Evidence map›Paper›PMID 40763128›Full record

ArticlePloS one2025

Registered nurse effect on long length of stay in the heart failure hospitalizations of African Americans.

Tremaine B Williams, Pearman Parker, Milan Bimali, Maryam Y Garza, Alisha Crump, Taiquitha Robins, Emel Seker, Ava Storey, Allison Purvis, Mya Tolbert and 3 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Tremaine B WilliamsDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.ORCID https://orcid.org/0000-0003-4902-3038
Pearman ParkerCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Milan BimaliDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Maryam Y GarzaDepartment of Population Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America.
Alisha CrumpDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Taiquitha RobinsDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.ORCID https://orcid.org/0000-0003-4828-325X
Emel SekerDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Ava StoreyDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Allison PurvisDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Mya TolbertDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Anthony DrakeDivision of Academic Pathways and Workforce Partnerships, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Taren Massey SwindleDepartment of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Arkansas Children's Nutrition Center, Little Rock, Arkansas, United States of America.
Kevin Wayne SextonDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID https://orcid.org/0000-0002-1460-9867

Funding

Equitable Standards of Care Delivery in Team-based Risk Stratification of African Americans with Congestive Heart FailureR21NR021063 · NINR · UNIV OF ARKANSAS FOR MED SCIS · PI WILLIAMS, TREMAINE · 2024 to 2024
$407k
NINR NIH HHS R21 NR021063
6 · The paper itself

Abstract

African Americans experience approximately 2.5 times more heart failure hospitalizations than Caucasians and the complexity of heart failure requires registered nurses to work in collaboration with other types of healthcare professionals. The purpose of this study was to identify care team configurations associated with long lengths of hospital stay in African Americans with heart failure hospitalizations and the related effect of the presence of registered nurses on their length of hospital stay. This study analyzed electronic health record data on the heart failure hospitalizations of 2,274 African American patients. Binomial logistic regression identified the association between specific care team configurations and length of stay among subgroups of African American patients. Of the significant team configurations, a Kruskal-Wallis H test and linear regression further assessed the team composition and the specific change in days associated with a one-unit change in the number of registered nurses on a patient's care team. Six team configurations were associated with a long length of stay among all African Americans regardless of age, sex, rurality, heart failure severity, and overall health severity. The configurations only differed significantly in the proportion of registered nurses with respect to other care team roles. An increase in one additional registered nurse on a care delivery team was associated with an increase in length of stay of 8.4 hours (i.e., 504 minutes). Identifying the full range of social and technical care delivery tasks performed by RNs, and controlling for their effect on length of stay, may be a key strategy for reducing length of stay and explaining why these six configurations and RNs are associated with long LOS. The identification of these models can be used to support decision-making that optimizes the availability of patient access to high-quality care (e.g., clinical staffing and supplies).

Indexed as

Black or African AmericanHeart FailureHospitalizationLength of StayNursesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient Care Team

Identifiers

PMID40763128
PMCPMC12324096

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.