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Isolated, small, and large hospitals have fewer nursing resources than urban hospitals: Implications for rural health policy.
- Source :
- Public Health Nursing; Jul/Aug2019, Vol. 36 Issue 4, p469-477, 9p, 5 Charts
- Publication Year :
- 2019
-
Abstract
- Objective: The purpose was to compare nurse education, patient‐to‐nurse staffing, nursing skill mix, and nurse work environments across hospitals depending on extent of rurality. Design: Cross‐sectional, comparative, and descriptive. Sample: The final sample included 566 urban, 49 large, 18 small, and 9 isolated hospitals from California, Florida, and Pennsylvania. Measurement: Data collected from large random samples from the 2005–2008 Multi‐State Nursing Care and Patient Safety Study funded by the National Institute of Nursing Research and National Institutes of Health were linked to 2005–2006 American Hospital Association data. Rural–Urban Commuting Area codes developed by the University of Washington and the United States Department of Agriculture Economic Research Service were used to determine the extent of hospital rurality across the sample. Results: Hospital percentages of baccalaureate prepared nurses differed significantly among urban (38%), large (28%), small (31%), and isolated rural hospitals (21%). Patient‐to‐registered nurse ratios in urban (4.8), large (5.6), small (5.6), and isolated rural hospitals (7.3) differed. Rural hospital nursing skill mix differed, and was lowest in isolated rural hospitals (65%). Nursing foundations for quality care were poorer in large, small, and isolated rural hospitals. Conclusion: Results support bolstering rural nursing resources in more remote locations, potentially through rural health policies. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
CHI-squared test
COMPARATIVE studies
HOSPITALS
RESEARCH methodology
MEDICAL quality control
MEDICAL personnel
HEALTH policy
NONPARAMETRIC statistics
NURSES
NURSING
NURSING education
PERSONNEL management
POPULATION geography
RESEARCH funding
RURAL health services
RURAL hospitals
STATISTICS
URBAN hospitals
WORK environment
EMPLOYEES' workload
RURAL nursing
DATA analysis
CROSS-sectional method
NURSE-patient ratio
BACCALAUREATE nursing education
KRUSKAL-Wallis Test
ONE-way analysis of variance
INTRACLASS correlation
Subjects
Details
- Language :
- English
- ISSN :
- 07371209
- Volume :
- 36
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Public Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 137488976
- Full Text :
- https://doi.org/10.1111/phn.12612