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J Nurs Adm. 2013 Jul-Aug;43(7-8):388-93. doi: 10.1097/NNA.0b013e31829d620c.

Recent trends in hospital nurse staffing in the United States.

Author information

1
Department of Biostatistics and School of Nursing, University of Kansas Medical Center, Kansas City 66160, USA. vstaggs@kumc.edu

Abstract

OBJECTIVE:

The aim of this study was to examine recent trends in nurse staffing levels and nursing staff composition.

BACKGROUND:

Recent trends in hospital nurse staffing have not been well described, and the effects of the 2007 to 2012 recession and 2008 Centers for Medicare & Medicaid Services rule change are unknown.

METHODS:

A longitudinal study of unit-level data from the National Database of Nursing Quality Indicators (NDNQI) and hospital-level data from the American Hospital Association (AHA) annual survey was conducted.

RESULTS:

From 2004 to 2011, total nursing hours per patient day on general care units in NDNQI hospitals increased by 11.5%, and registered nurse (RN) hours per patient day by 22.9%. Trends were similar in AHA hospitals.

CONCLUSIONS:

Hospitals have steadily increased total nurse staffing levels by increasing RN staffing. Use of temporary RNs in hospitals plummeted from mid-2008. There were no apparent changes in staffing levels due to the recession and/or CMS rule change.

PMID:
23845976
DOI:
10.1097/NNA.0b013e31829d620c
[Indexed for MEDLINE]
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