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Recent Trends in Hospital Nurse Staffing in the United States Journal Article


Authors: Staggs Vincent S; He, Jianghua
Article Title: Recent Trends in Hospital Nurse Staffing in the United States
Alternate Title: The Journal of nursing administration
Journal Title: The Journal of nursing administration
ISSN: 1539-0721
Publisher: Lippincott, Williams & Wilkins  
Date Published: 2013
DOI/URL:
Notes: 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.
KUMC Authors
  1. Jianghua (Wendy) He
    19 He
  2. Vincent Staggs
    15 Staggs