RN Characteristics and Staffing Patterns

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					vhapugsharpn:
Usually you’d

           RN Characteristics and Staffing
have your
presentation title
here – then

           Patterns: A Comparison of VHA
include a 2nd slide
that says this is

          and Non-VHA Hospital RNs in the
part of a project,
“NSPO”… I see
you’ve got that on
slide 4…
                    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
             Objective
would be better
                 To compare VA nurses with PA nurses
with one objective
               
(the second) and
                 sampled by the International Hospital
then indicate very
briefly what you
are comparing
them on: hospital
                 Outcomes Consortium on hospital and
and nurse
characteristics
                 nurse characteristics and patient to RN
                 staffing ratios
and nurse staffing
structures
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 postage-
    paid 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
vhapugsharpn:
I would move this
from slide to
notes - just say it

           Hospital Characteristics
– same for all
subsequent titles
Nurse Characteristics
Nurse Characteristics

    Years worked as a nurse
            Mean        SD
  NSPO VA    18.8 yrs        10.4
  sample

  IHOC PA    13.8 yrs        9.8
  sample
Nurse Characteristics
RN report of clinical specialty
RN Burnout and Job
Satisfaction
Patient/RN Staffing Ratios
Patient/RN Staffing Ratios
VHA RNs by Clinical Specialty
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
       10.4
  sample

  IHOC PA    13.8 yrs        9.8
  sample
Nurse Characteristics
RN report of clinical specialty
  40%


  30%


  20%


  10%


  0%
        Med/Surg    ICU       OR/PACU         Other

            NSPO VA sample   IHOC PA sample
RN Burnout and Job
Satisfaction
50%


40%


30%


20%
      High emotional     Dissatisfied with
        exhaustion          current job

      NSPO VA sample   IHOC PA sample
Patient/RN Staffing Ratios

60%



40%



20%



0%
      <= 4        5           6        7       >=8

             NSPO VA Sample   IHOC PA Sample
  Patient/RN Staffing Ratios
  VHA RNs by Clinical Specialty

100%

80%

60%

40%

20%

 0%
       <=4        5        6        7           <=8

             Med/Surg   OR/PACU   ICU   Other
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

				
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