Baccalaureate Education in Nursing and Patient Outcomes
Top Cited Papers
- 1 February 2013
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in JONA: The Journal of Nursing Administration
- Vol. 43 (2), 89-94
- https://doi.org/10.1097/nna.0b013e31827f2028
Abstract
OBJECTIVES: The aim of this study was to examine the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees. BACKGROUND: The Future of Nursing report recommends increasing the percentage of RNs with baccalaureate degrees from 50% to 80% by 2020. Research has linked RN education levels to hospital mortality rates but not with other nurse-sensitive outcomes. METHODS: This was a cross-sectional study that, with the use of data from 21 University HealthSystem Consortium hospitals, analyzed the association between RN education and patient outcomes (risk-adjusted patient safety and quality of care indicators), controlling for nurse staffing and hospital characteristics. RESULTS: Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay. CONCLUSION: The recommendation of the Future of Nursing report to increase RN education levels is supported by these findings.Keywords
This publication has 21 references indexed in Scilit:
- Nursing care quality and adverse events in US hospitalsJournal of Clinical Nursing, 2010
- The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: Analysis of administrative dataInternational Journal of Nursing Studies, 2009
- The Association Between Nursing Factors and Patient Mortality in the Veterans Health AdministrationMedical Care, 2008
- Hospital Nurse Practice Environments and Outcomes for Surgical Oncology PatientsHealth Services Research, 2008
- The Relationship Between Nurse Education Level and Patient Safety: An Integrative ReviewJournal of Nursing Education, 2008
- Impact of hospital nursing care on 30‐day mortality for acute medical patientsJournal of Advanced Nursing, 2006
- The Impact of Hospital Nursing Characteristics on 30-Day MortalityNursing Research, 2005
- Educational Levels of Hospital Nurses and Surgical Patient MortalityJAMA, 2003
- Nurse Experience and EducationJONA: The Journal of Nursing Administration, 2001
- Differences in the performances of baccalaureate, associate degree, and diploma nurses: A meta‐analysisResearch in Nursing & Health, 1988