Evidence map›Paper›PMID 31260358›Full record

ArticleHealth affairs (Project Hope)2019

In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better Outcomes For Patients After Cardiac Arrest.

Jordan M Harrison, Linda H Aiken, Douglas M Sloane, J Margo Brooks Carthon, Raina M Merchant, Robert A Berg, Matthew D McHugh, American Heart Association’s Get With the Guidelines–Resuscitation Investigators

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

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  17. RT education and COVID-19 pneumonia discharge quality.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    Article
  18. Article
  19. Article
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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

8 authors.

Jordan M HarrisonJordan M. Harrison ( joharr@nursing.upenn.edu ) is a research fellow in the Center for Health Outcomes and Policy Research, a National Clinical Scholar in the Perelman School of Medicine, and an associate fellow in the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania, in Philadelphia.
Linda H AikenLinda H. Aiken is the Claire M. Fagin Leadership Professor of Nursing, a professor of sociology, director of the Center for Health Outcomes and Policy Research, and a senior fellow in the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania.
Douglas M SloaneDouglas M. Sloane is an adjunct professor at the Center for Health Outcomes and Policy Research, University of Pennsylvania.
J Margo Brooks CarthonJ. Margo Brooks Carthon is an associate professor in the Center for Health Outcomes and Policy Research and a senior fellow in the Leonard Davis Institute of Health Economics, University of Pennsylvania.
Raina M MerchantRaina M. Merchant is an associate professor of emergency medicine in the Perelman School of Medicine, director of the Penn Medicine Center for Digital Health, and a senior fellow in the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania.
Robert A BergRobert A. Berg is a professor of anesthesiology and critical care at the Children's Hospital of Philadelphia.
Matthew D McHughMatthew D. McHugh is a professor of nursing, the Independence Chair for Nursing Education, associate director of the Center for Health Outcomes and Policy Research, and a senior fellow in the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania.
American Heart Association’s Get With the Guidelines–Resuscitation InvestigatorsThe American Heart Association's Get With the Guidelines-Resuscitation Investigators are acknowledged at the end of the article.

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
The Impact of Nursing on In-Hospital Cardiac Arrest Patient OutcomesR01NR016002 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MCHUGH, MATTHEW D. · 2016 to 2018
$983k
NINR NIH HHS R01 NR014855NINR NIH HHS R01 NR016002NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

In 2010, prompted by compelling evidence that demonstrated better patient outcomes in hospitals with higher percentages of nurses with a bachelor of science in nursing (BSN), the Institute of Medicine recommended that 80 percent of the nurse workforce be qualified at that level or higher by 2020. Using data from the American Heart Association's Get With the Guidelines-Resuscitation registry (for 2013-18), RN4CAST-US hospital nurse surveys (2015-16), and the American Hospital Association (2015), we found that each 10-percentage-point increase in the hospital share of nurses with a BSN was associated with 24 percent greater odds of surviving to discharge with good cerebral performance among patients who experienced in-hospital cardiac arrest. Lower patient-to-nurse ratios on general medical and surgical units were also associated with significantly greater odds of surviving with good cerebral performance. These findings contribute to the growing body of evidence that supports policies to increase access to baccalaureate-level education and improve hospital nurse staffing.

Indexed as

HospitalsNursing Staff, HospitalAgedCross-Sectional StudiesHeart ArrestHumansNursesOutcome Assessment, Health CareSurveys and QuestionnairesUnited StatesWorkforceacute care hospitalseducationhospital medical staffin-hospital cardiac arrestnursesNursingpatient outcomes

Identifiers

PMID31260358
PMCPMC6681904

What OpenQuestion holds

Textmetadata
LicenceTDM
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.