Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization
Purpose: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity in many countries, and it has high rate of hospital readmissions due to recurrent exacerbations of the disease. Many previous studies have suggested further examination of the factors that contribute to hospital re...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-12-01
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| Series: | Asian Nursing Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1976131716302602 |
| _version_ | 1818943425033011200 |
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| author | Seung Ju Kim, RN Eun-Cheol Park, MD, PhD Kyu-Tae Han, BHM Sun Jung Kim, PhD Tae Hyun Kim, PhD |
| author_facet | Seung Ju Kim, RN Eun-Cheol Park, MD, PhD Kyu-Tae Han, BHM Sun Jung Kim, PhD Tae Hyun Kim, PhD |
| author_sort | Seung Ju Kim, RN |
| collection | DOAJ |
| description | Purpose: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity in many countries, and it has high rate of hospital readmissions due to recurrent exacerbations of the disease. Many previous studies have suggested further examination of the factors that contribute to hospital readmissions of COPD patients. However, evidence on the effects of nurse staffing by registered nurses (RNs) on the readmission of COPD patients is lacking in Korea. The aim of our study was to evaluate the effects of nurse staffing on hospital readmissions of COPD patients.
Methods: We used National Health Insurance claim data from 2002 to 2012. A total of 1,070 hospitals and 339,379 hospitalization cases were included in the analysis. We divided the number of RNs per 100 beds and the proportion of RNs on staff to one of three groups (Q1: low; Q2: moderate; Q3: high). A generalized estimating equation model was used to evaluate the associations between readmission and nurse staffing.
Results: A higher number of RNs was associated with lower readmission rates of 8.9% (Q2) and 7.9% (Q3) respectively. A similar effect was observed as the proportion of RNs among the total nursing staff gradually increased, resulting in lower readmission rates of 7.7% (Q2) and 8.3% (Q3).
Conclusions: Our results suggest notable positive effects of nurse staffing by RNs on patient outcomes. In addition, the magnitude of impact differed between different sizes of hospitals. Thus, human resource planning to solve staffing shortages should carefully consider the qualitative aspects of the nursing staff composition. |
| first_indexed | 2024-12-20T07:27:07Z |
| format | Article |
| id | doaj.art-d60b4519f0d04d9099dc1791d8a2edfd |
| institution | Directory Open Access Journal |
| issn | 1976-1317 |
| language | English |
| last_indexed | 2024-12-20T07:27:07Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Nursing Research |
| spelling | doaj.art-d60b4519f0d04d9099dc1791d8a2edfd2022-12-21T19:48:31ZengElsevierAsian Nursing Research1976-13172016-12-0110428328810.1016/j.anr.2016.09.003Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient HospitalizationSeung Ju Kim, RN0Eun-Cheol Park, MD, PhD1Kyu-Tae Han, BHM2Sun Jung Kim, PhD3Tae Hyun Kim, PhD4Department of Public Health, Graduate School, Yonsei University, Seoul, South KoreaInstitute of Health Services Research, Yonsei University, Seoul, South KoreaDepartment of Public Health, Graduate School, Yonsei University, Seoul, South KoreaDepartment of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, South KoreaInstitute of Health Services Research, Yonsei University, Seoul, South KoreaPurpose: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity in many countries, and it has high rate of hospital readmissions due to recurrent exacerbations of the disease. Many previous studies have suggested further examination of the factors that contribute to hospital readmissions of COPD patients. However, evidence on the effects of nurse staffing by registered nurses (RNs) on the readmission of COPD patients is lacking in Korea. The aim of our study was to evaluate the effects of nurse staffing on hospital readmissions of COPD patients. Methods: We used National Health Insurance claim data from 2002 to 2012. A total of 1,070 hospitals and 339,379 hospitalization cases were included in the analysis. We divided the number of RNs per 100 beds and the proportion of RNs on staff to one of three groups (Q1: low; Q2: moderate; Q3: high). A generalized estimating equation model was used to evaluate the associations between readmission and nurse staffing. Results: A higher number of RNs was associated with lower readmission rates of 8.9% (Q2) and 7.9% (Q3) respectively. A similar effect was observed as the proportion of RNs among the total nursing staff gradually increased, resulting in lower readmission rates of 7.7% (Q2) and 8.3% (Q3). Conclusions: Our results suggest notable positive effects of nurse staffing by RNs on patient outcomes. In addition, the magnitude of impact differed between different sizes of hospitals. Thus, human resource planning to solve staffing shortages should carefully consider the qualitative aspects of the nursing staff composition.http://www.sciencedirect.com/science/article/pii/S1976131716302602health resourcesnursing staffpatient readmissionquality of health care |
| spellingShingle | Seung Ju Kim, RN Eun-Cheol Park, MD, PhD Kyu-Tae Han, BHM Sun Jung Kim, PhD Tae Hyun Kim, PhD Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization Asian Nursing Research health resources nursing staff patient readmission quality of health care |
| title | Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization |
| title_full | Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization |
| title_fullStr | Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization |
| title_full_unstemmed | Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization |
| title_short | Nurse Staffing and 30-day Readmission of Chronic Obstructive Pulmonary Disease Patients: A 10-year Retrospective Study of Patient Hospitalization |
| title_sort | nurse staffing and 30 day readmission of chronic obstructive pulmonary disease patients a 10 year retrospective study of patient hospitalization |
| topic | health resources nursing staff patient readmission quality of health care |
| url | http://www.sciencedirect.com/science/article/pii/S1976131716302602 |
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