Patient turnover and the relationship between nurse staffing and patient outcomes†
Article first published online: 27 MAR 2012
Copyright © 2012 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 35, Issue 3, pages 277–288, June 2012
How to Cite
Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A. and De Groot, H. (2012), Patient turnover and the relationship between nurse staffing and patient outcomes. Res. Nurs. Health, 35: 277–288. doi: 10.1002/nur.21474
Funding from the Robert Wood Johnson Foundation: Interdisciplinary Nursing Quality Research Initiative. This study was approved under an exemption by the Committee on Human Research at the University of California, San Francisco, because of the use of a de-identified secondary analysis.
- Issue published online: 6 MAY 2012
- Article first published online: 27 MAR 2012
- Manuscript Accepted: 2 MAR 2012
- nurse staffing;
- patient outcomes;
- patient safety;
- patient turnover
High patient turnover (patient throughput generated by admissions, discharges, and transfers) contributes to increased demands and resources for care. We examined how the relationship between registered nurse (RN) staffing and failure-to-rescue (FTR) varied with patient turnover levels by analyzing quarterly data from the University HealthSystem Consortium. The data included 42 hospitals, representing 759 nursing units and about 1 million inpatients. Higher RN staffing was associated with lower FTR. When patient turnover increased from 48.6% to 60.7% on nonintensive units (non-ICUs), the beneficial effect of non-ICU RN staffing on FTR was reduced by 11.5%. RN staffing should be adjusted according to patient turnover because turnover increases patient care demand beyond that presented by patient count, and outcomes may be adversely affected. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:277–288, 2012