The economic benefits of increased levels of nursing care in the hospital setting

Twigg, DE; Geelhoed, EA; Bremner, AP; M. Duffield, C

The economic benefits of increased levels of nursing care in the hospital setting

Twigg, DE Geelhoed, EA Bremner, AP M. Duffield, C

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Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2013, 69 (10), pp. 2253 - 2261
Issue Date:: 2013-10-01

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Field	Value	Language
dc.contributor.author	Twigg, DE	en_US
dc.contributor.author	Geelhoed, EA	en_US
dc.contributor.author	Bremner, AP	en_US
dc.contributor.author	M. Duffield, C https://orcid.org/0000-0001-6534-8743	en_US
dc.date.available	2013-01-19	en_US
dc.date.issued	2013-10-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2013, 69 (10), pp. 2253 - 2261	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/27651
dc.description.abstract	Aim: To assess the economic impact of increased nursing hours of care on health outcomes in adult teaching hospitals in Perth, Western Australia. Background: Advancing technology and increased availability of treatment interventions are increasing demand for health care while the downturn in world economies has increased demand for greater efficiency. Nurse managers must balance nurse staffing to optimize care and provide efficiencies. Design: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Methods: Hospital morbidity and staffing data from September 2000 until June 2004, obtained in 2010 from a previous study, were used to analyse nursing-sensitive outcomes pre- and post-implementation of the Nurse Hours per Patient Day staffing method, which remains in place today. The cost of the intervention comprised increased nursing hours following implementation of the staffing method. Results: The number of nursing-sensitive outcomes was 1357 less than expected post-implementation and included 155 fewer 'failure to rescue' events. The 1202 other nursing-sensitive outcomes prevented were 'surgical wound infection', 'pulmonary failure', 'ulcer, gastritis', 'upper gastrointestinal bleed', and 'cardiac arrest'. One outcome, pneumonia, showed an increase of 493. Analysis of life years gained was based on the failure to rescue events prevented and the total life years gained was 1088. The cost per life year gained was AUD$8907. Conclusion: The implementation of the Nurse Hours per Patient Day staffing method was cost-effective when compared with thresholds of interventions commonly accepted in Australia. © 2013 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/jan.12109	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Nursing Care	en_US
dc.subject.mesh	Longitudinal Studies	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Hospitals, Teaching	en_US
dc.subject.mesh	Cost-Benefit Analysis	en_US
dc.subject.mesh	Economics, Nursing	en_US
dc.subject.mesh	Western Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	The economic benefits of increased levels of nursing care in the hospital setting	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	69	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	69	en_US

Abstract:

Aim: To assess the economic impact of increased nursing hours of care on health outcomes in adult teaching hospitals in Perth, Western Australia. Background: Advancing technology and increased availability of treatment interventions are increasing demand for health care while the downturn in world economies has increased demand for greater efficiency. Nurse managers must balance nurse staffing to optimize care and provide efficiencies. Design: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Methods: Hospital morbidity and staffing data from September 2000 until June 2004, obtained in 2010 from a previous study, were used to analyse nursing-sensitive outcomes pre- and post-implementation of the Nurse Hours per Patient Day staffing method, which remains in place today. The cost of the intervention comprised increased nursing hours following implementation of the staffing method. Results: The number of nursing-sensitive outcomes was 1357 less than expected post-implementation and included 155 fewer 'failure to rescue' events. The 1202 other nursing-sensitive outcomes prevented were 'surgical wound infection', 'pulmonary failure', 'ulcer, gastritis', 'upper gastrointestinal bleed', and 'cardiac arrest'. One outcome, pneumonia, showed an increase of 493. Analysis of life years gained was based on the failure to rescue events prevented and the total life years gained was 1088. The cost per life year gained was AUD$8907. Conclusion: The implementation of the Nurse Hours per Patient Day staffing method was cost-effective when compared with thresholds of interventions commonly accepted in Australia. © 2013 Blackwell Publishing Ltd.

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