Evidence map›Paper›PMID 28905367›Full record

ArticleHealth services research2018

Nursing Care Disparities in Neonatal Intensive Care Units.

Eileen T Lake, Douglas Staiger, Erika Miles Edwards, Jessica G Smith, Jeannette A Rogowski

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  11. Short-term outcomes of Jewish and Arab preterms: a population-based comparison.Journal of perinatology : official journal of the California Perinatal Association · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Eileen T LakeDepartment of Sociology, Center for Health Outcomes and Policy Research, School of Nursing, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-8823-3436
Douglas StaigerDepartment of Economics, Dartmouth College, Hanover, NH.
Erika Miles EdwardsData Systems and Analytics, Vermont Oxford Network, Burlington, VT.
Jessica G SmithCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.ORCID 0000-0003-4769-1905
Jeannette A RogowskiDepartment of Health Systems and Policy, School of Public Health, Rutgers, The State University of New Jersey, Piscataway, NJ.
Dartmouth College · USPennsylvania Department of Health · USRutgers, The State University of New Jersey · USUniversity of Pennsylvania · USUniversity of Vermont · US

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
The Impact of Changes in Nursing Systems and Models of Care on Patient Outcomes: A Panel StudyR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Matthew D. McHugh · 2014 to 2026
$7.5M
NINR NIH HHS R01 NR014855NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

objectivesTo describe the variation across neonatal intensive care units (NICUs) in missed nursing care in disproportionately black and non-black-serving hospitals. To analyze the nursing factors associated with missing nursing care. DATA SOURCES/STUDY

settingSurvey of random samples of licensed nurses in four large U.S. states. STUDY

designThis was a retrospective, secondary analysis of 1,037 staff nurses in 134 NICUs classified into three groups based on their percent of infants of black race. Measures included the average patient load, individual nurses' patient loads, professional nursing characteristics, nurse work environment, and nursing care missed on the last shift. DATA COLLECTION: Survey data from a Multi-State Nursing Care and Patient Safety Study were analyzed (39 percent response rate). PRINCIPAL

findingsThe patient-to-nurse ratio was significantly higher in high-black hospitals. Nurses in high-black NICUs missed nearly 50 percent more nursing care than in low-black NICUs. Lower nurse staffing (an additional patient per nurse) significantly increased the odds of missed care, while better practice environments decreased the odds.

conclusionsNurses in high-black NICUs face inadequate staffing. They are more likely to miss required nursing care. Improving staffing and workloads may improve the quality of care for the infants born in high-black hospitals.

Indexed as

Black or African AmericanCross-Sectional StudiesEnvironmentHealthcare DisparitiesHumansInfant, NewbornIntensive Care Units, NeonatalNursing Staff, HospitalPersonnel Staffing and SchedulingQuality of Health CareRetrospective StudiesUnited StatesWorkloadhealth disparitiesMissed nursing carenurse staffingnurse work environmentvery low birthweight infants

Identifiers

PMID28905367
PMCPMC6056573
OpenAlexW2754934163

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.