Evidence map›Paper›PMID 34128242›Full record

ArticleResearch in nursing & health2021

Changes in proportion of bachelor's nurses associated with improvements in patient outcomes.

Karen B Lasater, Douglas M Sloane, Matthew D McHugh, Joshua Porat-Dahlerbruch, Linda H Aiken

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
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  6. Article
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Article
  18. The voices of online RN-BS students during the COVID-19 pandemic.Teaching and learning in nursing : official journal of the National Organization for Assciate Degree Nursing · 2023
    Article
  19. Article
  20. Article
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.

Karen B LasaterCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5834-1954
Douglas M SloaneCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Matthew D McHughCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joshua Porat-DahlerbruchCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Linda H AikenCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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

This study uses data from two cross-sections in time (2006, 2016) to determine whether changes over time in hospital employment of bachelor's of science in nursing (BSN) nurses is associated with changes in patient outcomes. Data sources include nurse survey data, American Hospital Association Annual Survey data, and patient administrative claims data from state agencies in California, Florida, New Jersey, and Pennsylvania. The study sample included general surgical patients aged 18-99 years admitted to one of the 519 study hospitals. Multilevel logistic regression and truncated negative binomial models were used to estimate the cross-sectional and longitudinal effects of the proportion of hospital BSN nurses on patient outcomes (i.e., in-hospital mortality, 7- and 30-day readmissions, length of stay). Between 2006 and 2016, the average proportion of BSN nurses in hospitals increased from 41% to 56%. Patients in hospitals that increased their proportion of BSN nurses over time had significantly reduced odds of risk-adjusted mortality (odds ratio [OR]: 0.95, 95% confidence interval [CI]: 0.92-0.98), 7-day readmission (OR: 0.96, 95% CI: 0.94-0.99) and 30-day readmission (OR: 0.98, 95% CI: 0.95-1.00), and shorter lengths of stay (incident rate ratio [IRR]: 0.98, 95% CI: 0.97-0.99). Longitudinal findings of an association between increased proportions of BSN nurses and improvements in patient outcomes corroborate previous cross-sectional research, suggesting that a better educated nurse workforce may add value to hospitals and patients.

Indexed as

Educational StatusHospital MortalityAdolescentAdultAgedAged, 80 and overCaliforniaCross-Sectional StudiesEducation, Nursing, BaccalaureateFemaleFloridaForecastingHumansLogistic ModelsMaleMiddle Agededucationhealth service researchnursingoutcomes research

Identifiers

PMID34128242
PMCPMC8440404

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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.