Quality and Cost Outcomes of Hospital Supplemental Nurse Staffing

A team of researchers at the University of Rochester, led by Ying Xue and Deborah Freund, conducted a study to better understand one hospital's use of supplemental registered nurses (SRNs) and examine its impact on patient and nurse outcomes and cost. Using focus groups, interviews, mail surveys, chart reviews and reviewing hospital administration data, the team found that use of SRNs varied greatly by unit and that typically permanent RNs have similar experience and more education (BSN or higher degree). Although, the use of supplemental nurses occurred more frequently in units that were rated as having poor working environments, the team did not find that their use had any negative impact on patient or nurse outcomes. The findings of this project will further understanding of the impact of SRNs on quality and cost outcomes and help hospital administrators make evidence-based strategic plan for nurse staffing.

The project findings are presented in a research brief on the Robert Wood Johnson Foundation's website.

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Health care workforce data (R8)
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Grantee: 
Dr. Ying Xue

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