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    Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study

    Access Status
    Open access via publisher
    Authors
    Twigg, D.
    Duffield, C.
    Bremner, A.
    Rapley, Pat
    Finn, J.
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Twigg, Di and Duffield, Christine and Bremner, Alexandra and Rapley, Pat and Finn, Judith. 2012. Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study. Journal of Advanced Nursing. 68 (12): pp. 2710-2718.
    Source Title
    Journal of Advanced Nursing
    DOI
    10.1111/j.1365-2648.2012.05971.x
    ISSN
    03092402
    URI
    http://hdl.handle.net/20.500.11937/43077
    Collection
    • Curtin Research Publications
    Abstract

    Background: Findings from previous studies indicate that higher nurse staffing levels and a richer skill mix are associated with improved patient outcomes. Measuring skill mix at a hospital level for specific staffing methods and associated nursing-sensitive patient outcomes are important in providing staffing for optimal patient care. Design: The research design for the larger study was retrospectively analysing patient and staffing administrative data from three adult tertiary hospitals in metropolitan Perth over 4 years. Methods: A subset of data was used to determine the impact of skill mix on nursing-sensitive outcomes following implementation of the staffing method. All patient records (N = 103,330) and nurse staffing records (N = 73,770) from nursing hours per patient day wards from October 2002–June 2004 following implementation were included. Results: Increases in Registered Nurse hours were associated with important decreases in eight nursing-sensitive outcomes at hospital level and increases in three nursing-sensitive outcomes. The lowest skill mix saw the greatest reduction in nursing-sensitive outcome rates. Conclusions: The skill mix of nurses providing care could impact patient outcomes and is an important consideration in strategies to improve nurse staffing. Levels of hospital nurse staffing and skill mix are important organizational characteristics when predicting patient outcomes.

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