Thesis on "Nursing Education Level and Negative Patient Outcomes"

Thesis 4 pages (1222 words) Sources: 7

[EXCERPT] . . . .

Nursing Education Level and Negative Patient Outcomes

The main research question was whether the educational level of nurses was related to the mortality rate of surgical patients in their care, and whether this was significant regardless of the amount of staffing that the hospital had. The hypothesis was that the education of a nurse would make a difference because they have more problem solving skills and other abilities that can only come from more time in the classroom. For this particular study of the authors revisited 168 hospitals in Pennsylvania that they have used in a previous study. Because there were many variations in how many nurses in each hospital held a baccalaureate degree or higher the hospitals in question provided a good opportunity to conduct the study discussed here and examined whether there is an association between the education found in a hospitals nursing staff and the mortality rate of surgical patients. They sent out surveys to nurses in the area and got a great deal of responses. The response rate of over 50% was also in line with other surveys that have been taken of health-care professionals, and therefore was likely to be an accurate representation of what the researchers were desirous of finding out. In the course of the study the researchers found that many hospitals had disproportionate numbers of nurses who had a baccalaureate degree or higher. Some hospitals had no nurses with this qualification while others had more than 75% of their nurses meeting this qualification. It was found that there was a 5% decrease in the mortality rate of patients within 30 days of admission for every 10% increase in the amount of nurses who had a baccalaureate degree or higher. This was also true of the mortality rates of failure-to-rescue individuals. Source: Linda H. Aiken, PhD, RN; Sean P. Clarke, PhD, RN; Robyn B. Cheung, PhD, RN; Douglas M. Sloane, PhD; Jeffrey H. Silber, MD, PhD. Educational Levels of Hospital Nurses and Surgical Patient Mortality. JAMA. 2003; 290(12), 1617-1623.

Article Two:

This study looked at surgical patients who had problems with mental illness vs. those who did not, the staffing ratio of nurses, and the education that the nurses had. These were all examined in relation to length of stay, failure to rescue, and death within thirty days of admission. Cross-sectional data from a survey of the nurses and from the administrative and patient records was linked up and compiled. There were almost ten thousand nurses and more than two hundred and twenty-five thousand patients who were discharged from one hundred and fifty-seven hospitals in Pennsylvania that were used for this study. Generalized estimating equations were used for the analysis. According to the records, 4.7% of the patients in the study were diagnosed with a serious mental illness, and higher staffing of nurses had a higher ability to prevent death among these patients. In hospitals where there were more nurses with higher degrees, the length of stay was shorter for patients with mental disorders. It can be concluded that both better staffing and higher education of the nurses had a positive effect on patient outcomes among those patients who were the most vulnerable. Source: Ann Kutney-Lee, PhD, RN & Linda H. Aiken, PhD, RN. Effect of Nurse Staffing and Education on Outcomes of Surgical Patients with Comorbid Serious Mental Illness. Psychiatric Services. 2008; 59, 1466-1469.

Article Three:

This study was designed to look at the mortality rates in surgical patients over thirty days based on the educational level of hospital nurses. It was adjusted for other risk factors that the patients may have had and that could have otherwise impeded the study. The discharge… READ MORE

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