Nursing Care Disparities in Neonatal Intensive Care Units

Eileen T. Lake, Douglas Staiger, Erika Miles Edwards, Jessica G. Smith, Jeannette Rogowski

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: To describe the variation across neonatal intensive care units (NICUs) in missed nursing care in disproportionately black and non-black-serving hospitals. To analyze the nursing factors associated with missing nursing care. Data Sources/Study Setting: Survey of random samples of licensed nurses in four large U.S. states. Study Design: This was a retrospective, secondary analysis of 1,037 staff nurses in 134 NICUs classified into three groups based on their percent of infants of black race. Measures included the average patient load, individual nurses’ patient loads, professional nursing characteristics, nurse work environment, and nursing care missed on the last shift. Data Collection: Survey data from a Multi-State Nursing Care and Patient Safety Study were analyzed (39 percent response rate). Principal Findings: The patient-to-nurse ratio was significantly higher in high-black hospitals. Nurses in high-black NICUs missed nearly 50 percent more nursing care than in low-black NICUs. Lower nurse staffing (an additional patient per nurse) significantly increased the odds of missed care, while better practice environments decreased the odds. Conclusions: Nurses in high-black NICUs face inadequate staffing. They are more likely to miss required nursing care. Improving staffing and workloads may improve the quality of care for the infants born in high-black hospitals.

Original languageEnglish (US)
Pages (from-to)3007-3026
Number of pages20
JournalHealth Services Research
Volume53
DOIs
StatePublished - Aug 1 2018

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Neonatal Intensive Care Units
Nursing Care
Nurses
Nursing
Quality of Health Care
Information Storage and Retrieval
Patient Safety
Workload
Statistical Factor Analysis

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Lake, Eileen T. ; Staiger, Douglas ; Edwards, Erika Miles ; Smith, Jessica G. ; Rogowski, Jeannette. / Nursing Care Disparities in Neonatal Intensive Care Units. In: Health Services Research. 2018 ; Vol. 53. pp. 3007-3026.
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Nursing Care Disparities in Neonatal Intensive Care Units. / Lake, Eileen T.; Staiger, Douglas; Edwards, Erika Miles; Smith, Jessica G.; Rogowski, Jeannette.

In: Health Services Research, Vol. 53, 01.08.2018, p. 3007-3026.

Research output: Contribution to journalArticle

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