Heart failure is the most common cause of hospitalization for patients older than 65 years and is the most frequent diagnosis associated with 30-day hospital readmission in the United States. Methods: A secondary data analysis was conducted using nurse staffing data from 661 cardiology and heart surgery hospitals from the 2013 US News & World Report "Best Hospitals" survey. These data were combined with excess readmission ratios from the Centers for Medicare & Medicaid Services Hospital Compare database from 2013. An independent-samples t test was used to compare staffing (low/high) and excess hospital readmissions rates. Results: A significant difference (P = .021) was found between the low nurse staffing group (n = 358) and the high nurse staffing group (n = 303). Hospitals with a lower nurse staffing index had a significantly higher excess readmission rate. Conclusion: These data provide further support to the body of research showing a positive relationship between nurse staffing and positive outcomes. |
| Databáze: | MEDLINE |
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