Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay

doi:10.1002/nur.21582

. 2014 Apr;37(2):90-7.

doi: 10.1002/nur.21582. Epub 2014 Jan 9.

Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay

Pamela B de Cordova¹, Ciaran S Phibbs, Susan K Schmitt, Patricia W Stone

Affiliations

PMID: 24403000
PMCID: PMC3959218
DOI: 10.1002/nur.21582

Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay

Pamela B de Cordova et al. Res Nurs Health. 2014 Apr.

. 2014 Apr;37(2):90-7.

doi: 10.1002/nur.21582. Epub 2014 Jan 9.

Authors

Pamela B de Cordova¹, Ciaran S Phibbs, Susan K Schmitt, Patricia W Stone

Affiliation

¹ College of Nursing, Rutgers, The State University of New Jersey, 110 Paterson Street, New Brunswick, NJ, 08901.

PMID: 24403000
PMCID: PMC3959218
DOI: 10.1002/nur.21582

Abstract

In hospitals, nurses provide patient care around the clock, but the impact of night staff characteristics on patient outcomes is not well understood. The aim of this study was to examine the association between night nurse staffing and workforce characteristics and the length of stay (LOS) in 138 veterans affairs (VA) hospitals using panel data from 2002 through 2006. Staffing in hours per patient day was higher during the day than at night. The day nurse workforce had more educational preparation than the night workforce. Nurses' years of experience at the unit, facility, and VA level were greater at night. In multivariable analyses controlling for confounding variables, higher night staffing and a higher skill mix were associated with reduced LOS.

Keywords: human capital; length of stay; night shift; nursing workforce; staffing.

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References

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[1] Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care. 2011;49:1047–1053. doi:10.1097/MLR.0b013e3182330b6e. - PMC - PubMed

[2] Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care. 2011;49:1047–1053. doi:10.1097/MLR.0b013e3182330b6e. - PMC - PubMed

[3] Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290:1617–1623. doi: 10.1001/jama.290.12.1617 [doi]290/12/1617. - PMC - PubMed

[4] Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290:1617–1623. doi: 10.1001/jama.290.12.1617 [doi]290/12/1617. - PMC - PubMed

[5] Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288:1987–1993. doi: joc20547. - PubMed

[6] Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288:1987–1993. doi: joc20547. - PubMed

[7] Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Medicine. 2000;26:1857–1862. - PubMed

[8] Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Medicine. 2000;26:1857–1862. - PubMed

[9] Barnett MJ, Kaboli PJ, Sirio CA, Rosenthal GE. Day of the week of intensive care admission and patient outcomes: A multisite regional evaluation. Medical Care. 2002;40:530–539. - PubMed

[10] Barnett MJ, Kaboli PJ, Sirio CA, Rosenthal GE. Day of the week of intensive care admission and patient outcomes: A multisite regional evaluation. Medical Care. 2002;40:530–539. - PubMed

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Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay

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Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay

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