Study: Patient Outcomes Improve when Nurses Make Care Decisions

From Fierce Healthcare and the Journal of Nursing Administration:


Hospitals that provide nurses with a positive working environment, resources and support reap the benefits in better patient care, according to lead author Amy Witkoski Stimpfel, Ph.D., R.N., assistant professor at New York University College of Nursing (NYUCN), said in a study announcement.

The study, conducted by NYUCN and the University of Pennsylvania School of Nursing, examined the relationship between Magnet hospital and nurse-reported quality of care using cross-sectional data, including the American Hospital Association’s annual survey, as well as an analysis of 56 Magnet and 495 non-Magnet hospitals. Researchers found that Magnet hospitals correlate with higher reports of excellent quality care.

The study underscores results of previous research published in Medical Care, which found Magnet hospitals that invest in nurse staffing, education and work environments achieve better patient outcomes and lower mortality rates.

Surgical mortality was 20 percent lower at magnet hospitals, after adjustments for clinical factors, according to research by the University of Pennsylvania School of Nursing, FierceHealthcare previously reported. Surgical patients in Magnet hospitals also were 14 percent less likely to die in the hospital within 30 days. In addition, mortality among patients experiencing complications was 12 percent lower than non-Magnet hospitals.

“Having visible and accessible chief nurses, encouraging and including nurses in decision-making in their unit and throughout the organization, supporting nursing practice and engaging in interdisciplinary patient care, are but a few examples of readily modifiable features of a hospital,” Witkoski Stimpfel said. “Because all organizations, Magnet and otherwise, have the potential to enrich their practice environment, every organization stands to benefit from improving the organization of nursing care.”

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Unsafe staffing costs a Florida facility $1 billion

From Trial Magazine, March 2014 issue: Trial Magazine, 3/11/14 VERDICTS & SETTLEMENTS Arlene Townsend, 63 suffered a stroke and required 24-hour care. She was admitted to Auburndale Oaks Healthcare Center, a nursing home owned by Trans Healthcare, Inc. In the three years leading up to her death, Townsend suffered numerous fall resulting in broken bones and lacerations, infections, significant weight loss, chronic constipation, skin breakdowns, dehydration, and other problems. She is survived by her adult son. Townsend’s estate sued Trans Healthcare, alleging that it had understaffed the nursing home to increase profits and failed to provide adequate care, including protecting Townsend from falls, ensuring a safe environment, and documenting changes to her condition. The court entered a judgment of liability against the defendant, and the…
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