Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study
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 providi...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Blackwell Publishing Ltd
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/43077 |
| _version_ | 1848756591115894784 |
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| author | Twigg, D. Duffield, C. Bremner, A. Rapley, Pat Finn, J. |
| author_facet | Twigg, D. Duffield, C. Bremner, A. Rapley, Pat Finn, J. |
| author_sort | Twigg, D. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T09:14:38Z |
| format | Journal Article |
| id | curtin-20.500.11937-43077 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:14:38Z |
| publishDate | 2012 |
| publisher | Blackwell Publishing Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-430772017-09-13T16:08:10Z Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study Twigg, D. Duffield, C. Bremner, A. Rapley, Pat Finn, J. nurses nurse skill mix staffing patient outcomes health policy healthcare quality 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. 2012 Journal Article http://hdl.handle.net/20.500.11937/43077 10.1111/j.1365-2648.2012.05971.x Blackwell Publishing Ltd unknown |
| spellingShingle | nurses nurse skill mix staffing patient outcomes health policy healthcare quality Twigg, D. Duffield, C. Bremner, A. Rapley, Pat Finn, J. Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title | Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title_full | Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title_fullStr | Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title_full_unstemmed | Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title_short | Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study |
| title_sort | impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: a retrospective study |
| topic | nurses nurse skill mix staffing patient outcomes health policy healthcare quality |
| url | http://hdl.handle.net/20.500.11937/43077 |