ArticleNursing research
Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing.
Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Factors associated with post-stroke readmission: a systematic review and meta analysis.Scientific reports · 2025Pooled it
- Nurse Staffing and Emergency Department Crowding: A 10-State Study.Medical care · 2026Article
- Shorter Emergency Department Boarding Times in Hospitals With Better Nurse Staffing.Journal of emergency nursing · 2026Article
- Opportunities in stroke care at safety net hospitals: A socioecological perspective.Equity neuroscience · 2025Article
- Discharge Communication and the Achievement of Lifestyle and Behavioral Changes Post-Stroke in the Transitions of Care Stroke Disparities Study.American journal of lifestyle medicine · 2024Article
- Article
- Emergency Nurses' Reasons for Not Recommending Their Hospital to Clinicians as a Good Place to Work.JAMA network open · 2024Article
- The association of the emergency department work environment on patient care and nurse job outcomes.Journal of the American College of Emergency Physicians open · 2023Article
- Readmissions and postdischarge mortality by race and ethnicity among Medicare beneficiaries with multimorbidity.Journal of the American Geriatrics Society · 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
- Social Determinants of Stroke Hospitalization and Mortality in United States' Counties.Journal of clinical medicine · 2022Article
- Poorer Nurse Staffing in Black-Serving Hospitals.Nursing researchArticle
- Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies.Inquiry : a journal of medical care organization, provision and financingArticle
- Including Nursing System Factors to Address Health Disparities: A Conceptual Framework.Inquiry : a journal of medical care organization, provision and financingArticle
- Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.Nursing outlookArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundRacial minorities are disproportionately affected by stroke, with Black patients experiencing worse poststroke outcomes than White patients. A modifiable aspect of acute stroke care delivery not yet examined is whether disparities in stroke outcomes are related to hospital nurse staffing levels.
objectivesThe aim of this study was to determine whether 7- and 30-day readmission disparities between Black and White patients were associated with nurse staffing levels.
methodsWe conducted a secondary analysis of 542 hospitals in four states. Risk-adjusted, logistic regression models were used to determine the association of nurse staffing with 7- and 30-day all-cause readmissions for Black and White ischemic stroke patients.
resultsOur sample included 98,150 ischemic stroke patients (87% White, 13% Black). Thirty-day readmission rates were 10.4% (12.7% for Black patients, 10.0% for White patients). In models accounting for hospital and patient characteristics, the odds of 30-day readmissions were higher for Black than White patients. A significant interaction was found between race and nurse staffing, with Black patients experiencing higher odds of 30- and 7-day readmissions for each additional patient cared for by a nurse. In the best-staffed hospitals (less than three patients per nurse), Black and White stroke patients' disparities were no longer significant. DISCUSSION: Disparities in readmissions between Black and White stroke patients may be linked to the level of nurse staffing in the hospitals where they receive care. Tailoring nurse staffing levels to meet the needs of Black ischemic stroke patients represents a promising intervention to address systemic inequities linked to readmission disparities among minority stroke patients.
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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.