Evidence map›Paper›PMID 40758552›Full record

ArticleMedical care2025

Hospital Ownership Type Correlated With Investments in Nursing Services: Evidence From Illinois.

K Jane Muir, Kathy S Sliwinski, Daniela Golinelli, Matthew D McHugh, Karen B Lasater

Abstract read
In one paragraph

Article in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

K Jane MuirCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Kathy S SliwinskiCenter for Health Services & Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL.
Daniela GolinelliCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Matthew D McHughCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Karen B LasaterCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.

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

backgroundThe association between hospital ownership type and patient care quality has garnered increased public attention.

objectivesTo describe differences in investments in nursing services, care quality and safety, and nurse job outcomes among for-profit and not-for-profit hospitals in Illinois. RESEARCH

designCross-sectional, descriptive case study of hospital nursing services, patient care quality and safety outcomes, and nurse job outcomes in 113 hospitals in Illinois in 2021. Three datasets were linked through a common identifier: RN4CAST-IL nurse survey, National Academy for State Health Policy (NASHP) cost data, American Hospital Association (AHA) Annual Hospital Survey. MEASURES: Nursing services included patient-to-nurse staffing ratios and the quality of the nurse work environment. Nurse job outcomes included burnout, job dissatisfaction, and intent to leave.

resultsFor-profits had statistically significantly lower investments in nursing services, worse nurse job outcomes, and poorer patient care quality and safety outcomes relative to not-for-profit hospitals, despite having no statistically significant differences in operating margins. For-profit hospitals had poorer nurse work environments (mean score 2.5 vs. 2.9, P<.001) and worse staffing ratios (6.8 vs. 4.7 patients per nurse, P<0.01), higher percentages of nurses intending to leave their employer (36.2% vs. 22.8%, P<.01), higher job dissatisfaction (37.9% vs. 23.4%, P<.01), higher burnout (63.8% vs. 46.2%, P<.05), and worse quality and safety (e.g., poor patient safety grades 53.6% vs. 33.8%, P<.01).

conclusionsInvestments in nursing services as well as quality and safety of patient care in for-profit hospitals are worse than in not-for-profit hospitals, despite having no significant differences in operating margins.

Indexed as

Hospitals, ProprietaryHospitals, VoluntaryNursing Staff, HospitalOwnershipQuality of Health CareBurnout, ProfessionalCross-Sectional StudiesHumansIllinoisJob SatisfactionPatient SafetyhospitalIllinoisnursingownershipprofit status

Identifiers

PMID40758552
PMCPMC13656505

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.