Observational studyHealth services research2014
Nurse value-added and patient outcomes in acute care.
Observational study in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03911687 (Communicating Narrative Concerns Entered by RNs), which is not on this map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Communicating Narrative Concerns Entered by RNs (CONCERN) Clinical Decision Support (CDS) System
Who cites it
20 citing papers in PubMed.
- A Concept Analysis of Expertise Associated With Practicing Clinical Nurses in Hospital Settings.Journal of advanced nursing · 2026Review
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
- An electronic health record metadata-mining approach to identifying patient-level interprofessional clinician teams in the intensive care unit.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Assessing the value-added contributions of community health workers and communities to early child development: a longitudinal study in a low-income setting.BMJ public health · 2025Article
- Using Electronic Health Records to Identify the Daily Primary Provider During Hospitalization.Critical care explorations · 2024Article
- Sources of nurse-sensitive inpatient safety improvement.Health services research · 2022Article
- Clinical practice experience of doctor of philosophy nurses in South Korea: a qualitative study.International journal of qualitative studies on health and well-being · 2022Article
- Mortality Effects and Choice Across Private Health Insurance Plans.The quarterly journal of economics · 2021Article
- Variability in cesarean delivery rates among individual labor and delivery nurses compared to physicians at three attribution time points.Health services research · 2021Observational
- Evaluating the Costs and Outcomes of Hospital Nursing Resources: a Matched Cohort Study of Patients with Common Medical Conditions.Journal of general internal medicine · 2021Article
- Individual Nurse Productivity in Preparing Patients for Discharge Is Associated With Patient Likelihood of 30-Day Return to Hospital.Medical care · 2019Article
- Nurse-staffing level and quality of acute care services: Evidence from cross-national panel data analysis in OECD countries.International journal of nursing sciences · 2019Article
- Using Electronic Health Record Activity to Represent Interdisciplinary Care Teams and Examining their Contribution to Hospital Length of Stay.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Observational
- Rankings matter: nurse graduates from higher-ranked institutions have higher productivity.BMC health services research · 2017Article
- An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences between Cross-Sectional and Longitudinal Estimates.Health services research · 2016Article
- Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2016Article
- Best of the 2014 AcademyHealth Annual Research Meeting.Health services research · 2014Article
- The RN to BSN Transition: A Qualitative Systematic Review.Global qualitative nursing researchArticle
- Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aims of the study were to (1) estimate the relative nurse effectiveness, or individual nurse value-added (NVA), to patients' clinical condition change during hospitalization; (2) examine nurse characteristics contributing to NVA; and (3) estimate the contribution of value-added nursing care to patient outcomes. DATA SOURCES/STUDY
settingElectronic data on 1,203 staff nurses matched with 7,318 adult medical-surgical patients discharged between July 1, 2011 and December 31, 2011 from an urban Magnet-designated, 854-bed teaching hospital. STUDY
designRetrospective observational longitudinal analysis using a covariate-adjustment value-added model with nurse fixed effects. DATA COLLECTION/EXTRACTION
methodsData were extracted from the study hospital's electronic patient records and human resources databases. PRINCIPAL
findingsNurse effects were jointly significant and explained 7.9 percent of variance in patient clinical condition change during hospitalization. NVA was positively associated with having a baccalaureate degree or higher (0.55, p = .04) and expertise level (0.66, p = .03). NVA contributed to patient outcomes of shorter length of stay and lower costs.
conclusionsNurses differ in their value-added to patient outcomes. The ability to measure individual nurse relative value-added opens the possibility for development of performance metrics, performance-based rankings, and merit-based salary schemes to improve patient outcomes and reduce costs.
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Registered trials
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