RN Characteristics and Staffing Patterns A Comparison of VHA

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					vhapugsharpn: Usually you’d have your presentation title here – then include a 2nd slide that says this is part of a project, “NSPO”… I see you’ve got that on slide 4…

RN Characteristics and Staffing Patterns: A Comparison of VHA and Non-VHA Hospital RNs in the United States
Gwendolyn T. Greiner, Nancy D. Sharp, Yu-Fang Li, Anne E. Sales
Funded by the VA Health Services Research and Development Service IIR 01-160, Anne E. Sales, PI

Vhapugsharp: Since you have only one slide on staffing ratios and that has both IHOC and VHA, perhaps this would be better with one objective  (the second) and then indicate very briefly what you are comparing them on: hospital and nurse characteristics and nurse staffing structures

Objective
To compare VA nurses with PA nurses sampled by the International Hospital Outcomes Consortium on hospital and nurse characteristics and patient to RN staffing ratios

Methods




Part of a larger project, Nurse Staffing and Patient Outcomes in VA (NSPO) study Project goal: to examine associations between nurse staffing, work environment, nursing care processes, nursing outcomes and nurse-sensitive patient outcomes in VA hospitals

Survey of VA Nursing Staff
 

February - June 2003 Included nursing staff at 125 VA facilities with information obtained from Nurse Executives
 

Numbers and types of units Numbers of nursing staff by type of nursing personnel



Mailed survey packets to nursing units with postagepaid return envelopes


46,277 surveys mailed with 11,364 responses across all types of nursing personnel (24.6% response rate)



Included RN respondents only for these results

International Hospital Outcomes Consortium




Surveyed hospital RNs in PA Data comparisons come from published article:


Aiken, LH et al. “Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction”, JAMA October 2002

Comparing VA to Pennsylvania RNs


Included VA RN respondents corresponding to PA RN respondents


 

Hospital RNs reporting responsibility for 1 to <20 patients on last shift VHA N = 3,568 from 125 hospitals PA N = 10,184 from 168 hospitals



Comparison of VA and PA samples by
Hospital characteristics  Nurse characteristics  Staffing ratios (pts/RN)


Hospital Characteristics
60% 50% 40% 30% 20% 10% 0% <=100 101-250 Number of beds NSPO VA sample IHOC PA sample >=250

vhapugsharpn: I would move this from slide to notes - just say it – same for all subsequent titles

Hospital Characteristics
60%

40%

20%

0%

Tertiary NSPO VA sample

Teaching Status IHOC PA sample

Nurse Characteristics
100% 80% 60% 40% 20% 0% Female NSPO VA sample BS degree or higher IHOC PA sample

Nurse Characteristics
Years worked as a nurse Mean
NSPO VA sample IHOC PA sample 18.8 yrs 13.8 yrs

SD
10.4 9.8

Nurse Characteristics
40% 30% 20% 10% 0%

RN report of clinical specialty

Med/Surg

ICU

OR/PACU IHOC PA sample

Other

NSPO VA sample

RN Burnout and Job Satisfaction
50% 40% 30% 20%

High emotional exhaustion NSPO VA sample

Dissatisfied with current job IHOC PA sample

Patient/RN Staffing Ratios
60%

40%

20%

0%

<= 4

5 NSPO VA Sample

6

7

>=8

IHOC PA Sample

Patient/RN Staffing Ratios
VHA RNs by Clinical Specialty
100% 80% 60% 40% 20% 0%

<=4

5 Med/Surg

6 OR/PACU

7 ICU Other

<=8

Conclusions
 In general, most hospital and demographic characteristics were similar for both samples  VHA may demonstrate better practices in RN staffing with regard to job satisfaction and burnout  VHA RN staffing ratios compare relatively favorably with those reported for PA hospitals