TY - JOUR
T1 - Nurse staffing and outcomes for pulmonary lobectomy
T2 - Cost and mortality trade-offs
AU - Ross, Hannah I.
AU - Jones, Maureen C.
AU - Hendriksen, Brandon S.
AU - Hollenbeak, Christopher S.
N1 - Funding Information:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
PY - 2021/3/1
Y1 - 2021/3/1
N2 - Background: Nurse staffing impacts patient outcomes, but little is known about the relationship between nurse staffing and outcomes for lung cancer patients undergoing pulmonary lobectomy. Objectives: To examine the association between nurse staffing and outcomes following lobectomy for lung cancer. Methods: Patients (N = 16,994) with lung cancer between who underwent lobectomy between 2008–2011 were identified in the National Inpatient Sample. Nurse staffing was quantified using registered nurse full-time equivalents per adjusted patient days. Multivariable models were used to estimate the effect of RN FTEs on mortality, length of stay, and costs, controlling for covariates. Results: Patients treated at hospitals using 5.6 or more RN FTEs had shorter hospitals stays by 0.37 days (p = 0.008), had 36% lower odds of mortality (OR = 0.64, p = 0.014), but incurred $4,388 (p < 0.0001) in additional costs. Conclusions: Hospital administrators face a troubling trade-off between costs and outcomes in decisions about nurse staffing mix for pulmonary lobectomy.
AB - Background: Nurse staffing impacts patient outcomes, but little is known about the relationship between nurse staffing and outcomes for lung cancer patients undergoing pulmonary lobectomy. Objectives: To examine the association between nurse staffing and outcomes following lobectomy for lung cancer. Methods: Patients (N = 16,994) with lung cancer between who underwent lobectomy between 2008–2011 were identified in the National Inpatient Sample. Nurse staffing was quantified using registered nurse full-time equivalents per adjusted patient days. Multivariable models were used to estimate the effect of RN FTEs on mortality, length of stay, and costs, controlling for covariates. Results: Patients treated at hospitals using 5.6 or more RN FTEs had shorter hospitals stays by 0.37 days (p = 0.008), had 36% lower odds of mortality (OR = 0.64, p = 0.014), but incurred $4,388 (p < 0.0001) in additional costs. Conclusions: Hospital administrators face a troubling trade-off between costs and outcomes in decisions about nurse staffing mix for pulmonary lobectomy.
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U2 - 10.1016/j.hrtlng.2020.12.001
DO - 10.1016/j.hrtlng.2020.12.001
M3 - Article
C2 - 33302148
AN - SCOPUS:85097668875
VL - 50
SP - 206
EP - 212
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 2
ER -