• Res Nurs Health · Apr 2014

    Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay.

    • Pamela B de Cordova, Ciaran S Phibbs, Susan K Schmitt, and Patricia W Stone.
    • College of Nursing, Rutgers, The State University of New Jersey, 110 Paterson Street, New Brunswick, NJ, 08901.
    • Res Nurs Health. 2014 Apr 1; 37 (2): 90-7.

    AbstractIn hospitals, nurses provide patient care around the clock, but the impact of night staff characteristics on patient outcomes is not well understood. The aim of this study was to examine the association between night nurse staffing and workforce characteristics and the length of stay (LOS) in 138 veterans affairs (VA) hospitals using panel data from 2002 through 2006. Staffing in hours per patient day was higher during the day than at night. The day nurse workforce had more educational preparation than the night workforce. Nurses' years of experience at the unit, facility, and VA level were greater at night. In multivariable analyses controlling for confounding variables, higher night staffing and a higher skill mix were associated with reduced LOS.© 2014 Wiley Periodicals, Inc.

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