Are there economic benefits from increased nursing staffing in acute hospitals?
View File(s)
- Author(s)
- Details
-
Diane E. Twigg, PhD, MBA, BHlthSc (Nsg) (Hons), RN, RM; Christine Duffield, RN, PhD
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Twigg, Diane Esma by View
Title | Page Views |
---|
Popular Works for Twigg, Diane Esma by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on: Friday, July 26, 2013:
Purpose: Increased availability of treatment interventions and changing technology has increased demand for health care while the global financial crisis has increased calls for cost reduction. The pressure on nurse leaders to reduce staffing costs is significant. This research assessed the economic impact of increased nurse staffing on health outcomes in adult teaching hospitals in Perth, Western Australia. It provides evidence that is relevant to policy development.
Methods: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Hospital morbidity and staffing data were used to analyse nursing-sensitive outcomes pre and post implementation of improved nurse staffing. Data comprised 22 months prior to implementation of the improved staffing (pre-implementation), 6 months transition and 22 months following implementation of the improved staffing (post-implementation). Increased nurse staffing following implementation of the staffing method constituted the cost of the intervention.
Results: The number of nursing-sensitive outcomes was 1,357 less than expected post implementation and included 155 fewer 'failure to rescue' events. The 1,202 other nursing-sensitive outcomes were also prevented and one outcome showed an increase of 493. Life years gained (based on the failure to rescue events prevented) was 1,088. The cost per life year gained was AUD$8,907.
Conclusion: Improvements in nurse staffing method were cost-effective when compared with interventions thresholds used in Australia. Furthermore, these results meet cost-effectiveness thresholds of the United States of America, the United Kingdom and Sweden suggesting broader application that that of Australia. These results are supportive of similar findings in the literature and suggest increasing nurse staffing is a cost-effective strategy. Nurse leaders may utilise these findings to influence policy development and reduce demands for staffing reductions.
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Patient Outcomes; Cost Effectiveness; Staffing |
Name | 24th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Prague, Czech Republic |
Date | 2013 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Does investing in nurse staffing provide dividends?
Twigg, Diane Esma; Duffield, Christine M.; Myers, Helen; Giles, Margaret J. (2016-03-17)Session presentd on Monday, July 27, 2015: Purpose: Over a decade of research has established that better nurse skill mix and staffing levels are linked to positive patient outcomes in hospital settings. Hospital executives ... -
Nurse turnover, patient, nurse, and system outcomes
Roche, Michael A.; Duffield, Christine M. (2013-10-22)Session presented on: Tuesday, July 23, 2013: Purpose: Workforce shortages and retention are critical issues facing healthcare organizations. Turnover rates in Australia have been estimated at between 12% and 38% and ... -
The impact of nursing support workers on patient outcomes
Twigg, Diane Esma (2016-07-13)Session presented on Sunday, July 24, 2016: Purpose: To determine the impact of the addition of nursing support workers to nursing units (wards) on patient mortality and morbidity. Methods: Retrospective analysis of ... -
A systematic review of the impact of intentional rounding on patient safety in acute care
Christiansen, Angela; Jacob, Elisabeth; Twigg, Diane Esma; Whitehead, Lisa; Coventry, Linda L. (2017-07-03)Purpose: The purpose of this paper is to report on a systematic review of the evidence of the impact of intentional rounding (IR) on patient safety in adult acute healthcare settings. Methods: A systematic mixed ... -
Evaluation of "1FoCUS MODEL" of Clinical Facilitation for Nursing Students at Sir Charles Gairdner Hospital
Towell, Amanda; Coventry, Linda L.; Davis, Susanne Megan; Twigg, Diane Esma; Foster, Lucinda; Boston, Janelle (2016-07-13)Session presented on Sunday, July 24, 2016: Purpose: The aim of this project was to evaluate the impact of the One Focus Model of Clinical Facilitation implemented in 2015 at Sir Charles Gairdner Hospital (SCGH) in West ...