ArticleMedical care2015
Organization of Hospital Nursing and 30-Day Readmissions in Medicare Patients Undergoing Surgery.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Association between the Quantity of Nurse-Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- A systematic review and meta-analysis of the effectiveness of social support on turnover intention in clinical nurses.Frontiers in public health · 2024Pooled it
- The Association between the Mental Health Nurse-to-Registered Nurse Ratio and Patient Outcomes in Psychiatric Inpatient Wards: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Association between organisational and workplace cultures, and patient outcomes: systematic review.BMJ open · 2017Pooled it
- A 360-Degree View of Unprofessional Behaviours Between Nurses and Between Nurses and Medical Colleagues: A Secondary Analysis of a Mixed-Method Evaluation.Journal of nursing management · 2026Article
- Nursing categories' perceptions of the practice environment and quality of care in North West Province: a cross-sectional survey design.BMC nursing · 2024Article
- Inpatient midwifery staffing levels and postpartum readmissions: a retrospective multicentre longitudinal study.BMJ open · 2024Article
- Development and validation of a quality of healthy work environment instrument for shift nurses.BMC nursing · 2024Article
- Stakeholders' Perceptions of How Nurse-Doctor Communication Impacts Patient Care: A Concept Mapping Study.Nursing reports (Pavia, Italy) · 2023Article
- Measuring Organizational Culture in Ethiopia's Primary Care System: Validation of a Practical Survey Tool for Managers.International journal of health policy and management · 2022Article
- Nursing Resources Linked to Postsurgical Outcomes for Patients With Opioid Use Disorder: An Observational Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness.BMC health services research · 2021Article
- Factors That Influence Nurse Staffing Levels in Acute Care Hospital Settings.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021Article
- Better nurse work environments associated with fewer readmissions and shorter length of stay among adults with ischemic stroke: A cross-sectional analysis of United States hospitals.Research in nursing & health · 2021Article
- Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis.Policy, politics & nursing practice · 2019Article
- Hospital Characteristics Associated With Postdischarge Hospital Readmission, Observation, and Emergency Department Utilization.Medical care · 2018Article
- Patients' perceptions of interactions with hospital staff are associated with hospital readmissions: a national survey of 4535 hospitals.BMC health services research · 2018Article
- Association Between Patient Satisfaction and Short-Term Outcomes After Major Cancer Surgery.Annals of surgical oncology · 2017Article
- Association of nurse work environment and safety climate on patient mortality: A cross-sectional study.International journal of nursing studies · 2017Article
- CORR InsightsClinical orthopaedics and related research · 2017Article
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 at 2 institutions in 2 countries.
Funding
Abstract
backgroundGrowing scrutiny of readmissions has placed hospitals at the center of readmission prevention. Little is known, however, about hospital nursing—a critical organizational component of hospital service system—in relation to readmissions.
objectivesTo determine the relationships between hospital nursing factors—nurse work environment, nurse staffing, and nurse education—and 30-day readmissions among Medicare patients undergoing general, orthopedic, and vascular surgery. METHOD AND
designWe linked Medicare patient discharge data, multistate nurse survey data, and American Hospital Association Annual Survey data. Our sample included 220,914 Medicare surgical patients and 25,082 nurses from 528 hospitals in 4 states (California, Florida, New Jersey, and Pennsylvania). Risk-adjusted robust logistic regressions were used for analyses.
resultsThe average 30-day readmission rate was 10% in our sample (general surgery: 11%; orthopedic surgery: 8%; vascular surgery: 12%). Readmission rates varied widely across surgical procedures and could be as high as 26% (upper limb and toe amputation for circulatory system disorders). Each additional patient per nurse increased the odds of readmission by 3% (OR=1.03; 95% CI, 1.00-1.05). Patients cared in hospitals with better nurse work environments had lower odds of readmission (OR=0.97; 95% CI, 0.95-0.99). Administrative support to nursing practice (OR=0.96; 95% CI, 0.94-0.99) and nurse-physician relations (OR=0.97; 95% CI, 0.95-0.99) were 2 main attributes of the work environment that were associated with readmissions.
conclusionsBetter nurse staffing and work environment were significantly associated with 30-day readmission, and can be considered as system-level interventions to reduce readmissions and associated financial penalties.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.