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Associations of Nurse Staffing and Education With the Length of Stay of Surgical Patients

Authors
 Eunhee Cho  ;  Jeongyoung Park  ;  Miyoung Choi  ;  Hye Sun Lee  ;  Eun-Young Kim 
Citation
 Journal of Nursing Scholarship, Vol.50(2) : 210-218, 2018 
Journal Title
 Journal of Nursing Scholarship 
ISSN
 1527-6546 
Issue Date
2018
Keywords
Korea ; length of stay ; nurse education ; nurse staffing ; patient outcomes
Abstract
PURPOSE: To examine the association of nurse staffing and education with the length of stay of surgical patients in acute care hospitals in South Korea. DESIGN: A cross-sectional survey design was used for a nurse survey in acute hospitals collected between 2008 and 2009. The survey data (N = 1,665) were linked with patient discharge data (N = 113,438) and hospital facility data from 58 hospitals with 100 or more beds in South Korea. METHODS: The dependent variable was the length of stay, that is, the number of days a patient remained in the hospital. The independent variables were nurse staffing (number of patients per nurse) and nurses' education level (percentage of nurses with a bachelor of science in nursing [BSN] degree). A multilevel analysis was used to analyze the associations of nurse staffing and education level with the length of stay by controlling for both hospital and patient characteristics. FINDINGS: The average proportion of nurses with a BSN in all the hospitals was 30.86%, while the average number of patients per nurse was 14.31. The median length of hospital stay for patients was about 7 days. The multilevel analysis showed that nurse staffing and nurse education level were significantly associated with the length of stay of surgical patients in acute care hospitals. A 10% increase in the average number of patients per nurse increased the length of stay by 0.284 days (p = .037). When the number of nurses with a BSN was increased by 1%, the length of stay decreased by 0.42 days (p = .025). CONCLUSIONS: Nurse staffing and nurses' education levels were significantly associated with the length of stay of surgical patients in South Korean hospitals. The findings from this study suggest that the South Korea healthcare system should develop appropriate strategies to improve the nurse staffing and education levels to ensure high-quality patient care in hospitals. CLINICAL RELEVANCE: Healthcare policymakers and nurse managers need to modify adequate nurse staffing and education levels in order to reduce the length of stay of patients.
Full Text
https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/jnu.12366
DOI
10.1111/jnu.12366
Appears in Collections:
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
이혜선(Lee, Hye Sun) ORCID logo https://orcid.org/0000-0001-6328-6948
조은희(Cho, Eunhee) ORCID logo https://orcid.org/0000-0002-7871-6848
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162190
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