Joshua Porat-Dahlerbruch1, Linda H Aiken2, Karen B Lasater2, Douglas M Sloane3, Matthew D McHugh2. 1. Department of Health Systems Management, Guilford Glazer Faculty of Business and Management and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. Electronic address: poratdah@post.bgu.ac.il. 2. Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. 3. Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA.
Abstract
BACKGROUND: In 2010, the IOM recommended an increase in the proportion of bachelor's-prepared (BSN) nurses to 80% by 2020. This goal was largely based on evidence linking hospitals with higher proportions of BSN nurses to better patient outcomes. Though, evidence is lacking on whether outcomes differ by a hospital's composition of initial BSN and transitional RN-to-BSN nurses. PURPOSE: The purpose of this study is to determine whether risk-adjusted odds of surgical mortality are associated with a hospital's proportion of initial BSN and transitional RN-to-BSN nurses. METHODS: Logistic regression models were used to analyze cross-sectional data of general surgical patients, nurses, and hospitals in four large states in 2015 to 2016. FINDINGS: Higher hospital proportions of BSN nurses, regardless of educational pathway, are associated with lower odds of 30-day inpatient surgical mortality. DISCUSSION: Findings support promoting multiple BSN educational pathways to reach the IOM's recommendation of at least an 80% BSN workforce.
BACKGROUND: In 2010, the IOM recommended an increase in the proportion of bachelor's-prepared (BSN) nurses to 80% by 2020. This goal was largely based on evidence linking hospitals with higher proportions of BSN nurses to better patient outcomes. Though, evidence is lacking on whether outcomes differ by a hospital's composition of initial BSN and transitional RN-to-BSN nurses. PURPOSE: The purpose of this study is to determine whether risk-adjusted odds of surgical mortality are associated with a hospital's proportion of initial BSN and transitional RN-to-BSN nurses. METHODS: Logistic regression models were used to analyze cross-sectional data of general surgical patients, nurses, and hospitals in four large states in 2015 to 2016. FINDINGS: Higher hospital proportions of BSN nurses, regardless of educational pathway, are associated with lower odds of 30-day inpatient surgical mortality. DISCUSSION: Findings support promoting multiple BSN educational pathways to reach the IOM's recommendation of at least an 80% BSN workforce.
Authors: Jordan M Harrison; Linda H Aiken; Douglas M Sloane; J Margo Brooks Carthon; Raina M Merchant; Robert A Berg; Matthew D McHugh Journal: Health Aff (Millwood) Date: 2019-07 Impact factor: 6.301
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Authors: Karen B Lasater; Douglas M Sloane; Matthew D McHugh; Joshua Porat-Dahlerbruch; Linda H Aiken Journal: Res Nurs Health Date: 2021-06-14 Impact factor: 2.238