Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries

Objectives: To investigate the magnitude of effect nurse staffing had on decreasing the newborn mortality rates in member countries of Organisation for Economic Co-operation and Development (OECD). Methods: The statistical technique of panel data analysis was applied to explore the possibility of as...

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Main Authors: Arshia Amiri, Katri Vehviläinen-Julkunen, Tytti Solankallio-Vahteri, Sirpa Tuomi
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013220300387
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author Arshia Amiri
Katri Vehviläinen-Julkunen
Tytti Solankallio-Vahteri
Sirpa Tuomi
author_facet Arshia Amiri
Katri Vehviläinen-Julkunen
Tytti Solankallio-Vahteri
Sirpa Tuomi
author_sort Arshia Amiri
collection DOAJ
description Objectives: To investigate the magnitude of effect nurse staffing had on decreasing the newborn mortality rates in member countries of Organisation for Economic Co-operation and Development (OECD). Methods: The statistical technique of panel data analysis was applied to explore the possibility of association between the number of nurses’ density per 1,000 population and infant, neonatal and perinatal mortality rates (IMR, NMR and PMR) per 1000 births. The observations of 35 OECD countries were collected over the period of 2000 through 2016. Results: There were significant associations between nurse staffing and IMR, NMR and PMR i.e. a 1% increase in nurse-staffing level reduced IMR, NMR and PMR by 0.98%, 0.97% and 0.96%, respectively. Furthermore, the role of nursing-related services in declining the average of newborn mortality rates were investigated at the highest level in Slovenia (−5.50), Sweden (−3.34), Iceland (−2.51), Czech Republic (−1.86), Japan (−1.64) and Finland (−1.64). Moreover, if the current relationship between nurse-staffing level and newborn mortality rates are disturbed with nursing shortage (e.g. in Slovak Republic and Israel), then it takes about 17 years for the mortality rates to reduce and restore back to the previous equilibrium. Conclusions: A higher proportion of nurses’ density per 1,000 population is associated with lower newborn mortality rates. In addition, the nursing-related services of Slovenia, Sweden, Iceland, Czech Republic, Japan and Finland with the highest impact on improving the health level of newborns would be good patterns for other developed countries in maternity and child health care .
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spelling doaj.art-a20fd92ff9984859a25f57092fa8de362022-12-22T01:56:54ZengElsevierInternational Journal of Nursing Sciences2352-01322020-04-0172161169Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countriesArshia Amiri0Katri Vehviläinen-Julkunen1Tytti Solankallio-Vahteri2Sirpa Tuomi3School of Health and Social Studies, JAMK University of Applied Sciences, Jyväskylä, Finland; Corresponding author. Piippukatu 2, FI-40100, Jyväskylä, Finland.Department of Nursing Science, University of Eastern Finland, Kuopio, FinlandSchool of Health and Social Studies, JAMK University of Applied Sciences, Jyväskylä, FinlandSchool of Health and Social Studies, JAMK University of Applied Sciences, Jyväskylä, FinlandObjectives: To investigate the magnitude of effect nurse staffing had on decreasing the newborn mortality rates in member countries of Organisation for Economic Co-operation and Development (OECD). Methods: The statistical technique of panel data analysis was applied to explore the possibility of association between the number of nurses’ density per 1,000 population and infant, neonatal and perinatal mortality rates (IMR, NMR and PMR) per 1000 births. The observations of 35 OECD countries were collected over the period of 2000 through 2016. Results: There were significant associations between nurse staffing and IMR, NMR and PMR i.e. a 1% increase in nurse-staffing level reduced IMR, NMR and PMR by 0.98%, 0.97% and 0.96%, respectively. Furthermore, the role of nursing-related services in declining the average of newborn mortality rates were investigated at the highest level in Slovenia (−5.50), Sweden (−3.34), Iceland (−2.51), Czech Republic (−1.86), Japan (−1.64) and Finland (−1.64). Moreover, if the current relationship between nurse-staffing level and newborn mortality rates are disturbed with nursing shortage (e.g. in Slovak Republic and Israel), then it takes about 17 years for the mortality rates to reduce and restore back to the previous equilibrium. Conclusions: A higher proportion of nurses’ density per 1,000 population is associated with lower newborn mortality rates. In addition, the nursing-related services of Slovenia, Sweden, Iceland, Czech Republic, Japan and Finland with the highest impact on improving the health level of newborns would be good patterns for other developed countries in maternity and child health care .http://www.sciencedirect.com/science/article/pii/S2352013220300387Health manpowerInfant mortalityNursing staffOrganisation for Economic Co-operation and DevelopmentPerinatal mortality
spellingShingle Arshia Amiri
Katri Vehviläinen-Julkunen
Tytti Solankallio-Vahteri
Sirpa Tuomi
Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
International Journal of Nursing Sciences
Health manpower
Infant mortality
Nursing staff
Organisation for Economic Co-operation and Development
Perinatal mortality
title Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
title_full Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
title_fullStr Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
title_full_unstemmed Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
title_short Impact of nurse staffing on reducing infant, neonatal and perinatal mortality rates: Evidence from panel data analysis in 35 OECD countries
title_sort impact of nurse staffing on reducing infant neonatal and perinatal mortality rates evidence from panel data analysis in 35 oecd countries
topic Health manpower
Infant mortality
Nursing staff
Organisation for Economic Co-operation and Development
Perinatal mortality
url http://www.sciencedirect.com/science/article/pii/S2352013220300387
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