Understanding the use of supplemental registered nurses by hospitals and its impact on the quality of care and cost
The purpose of this project is to understand the use of supplemental registered nurses (SRNs) by hospitals and its impact on the quality of care and cost. This is an investigator-initiated topic, which will ultimately address the first goal of the Foundation's Interdisciplinary Nursing Quality Research Initiative . Specific aims are to: (1) describe why and how the hospital uses SRNs; (2) examine the relationship between use of SRNs and patient outcomes (patient overall satisfaction, patient satisfaction with nursing care, inpatient mortality, medication errors, falls, and pressure ulcers); (3) examine the relationship between use of SRNs and voluntary nurse turnover; and (4) examine the economic consequences of using SRNs. The research design integrates qualitative methods (focus groups, interview, and document review) and quantitative methods (a retrospective analysis of longitudinal hospital administrative data collected from 19 adult medical, surgical, and ICU units between 2001 and 2006) in a large urban teaching hospital. Patient overall satisfaction and satisfaction with nursing care are measured by an inpatient satisfaction survey. Inpatient mortality will be calculated as the number of inpatient deaths divided by number of admissions. Medication error rate will be calculated as the number of medication errors times 1000 divided by number of inpatient days. NQF endorsed core measures will be used for falls, pressure ulcers, and voluntary nurse turnover. Data analysis includes content analysis of qualitative data and multilevel regression analysis of the effect of SRNs on patient and nurse outcomes.
Amount Awarded $300,000.00
Awarded on: 7/30/2007
Time frame: 9/1/2007 - 8/31/2009
Grant Number: 62576