Supplemental nurse staffing in hospitals and quality of care

Linda H. Aiken, Ying Xue, Sean P. Clarke, Douglas M. Sloane

Research output: Contribution to journalArticle

Abstract

OBJECTIVE:: To promote evidence-based decision making regarding hospital staffing, the authors examined the characteristics of supplemental nurses, as well as the relationship of supplemental staff to nurse outcomes and adverse events. BACKGROUND:: The use of supplemental nurses to bolster permanent nursing staff in hospitals is widespread but controversial. Quality concerns have been raised regarding the use of supplemental staff. METHODS:: Data from the 2000 National Sample Survey of Registered Nurses were used to determine whether the qualifications of supplemental nurses working in hospitals differed from permanent staff nurses. Data from Pennsylvania nurse surveys were analyzed to examine whether nurse outcomes and adverse events differed in hospitals with varying proportions of nonpermanent nurses. RESULTS:: Temporary nurses have qualifications similar to permanent staff nurses. Deficits in patient care environments in hospitals employing more temporary nurses explain the association between poorer quality and temporary nurses. CONCLUSION:: Negative perceptions of temporary nurses may be unfounded.

Original languageEnglish (US)
Pages (from-to)335-342
Number of pages8
JournalJournal of Nursing Administration
Volume37
Issue number7-8
DOIs
StatePublished - Jul 2007
Externally publishedYes

Fingerprint

Quality of Health Care
Nurses
Hospital Nursing Staffs
Decision Making
Patient Care

ASJC Scopus subject areas

  • Leadership and Management
  • Nursing(all)

Cite this

Supplemental nurse staffing in hospitals and quality of care. / Aiken, Linda H.; Xue, Ying; Clarke, Sean P.; Sloane, Douglas M.

In: Journal of Nursing Administration, Vol. 37, No. 7-8, 07.2007, p. 335-342.

Research output: Contribution to journalArticle

Aiken, Linda H. ; Xue, Ying ; Clarke, Sean P. ; Sloane, Douglas M. / Supplemental nurse staffing in hospitals and quality of care. In: Journal of Nursing Administration. 2007 ; Vol. 37, No. 7-8. pp. 335-342.
@article{b60a45ee0c0549e78a091bbb1c2fb506,
title = "Supplemental nurse staffing in hospitals and quality of care",
abstract = "OBJECTIVE:: To promote evidence-based decision making regarding hospital staffing, the authors examined the characteristics of supplemental nurses, as well as the relationship of supplemental staff to nurse outcomes and adverse events. BACKGROUND:: The use of supplemental nurses to bolster permanent nursing staff in hospitals is widespread but controversial. Quality concerns have been raised regarding the use of supplemental staff. METHODS:: Data from the 2000 National Sample Survey of Registered Nurses were used to determine whether the qualifications of supplemental nurses working in hospitals differed from permanent staff nurses. Data from Pennsylvania nurse surveys were analyzed to examine whether nurse outcomes and adverse events differed in hospitals with varying proportions of nonpermanent nurses. RESULTS:: Temporary nurses have qualifications similar to permanent staff nurses. Deficits in patient care environments in hospitals employing more temporary nurses explain the association between poorer quality and temporary nurses. CONCLUSION:: Negative perceptions of temporary nurses may be unfounded.",
author = "Aiken, {Linda H.} and Ying Xue and Clarke, {Sean P.} and Sloane, {Douglas M.}",
year = "2007",
month = "7",
doi = "10.1097/01.NNA.0000285119.53066.ae",
language = "English (US)",
volume = "37",
pages = "335--342",
journal = "Journal of Nursing Administration",
issn = "0002-0443",
publisher = "Lippincott Williams and Wilkins",
number = "7-8",

}

TY - JOUR

T1 - Supplemental nurse staffing in hospitals and quality of care

AU - Aiken, Linda H.

AU - Xue, Ying

AU - Clarke, Sean P.

AU - Sloane, Douglas M.

PY - 2007/7

Y1 - 2007/7

N2 - OBJECTIVE:: To promote evidence-based decision making regarding hospital staffing, the authors examined the characteristics of supplemental nurses, as well as the relationship of supplemental staff to nurse outcomes and adverse events. BACKGROUND:: The use of supplemental nurses to bolster permanent nursing staff in hospitals is widespread but controversial. Quality concerns have been raised regarding the use of supplemental staff. METHODS:: Data from the 2000 National Sample Survey of Registered Nurses were used to determine whether the qualifications of supplemental nurses working in hospitals differed from permanent staff nurses. Data from Pennsylvania nurse surveys were analyzed to examine whether nurse outcomes and adverse events differed in hospitals with varying proportions of nonpermanent nurses. RESULTS:: Temporary nurses have qualifications similar to permanent staff nurses. Deficits in patient care environments in hospitals employing more temporary nurses explain the association between poorer quality and temporary nurses. CONCLUSION:: Negative perceptions of temporary nurses may be unfounded.

AB - OBJECTIVE:: To promote evidence-based decision making regarding hospital staffing, the authors examined the characteristics of supplemental nurses, as well as the relationship of supplemental staff to nurse outcomes and adverse events. BACKGROUND:: The use of supplemental nurses to bolster permanent nursing staff in hospitals is widespread but controversial. Quality concerns have been raised regarding the use of supplemental staff. METHODS:: Data from the 2000 National Sample Survey of Registered Nurses were used to determine whether the qualifications of supplemental nurses working in hospitals differed from permanent staff nurses. Data from Pennsylvania nurse surveys were analyzed to examine whether nurse outcomes and adverse events differed in hospitals with varying proportions of nonpermanent nurses. RESULTS:: Temporary nurses have qualifications similar to permanent staff nurses. Deficits in patient care environments in hospitals employing more temporary nurses explain the association between poorer quality and temporary nurses. CONCLUSION:: Negative perceptions of temporary nurses may be unfounded.

UR - http://www.scopus.com/inward/record.url?scp=34548299961&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548299961&partnerID=8YFLogxK

U2 - 10.1097/01.NNA.0000285119.53066.ae

DO - 10.1097/01.NNA.0000285119.53066.ae

M3 - Article

C2 - 17939464

AN - SCOPUS:34548299961

VL - 37

SP - 335

EP - 342

JO - Journal of Nursing Administration

JF - Journal of Nursing Administration

SN - 0002-0443

IS - 7-8

ER -