Evidence map›Paper›PMID 37004352›Full record

ArticleNursing outlook

Hospital characteristics associated with nurse staffing during labor and birth: Inequities for the most vulnerable maternity patients.

Kathleen R Simpson, Joanne Spetz, Caryl L Gay, Jason Fletcher, Gay L Landstrom, Audrey Lyndon

Abstract read
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In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Clinically-integrated breastfeeding peer counseling contributes to more equitable hospital-based lactation care.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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

6 authors.

Kathleen R SimpsonMercy Hospital Saint Louis, Saint Louis, MO.
Joanne SpetzPhillip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA.
Caryl L GayDepartment of Family Health Care Nursing, University of California San Francisco School of Nursing, San Francisco, CA.
Jason FletcherRory Meyers College of Nursing, New York University, New York, NY.
Gay L LandstromTrinity Health, Livonia, MI.
Audrey LyndonDepartment of Family Health Care Nursing, University of California San Francisco School of Nursing, San Francisco, CA; Rory Meyers College of Nursing, New York University, New York, NY. Electronic address: Audrey.lyndon@nyu.edu.

Funding

Looking at Birth Outcomes and their Relationship to Registered Nurse StaffingR01HS025715 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LYNDON, AUDREY L · 2017 to 2019
$1.0M
AHRQ HHS R01 HS025715
6 · The paper itself

Abstract

backgroundEvidence is limited on nurse staffing in maternity units. PURPOSE: To estimate the relationship between hospital characteristics and adherence with Association of Women's Health, Obstetric and Neonatal Nurses nurse staffing guidelines.

methodsWe enrolled 3,471 registered nurses in a cross-sectional survey and obtained hospital characteristics from the 2018 American Hospital Association Annual Survey. We used mixed-effects linear regression models to estimate associations between hospital characteristics and staffing guideline adherence.

findingsOverall, nurses reported strong adherence to AWHONN staffing guidelines (rated frequently or always met by ≥80% of respondents) in their hospitals. Higher birth volume, having a neonatal intensive care unit, teaching status, and higher percentage of births paid by Medicaid were all associated with lower mean guideline adherence scores. DISCUSSION AND

conclusionsImportant gaps in staffing were reported more frequently at hospitals serving patients more likely to have medical or obstetric complications, leaving the most vulnerable patients at risk.

Indexed as

Nursing Staff, HospitalPersonnel Staffing and SchedulingCross-Sectional StudiesFemaleHospitalsHumansInfant, NewbornPregnancyWorkforceHigh riskHospitalHospitalsHospitals, TeachingInpatientsNursing staffObstetric nursingPersonnel staffingPregnancyWorkforce

Identifiers

PMID37004352
PMCPMC10913105

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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.