ArticleMedical care2021
Value of Nurse Practitioner Inpatient Hospital Staffing.
Article in Medical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Pooled it
- Perceived Satisfaction, Quality of Care, and Enablement Among Patients Receiving Acute Care From Nurse Practitioners in Taiwan: A Multi-Hospital Study.The journal of nursing research : JNR · 2026Article
- Perceived importance of recruitment and retention measures for bachelor-qualified nurses in German hospitals: mixed-methods study.BMJ open · 2026Article
- Influence of Practice Environment and Manager Leadership Style on Interprofessional Collaboration and Quality of Care in Acute Care Nurse Practitioners.The journal of nursing research : JNR · 2026Article
- The Association Between Number of Hospital Advanced Practice Providers and Surgical Morbidity.Cancer medicine · 2026Article
- Evaluating Nurse Practitioners' Peri-Operative Roles and Their Outcomes: A Prospective Observational Study in Surgical Care.Journal of advanced nursing · 2026Observational
- "I feel abandoned by nursing and not accepted by medicine": Factors undermining a healthy work environment for hospital-based nurse practitioners in the United States.Journal of the American Association of Nurse Practitioners · 2026Article
- Perceptions and Enhancement Needs of Psychiatric Nurses on Patient Safety Competency: A Phenomenological Study.Journal of nursing management · 2026Article
- Factors Related to Job Satisfaction Among Moroccan Nurses: A Cross-Sectional Secondary Data Analysis.Cureus · 2025Article
- Factors affecting integration of the nurse practitioner workforce into health systems: a Delphi consensus study.BMC health services research · 2025Article
- Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis.Journal of advanced nursing · 2025Article
- Dementia care management in primary care practices: a descriptive study among nurse practitioners.BMC primary care · 2025Article
- Frailty Focus: Empowering Rural Health With Advanced Nurse Practitioners: A Discussion Paper.Journal of evaluation in clinical practice · 2025Article
- Hospital pharmacy implementation of a unit dose dispensing system: A qualitative interview study to determine experiences, views and attitudes of nursing staff.Exploratory research in clinical and social pharmacy · 2025Article
- Registered nurses' perspective of nurse practitioners: A mixed-methods study.International nursing review · 2025Article
- Correlation Descriptive Study on Nurses' Professional Values and Job Satisfaction and the Ethical Climate of the Hospital.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Examining the Relationship Between Differing Implementation Patterns of an Evidence-Informed Frontline Nursing Care Model and Implementation Success in a National-Level Study.Journal of nursing management · 2025Article
- Empowering Advanced Practice Nurses: A Review of Addressing Global Health Needs.Annals of global health · 2025Review
- [Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals].Journal of Korean Academy of Nursing · 2024Article
- Development of a Taxonomy of Policy Interventions for Integrating Nurse Practitioners into Health Systems.International journal of health policy and management · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundEvidence indicates hospitals with better registered nurse (RN) staffing have better patient outcomes. Whether involving more nurse practitioners (NPs) in inpatient care produces better outcomes is largely unknown.
objectiveThe objective of this study was to determine whether the presence of more NPs produces better inpatient outcomes net of RN staffing. RESEARCH
designThis was a 2015-2016 cross-sectional data on 579 hospitals linked from: (1) RN4CAST-US nurse surveys; (2) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient surveys; (3) surgical patient discharge abstracts; (4) Medicare Spending per Beneficiary (MSPB) reports; (5) American Hospital Association (AHA) Annual Survey. Hospitals were grouped according to their NP/beds ratios [<1 NP/100 beds (N=132), 1-2.99 NPs/100 beds (N=279), and 3+ NPs/100 beds (N=168)]. SUBJECTS: RNs randomly sampled nurses from licensure lists yielded 22,273 RNs in study hospitals; discharge data for 1.4 million surgical patients; HCAHPS data for 86% of study hospitals. MEASURES: Mortality, readmissions, lengths of stay, MSPB, patient experience, and quality reported by patients and nurses.
resultsAfter adjustments, patients in hospitals with 3+ NPs/100 beds had lower odds than patients in hospitals with <1 NP/100 beds of 30-day mortality [odds ratio (OR)2=0.76; 95% confidence interval (CI)=0.67-0.82; P<0.001] and 7-day readmissions (OR2=0.90; 95% CI=0.86-0.96; P<0.001), shorter average length of stay (incident rate ratio2=0.92; 95% CI=0.88-0.96; P<0.001) and 5.4% lower average MSPB (95% CI=3.8%-7.1%). Patients and nurses in the hospitals with higher NP/bed ratios were significantly more likely to report better care quality and safety, and nurses reported lower burnout, higher job satisfaction, greater intentions of staying in their jobs.
conclusionsHaving more NPs in hospitals has favorable effects on patients, staff nurse satisfaction, and efficiency. NPs add value to existing labor resources.
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What OpenQuestion holds
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.