Alternative Approaches to Ensuring Adequate Nurse Staffing
| Autor: | Patricia Pittman, Burt S. Barnow, Xinxin Han |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Personnel Staffing and Scheduling
staffing committee Staffing Nurses public reporting Legislation Nursing Staff Hospital Efficiency Organizational Nursing Nursing Assistants Public reporting Humans Medicine Health Workforce business.industry Health Policy Nurse staffing Licensed Practical Nurses Public Health Environmental and Occupational Health Legislature Original Articles nurse staffing legislation United States nurse staffing mandate Health Care Surveys Vocational education Hospital nurse ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Linear Models Mandate hospital staffing business American Hospital Association State Government |
| Zdroj: | Medical Care |
| ISSN: | 0025-7079 |
| DOI: | 10.1097/mlr.0000000000001614 |
| Popis: | Supplemental Digital Content is available in the text. Objective: The objective of this study was to addresses the basic question of whether alternative legislative approaches are effective in encouraging hospitals to increase nurse staffing. Methods: Using 16 years of nationally representative hospital-level data from the American Hospital Association (AHA) annual survey, we employed a difference-in-difference design to compare changes in productive hours per patient day for registered nurses (RNs), licensed practical/vocational nurses (LPNs), and nursing assistive personnel (NAP) in the state that mandated staffing ratios, states that legislated staffing committees, and states that legislated public reporting, to changes in states that did not implement any nurse staffing legislation before and after the legislation was implemented. We constructed multivariate linear regression models to assess the effects with hospital and year fixed effects, controlling for hospital-level characteristics and state-level factors. Results: Compared with states with no legislation, the state that legislated minimum staffing ratios had an 0.996 (P |
| Databáze: | OpenAIRE |
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