Legislating Nurse Staffing: Projected Impact on Hospital Economics, Process Flow, and Hospital-Associated Infections in Montana.

IF 1.8 4区医学 Q2 NURSING

Journal of Nursing Administration Pub Date : 2024-07-01 DOI:10.1097/NNA.0000000000001449

Lauren Swant, Karin E Warner, Judith Zedreck-Gonzalez

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引用次数: 0

Abstract

Objective: The aim of this study was to project the impact of legislated nurse staffing ratios on patient-, staff-, and system-level outcomes for Prospective Payment System (PPS) hospitals in Montana.

Background: In 2023, House Bill 568 was introduced in Montana focused on legislating hospital safe nursing standards.

Methods: A quantitative design was used for a convenience sample of Montana PPS hospitals. Data were gathered through a newly developed survey and from other publicly available sources for the years 2018 to 2022. Independent t tests were conducted when appropriate with the significance threshold set at 0.05.

Results: Projections indicate no significant change in patient outcome metrics accompanied by increases in labor requirements, slower emergency department throughput times, and decreases in hospital operating margins.

Conclusions: In Montana, legislating nurse staffing ratios would have downstream implications inconsistent with the intended impact on patient safety, emphasizing the complexity of variables within and external to the healthcare system that drive patient-, staff-, and system-level outcomes.

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护士编制立法：对蒙大拿州医院经济、流程和医院相关感染的预期影响》（Projected Impact on Hospital Economics, Process Flow, and Hospital-Associated Infections in Montana）。

目的：本研究的目的是预测蒙大拿州立法规定的护士人员配备比对患者、员工和系统层面的影响：本研究旨在预测蒙大拿州预付费系统（PPS）医院立法规定的护士人员配备比对患者、员工和系统层面结果的影响：背景：2023 年，蒙大拿州出台了第 568 号众议院法案，重点是立法规定医院安全护理标准：方法：对蒙大拿州 PPS 医院的便利样本进行定量设计。通过新开发的调查和其他公开来源收集了 2018 年至 2022 年的数据。适当时进行独立 t 检验，显著性阈值设定为 0.05：预测结果表明，患者治疗效果指标没有明显变化，但劳动力需求增加、急诊科吞吐时间缩短、医院运营利润下降：在蒙大拿州，护士人员配备比例立法将产生下游影响，与预期对患者安全的影响不一致，这强调了医疗保健系统内部和外部变量的复杂性，这些变量驱动着患者、员工和系统层面的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Administration 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.