ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2016
Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis 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
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
- Psychometric evaluation of instruments measuring the work environment of healthcare professionals in hospitals: a systematic literature review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020Pooled it
- Virtual nursing implementation and 30-day patient readmissions: a multi-site study.NPJ digital medicine · 2026Article
- The Mediating Role of Missed Care in the Association Between Nurse Staffing and Patient Readmissions Across U.S. Hospitals.Policy, politics & nursing practice · 2026Article
- Associations Between Nurse Staffing Levels and 30- and 60-Day Readmissions for Acute Care Patients With Intellectual and Developmental Disability.Research in nursing & health · 2025Article
- Poor Patient Care Outcomes and Nurse Job Outcomes Associated With Unfavorable Intensive Care Unit and Emergency Department Nurse Work Environments: Implications for Critical Care Medicine.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025Article
- Left Without Being Seen: Nurse Work Environment and Timely Outcomes in New York and Illinois Emergency Departments.Journal of emergency nursing · 2024Article
- Systematic RADaR analysis of responses to the open-ended question in the Culture of Care Barometer survey of a Dutch hospital.BMJ open · 2024Article
- Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies.BMC nursing · 2024Article
- A Review of Disparities in Outcomes of Hospitalized Patients with Limited English Proficiency: The Importance of Nursing Resources.Journal of health care for the poor and underserved · 2024Review
- Electronic Health Record Usability and Postsurgical Outcomes Among Older Adults With Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- The Effect of Nurse Staffing on Patient Outcomes in Acute Care Hospitals in Korea.International journal of environmental research and public health · 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
- The Association of Hospital MagnetPolicy, politics & nursing practice · 2021Article
- Chronic hospital nurse understaffing meets COVID-19: an observational study.BMJ quality & safety · 2021Observational
- 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 nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals.Lancet (London, England) · 2021Article
- Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes.International journal of environmental research and public health · 2021Article
- Association of hospital nursing and postsurgical sepsis.PloS one · 2021Article
- Defining a positive work environment for hospital healthcare professionals: A Delphi study.PloS one · 2021Article
- Valuing hospital investments in nursing: multistate matched-cohort study of surgical patients.BMJ quality & safety · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo examine the effect of nurse staffing and the work environment on 10- and 30-day unplanned readmissions for US Medicare patients following elective total hip and knee replacement.
designA cross-sectional analysis of secondary data.
settingAcute care hospitals in California, Florida, New Jersey and Pennsylvania, during 2006.
participantsMedicare patients (n = 112 017) admitted to an acute care hospital for an elective total hip or knee replacement.
main outcome measuresThe adjusted odds ratio (OR) of experiencing an unplanned readmission within 10 and 30 days of discharge following an elective total hip or knee replacement.
resultsOur sample included 112 017 Medicare patients in 495 hospitals. Nearly 6% of the patients were readmitted within 30 days; more than half of whom were rehospitalized within 10 days. Adjusted for patient and hospital characteristics, patients had 8% higher odds of 30-day readmission and 12% higher odds of 10-day readmission, for each additional patient per nurse. Patients cared for in the best work environments had 12% lower odds of 30-day readmission.
conclusionsReadmission outcomes following major joint replacement are associated with hospital nursing care. Attention to nurse work conditions may be central to improving readmissions in this postoperative Medicare population.
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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.