ArticleResearch in nursing & health2021
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.
Article in Research in nursing & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with post-stroke readmission: a systematic review and meta analysis.Scientific reports · 2025Pooled it
- Psychological responses of hospital-based nurses working during the COVID-19 pandemic in the United States: A cross-sectional study.Applied nursing research : ANR · 2022Pooled it
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
- Virtual Nursing for the Care of Hospitalized Patients.JAMA network open · 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
- Hospital Nurse Perspectives on Barriers and Facilitators to Caring for Socially Disadvantaged Patients.JAMA network open · 2025Article
- Opportunities in stroke care at safety net hospitals: A socioecological perspective.Equity neuroscience · 2025Article
- Psychological capital, grit and organizational justice as positive strengths and resources among registered nurses: A path analysis.Nursing open · 2023Article
- 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 effect of data aggregation on estimations of nurse staffing and patient outcomes.Health services research · 2021Observational
- Emergency department workplace violence: Clinician-endorsed strategies informing prevention mandates.Nursing outlookArticle
- Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.Nursing outlookArticle
- Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing.Nursing researchArticle
- Development and Validation of a Short Form of the Nurse Practitioner Primary Care Organizational Climate Questionnaire.Nursing researchArticle
Corrections and comments
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Authors and funding
5 authors.
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Abstract
Stroke is among the most common reasons for disability and death. Avoiding readmissions and long lengths of stay among ischemic stroke patients has benefits for patients and health care systems alike. Although reduced readmission rates among a variety of medical patients have been associated with better nurse work environments, it is unknown how the work environment might influence readmissions and length of stay for ischemic stroke patients. Using linked data sources, we conducted a cross-sectional analysis of 543 hospitals to evaluate the association between the nurse work environment and readmissions and length of stay for 175,467 hospitalized adult ischemic stroke patients. We utilized logistic regression models for readmission to estimate odds ratios (OR) and zero-truncated negative binomial models for length of stay to estimate the incident-rate ratio (IRR). Final models accounted for hospital and patient characteristics. Seven and 30-day readmission rates were 3.9% and 10.1% respectively and the average length of stay was 4.9 days. In hospitals with better nurse work environments ischemic stroke patients experienced lower odds of 7- and 30-day readmission (7-day OR, 0.96; 95% confidence interval [CI]: 0.93-0.99 and 30-day OR, 0.97; 95% CI: 0.94-0.99) and lower length of stay (IRR, 0.97; 95% CI: 0.95-0.99). The work environment is a modifiable feature of hospitals that should be considered when providing comprehensive stroke care and improving post-stroke outcomes.
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