Correlation of the US News and World Report–Calculated Nurse Staffing Index With Actual Hospital-Reported Nurse Staffing

Merkow, Ryan P.; Chung, Jeanette W.; Slota, Jennifer M; Barnard, Cynthia; Hall, Ann C.; Ramsey, Kristin; Bilimoria, Karl Y.

doi:10.1097/ncq.0000000000000619

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…The weak correlation between FTE midwives and ward HPPD is interesting as we expected this to be more closely related. However, this is not an unusual finding as recent research from the USA has also discovered differences in the performance of staffing measures, and called for validated measures to be used [ 44 ]. The weak correlation may be due to the fact that postnatal services are not always prioritised [ 45 ], or that Trusts employing a large number midwives may have additional services such as fetal medicine or midwives in specialist roles.…”

Section: Discussionmentioning

confidence: 99%

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: An observational study

et al. 2022

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Background Women have reported dissatisfaction with care received on postnatal wards and this area has been highlighted for improvement. Studies have shown an association between midwifery staffing levels and postnatal care experiences, but so far, the influence of registered and support staff deployed in postnatal wards has not been studied. This work is timely as the number of support workers has increased in the workforce and there has been little research on skill mix to date. Methods Cross sectional secondary analysis including 13,264 women from 123 postnatal wards within 93 hospital Trusts. Staffing was measured in each organisation as Full Time Equivalent staff employed per 100 births, and on postnatal wards, using Hours Per Patient Day. Women’s experiences were assessed using four items from the 2019 national maternity survey. Multilevel logistic regression models were used to examine relationships and adjust for maternal age, parity, ethnicity, type of birth, and medical staff. Results Trusts with higher levels of midwifery staffing had higher rates of women reporting positive experiences of postnatal care. However, looking at staffing on postnatal wards, there was no evidence of an association between registered nurses and midwives hours per patient day and patient experience. Wards with higher levels of support worker staffing were associated with higher rates of women reporting they had help when they needed it and were treated with kindness and understanding. Conclusion The relationship between reported registered staffing levels on postnatal wards and women’s experience is uncertain. Further work should be carried out to examine why relationships observed using whole Trust staffing were not replicated closer to the patient, with reported postnatal ward staffing. It is possible that recorded staffing levels on postnatal wards do not actually reflect staff deployment if midwives are floated to cover delivery units. This study highlights the potential contribution of support workers in providing quality care on postnatal wards.

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Section: Discussionmentioning

confidence: 99%

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: An observational study

et al. 2022

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“…The weak correlation between FTE midwives and ward level CHPPD is interesting as we expected this to be more closely related. However, this is not an unusual finding as recent research from the USA has also discovered differences in the performance of staffing measures, and called for validated measures to be used[34] Winter et al[23] found that estimates of staffing and outcomes were larger and more precise when data is disaggregated. This has not been found in our study despite the expectation of gaining more clarity with localised data at a ward level.…”

Section: Discussionmentioning

confidence: 99%

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: an observational study

Turner,

Ball,

Culliford

et al. 2022

Preprint

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BackgroundWomen have reported dissatisfaction with care received on postnatal wards and this area has been highlighted for improvement. Studies have shown an association between midwifery staffing levels and postnatal care experiences, but so far, the influence of registered and support staff deployed in postnatal wards has not been studied. This work is timely as the number of support workers has increased in the workforce and there has been little research on skill mix to date.MethodsCross sectional secondary analysis including 13,264 women from 123 postnatal wards within 93 hospital Trusts. Staffing was measured at organisational level as Full Time Equivalent staff, and at ward level using Care Hours Per Patient Day. Women’s experiences were assessed using four items from the 2019 national maternity survey. Multilevel logistic regression models were used to examine relationships and adjust for maternal age, parity, type of birth, medical staff and number of births per year in the Trust.ResultsTrusts with higher levels of midwifery staffing had higher rates of women reporting positive experiences of postnatal care. However, when staffing was measured at a ward level, there was no evidence of an association between registered staffing and patient experience. Wards with higher levels of support worker staffing were associated with higher rates of women reporting they had help when they needed it and were treated with kindness and understanding.ConclusionThe relationship between reported registered staffing levels on postnatal wards and women’s experience is uncertain. Further work should be carried out to examine why relationships observed at an organisational level were not replicated closer to the patient, at ward level. It is possible that reported staffing levels do not reflect staff as deployed if midwives are floated to cover delivery units. This study highlights the potential contribution of support workers in providing quality care on postnatal wards.

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Assessment of Library Services in Pediatric Hospitals in the United States and Canada

Daniels,

Willis,

Stephenson

et al. 2023

Medical Reference Services Quarterly

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Correlation of the US News and World Report–Calculated Nurse Staffing Index With Actual Hospital-Reported Nurse Staffing

Cited by 3 publications

References 6 publications

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: An observational study

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: An observational study

Exploring the relationship between women’s experience of postnatal care and reported staffing measures: an observational study

Assessment of Library Services in Pediatric Hospitals in the United States and Canada

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