Relationships of professional nurse characteristics and nurse staffing to adverse patient outcomes
Review TypeNone: Degree-based Submission
Repository Posting Date2020-09-04T19:26:54Z
Author(s)Redekopp, Monica A.
Author DetailsDr. Monica A. Redekopp, PhD, RN
Lead Author Sigma AffliationXi Tau
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
CINAHL HeadingsAdverse Health Care Event; Nursing Staff, Hospital; Adverse Health Care Event--Risk Factors; Nursing Staff, Hospital--Psychosocial Factors
Despite major changes in the health care environment, limited research has been conducted to guide the changing roles of nurses or to examine the impact of professional nurse characteristics on patient outcomes. The purpose of this study was to examine the relationships between professional nurse characteristics of years of experience, educational level, and professional certification; nurse staffing variables; and adverse patient outcomes of falls, falls with injury, hospital acquired pneumonia, and hospital acquired pressure ulcers. Donabedian's Structure-Process-Outcome framework (Donabedian, 1980) and the Nursing Role Effectiveness Model (Irvine, Sidani, & Hass, 1998) were adapted to guide an examination of the relationship of the structural variables of the nurse and organizational structural variables related to work load and staff mix to adverse patient outcomes. A process component was not studied. A multivariate, retrospective, correlational, cross-sectional, non-experimental design was used employing a secondary analysis of existing employee, patient, and organizational data from electronic healthcare databases. The study sample included 451 registered nurses and 30,289 patients during a one year period within 18 medical and surgical acute care units of three Northeastern non-for-profit, teaching, acute care institutions. Differences in nurse characteristics, nurse staffing, nursing employment, patient characteristics, and patient adverse outcomes between the three hospitals were evaluated using analysis of variance. A correlation matrix was developed to analyze the relationships among the study variables. For each correlation that was found to be significant, ANCOVA was computed. No significant relationships were found between professional nurse characteristics of educational level and professional certification, nurse staffing variables, and adverse patient outcomes. The challenges in collecting the nurse data impacted data analysis and ability to answer the research questions, prompting attention to data collection about nurses. Study results and the contradictory findings of others support the need to question the exclusion of the process component and examine whether adverse patient outcomes are truly nurse sensitive. There needs to be deliberation about evolving the research on these relationships to include processes of nursing care and nurse sensitive patient outcomes that are direct results of nursing care. This knowledge is needed for developing professional practice models that demonstrate safe and effective nurse staffing in a rapidly evolving health care delivery system.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3262939; ProQuest document ID: 304782472. The author still retains copyright.
Degree GrantorThe University of Wisconsin - Milwaukee
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Redekopp, Monica A. by View
Popular Works for Redekopp, Monica A. by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.