Understanding the relationship between nurse staffing and outcomes: impact of individual nurse education, expertise, and effort level on individual patient outcomes
了解护士人员配置与结果之间的关系:护士个体教育、专业知识和努力水平对个体患者结果的影响
基本信息
- 批准号:10642570
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-05-01 至 2026-04-30
- 项目状态:未结题
- 来源:
- 关键词:AcuteAddressAdmission activityAdverse effectsAdvisory CommitteesAffectBachelor&aposs DegreeCare given by nursesCaringCharacteristicsCharge NursesClinical DataCollaborationsComputerized Medical RecordDataDatabasesDevelopmentDiscipline of NursingEducationEducational StatusEnsureEnvironmentEquilibriumFailureHospital MortalityHospitalizationHospitalsHuman ResourcesIndividualInformation SystemsInpatientsInvestigationJointsLeadershipLength of StayLinkLiteratureLong-Term CareMeasuresMedicalMethodologyMethodsModelingNosocomial InfectionsNurse AdministratorNursesNursing AssessmentNursing EducationNursing ServicesNursing StaffOffice NursingOperative Surgical ProceduresOutcomePatient CarePatient-Focused OutcomesPatientsProcessRecommendationResearch PersonnelRiskRisk AdjustmentSample SizeSiteSystemTestingTextTranslationsVeteransWorkWorkloaddata formatdecubitus ulcerexperiencefallsimprovedindividual patientinnovationinpatient servicenovelpatient orientedpersonalized approachprofessional atmosphererisk minimizationshift worktoolvirtualward
项目摘要
Background: There is a growing body of evidence that nurse staffing (nurse to patient ratio, adjusted
for patient acuity/need for nursing care) and characteristics of the nurse such as experience,
education level, tenure working on specific unit, affects patient outcomes. Except for a few smaller,
single site studies, these investigations have not matched patients with the nurses that directly cared
for them during each shift. Previous studies have only been able to produce limited
recommendations, such as suggested minimum staffing ratios or to increase the percentage of RNs
with baccalaureate degrees. Virtually nothing is known about how individual nurse-patient
assignments impact patient outcomes, thus precluding us from developing smart staffing approaches
tailored to the needs of each patient.
Significance: Match individual patients to the nurses who directly cared for them each shift to
address the current gap in the understanding of how individual nurse-patient assignments affect
patient outcomes. Controlling for other factors known to affect the relationship between nurse staffing
and patient outcomes such as patient acuity and unit- and hospital-level characteristics.
Innovation and Impact: This innovative project will be the first large-scale study of the effects of
nurse staffing that links nurses to patients. It will provide the information needed for VA to effectively
utilize the nurse staffing tools in the Clarvia component of the Cerner electronic medical record.
Specific Aims: Aim 1: Examine the joint effects of the association of nurse staffing levels and
individual nurse characteristics and outcomes for hospitalized Veterans. Examine independent
and joint associations of individual nurses’ characteristics (e.g., education and experience) with the
outcomes of the patients assigned to these nurses’ direct care (in-hospital mortality, failure to rescue,
hospital-acquired infections, and risk-adjusted length of stay (LOS)).
Aim 2. Test how the associations of nurse staffing and nurse characterstings with patient
outcomes are modified by varying unit-shift circumstances. Nurses don’t care for patients in
isolation; the nurses working each shift work as a team and often help each other; we will test how
the effects of this teamwork vary by the staffing levels each shift for the unit as a whole, the
characteristics of the staff each shift, and the unit work, measured by the patient acuity/need for
nursing care and the patient throughput (admissions and discharges).
Aim 3: We will work with the Office of Nursing Services to present the project findings to key
stakeholders to facilate the translation of project findings into recommendations for nurse-
patient assignments that promote high quality outcomes for hospitalized Veterans.
Methodology: VA 2010-2023 nurse staffing data, including the characteristics of each nurse (e.g.,
experience) will be matched with the extensive VA clinical data available for each patient using the
TIU Nursing Assessment extract that must be completed by the nurse caring for each patient, each
shift. Multilevel regression models will be used to estimate the association between the
characteristics of the nurses (e.g., education) who cared for each patient, the nurse staffing level for
each patient and the outcomes for hospitalized Veterans. This will yield both precise estimates of the
effects of nursing input and how this varies by the characteristics of each nurse e.g., the extent that
more experienced nurses can safely manage larger workloads).
Next Steps/Implementation: This project will be conducted in close collaboration with our VA Office
of Nursing Services partners to maximize the potential benefits for the care for Veterans.
背景:有越来越多的证据表明,护士人员配置(护士与病人的比例,调整
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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CIARAN S. PHIBBS其他文献
CIARAN S. PHIBBS的其他文献
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{{ truncateString('CIARAN S. PHIBBS', 18)}}的其他基金
A comprehensive assessment of maternal health and pregnancy outcomes among women veterans
女退伍军人孕产妇健康和妊娠结局的综合评估
- 批准号:
10425135 - 财政年份:2022
- 资助金额:
-- - 项目类别:
A comprehensive assessment of maternal health and pregnancy outcomes among women veterans
女退伍军人孕产妇健康和妊娠结局的综合评估
- 批准号:
10599236 - 财政年份:2022
- 资助金额:
-- - 项目类别:
Obstetric delivery volume, regionalization, and maternal and infant outcomes
产科分娩量、区域划分以及母婴结局
- 批准号:
10187620 - 财政年份:2020
- 资助金额:
-- - 项目类别:
Obstetric delivery volume, regionalization, and maternal and infant outcomes
产科分娩量、区域划分以及母婴结局
- 批准号:
10379264 - 财政年份:2020
- 资助金额:
-- - 项目类别:
Obstetric delivery volume, regionalization, and maternal and infant outcomes
产科分娩量、区域划分以及母婴结局
- 批准号:
10612824 - 财政年份:2020
- 资助金额:
-- - 项目类别:
Does VA Home-Based Primary Care Reduce Costs Among Veterans Eligible for Independence at Home?
退伍军人管理局基于家庭的初级保健是否可以降低有资格在家独立的退伍军人的费用?
- 批准号:
9600614 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Does VA Home-Based Primary Care Reduce Costs Among Veterans Eligible for Independence at Home?
退伍军人管理局基于家庭的初级保健是否可以降低有资格在家独立的退伍军人的费用?
- 批准号:
10308432 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Regular and Off-Shift Nursing: Impacts on Patient Outcomes and Cost of Care
定期和下班护理:对患者治疗效果和护理成本的影响
- 批准号:
8084248 - 财政年份:2011
- 资助金额:
-- - 项目类别:
Regular and Off-Shift Nursing: Impacts on Patient Outcomes and Cost of Care
定期和下班护理:对患者治疗效果和护理成本的影响
- 批准号:
8292939 - 财政年份:2011
- 资助金额:
-- - 项目类别:
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