An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences between Cross‐Sectional and Longitudinal Estimates Article Swipe
Grant R. Martsolf
,
Teresa B. Gibson
,
Richele Benevent
,
Hui Jiang
,
Carol Stocks
,
Emily Ehrlich
,
Ryan Kandrack
,
David I. Auerbach
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/1475-6773.12462
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/1475-6773.12462
Objective To study the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems ( HCAHPS ) scores. Data Sources State hospital financial and utilization reports, Healthcare Cost and Utilization Project State Inpatient Databases, HCAHPS survey, and American Hospital Association Annual Survey of Hospitals. Study Design Retrospective study using cross‐sectional and longitudinal models to estimate the effect of nurse staffing levels and skill mix on seven HCAHPS measures. Data Collection/Extraction Methods Hospital‐level data measuring nurse staffing, patient experience, and hospital characteristics from 2009 to 2011 for 341 hospitals (977 hospital years) in California, Maryland, and Nevada. Principal Findings Nurse staffing level (i.e., number of licensed practical nurses and registered nurses per 1,000 inpatient days) was significantly and positively associated with all seven HCAHPS measures in cross‐sectional models and three of seven measures in longitudinal models. Nursing skill mix (i.e., percentage of all staff who are registered nurses) was significantly and negatively associated with scores on one measure in cross‐sectional models and none in longitudinal models. Conclusions After controlling for unobserved hospital characteristics, the positive influences of increased nurse staffing levels and skill mix were relatively small in size and limited to a few measures of patients' inpatient experience.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/1475-6773.12462
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1475-6773.12462
- OA Status
- bronze
- Cited By
- 43
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2280259479
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2280259479Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/1475-6773.12462Digital Object Identifier
- Title
-
An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences between Cross‐Sectional and Longitudinal EstimatesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-02-21Full publication date if available
- Authors
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Grant R. Martsolf, Teresa B. Gibson, Richele Benevent, Hui Jiang, Carol Stocks, Emily Ehrlich, Ryan Kandrack, David I. AuerbachList of authors in order
- Landing page
-
https://doi.org/10.1111/1475-6773.12462Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1475-6773.12462Direct link to full text PDF
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YesWhether a free full text is available
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-
bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1475-6773.12462Direct OA link when available
- Concepts
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Staffing, Skill mix, Medicine, Cross-sectional study, Case mix index, Longitudinal study, Nursing, Health care, Inpatient care, Acute care, Family medicine, Pathology, Economic growth, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
43Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 10, 2022: 1, 2021: 11, 2020: 3Per-year citation counts (last 5 years)
- References (count)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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