The Economic Value of Professional Nursing
- 1 January 2009
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medical Care
- Vol. 47 (1), 97-104
- https://doi.org/10.1097/mlr.0b013e3181844da8
Abstract
Improved understanding of the economic value of registered nurse services can help inform staffing decisions and policies. To quantify the economic value of professional nursing. We synthesize findings from the literature on the relationship between registered nurse staffing levels and nursing-sensitive patient outcomes in acute care hospitals. Using hospital discharge data to estimate incidence and cost of these patient outcomes together with productivity measures, we estimate the economic implications of changes in registered nurse staffing levels. Medical and surgical patients in nonfederal acute care hospitals. Data come from a literature review, and hospital discharge data from the 2005 Nationwide Inpatient Sample. Patient nosocomial complications, healthcare expenditures, and national productivity. As nurse staffing levels increase, patient risk of nosocomial complications and hospital length of stay decrease, resulting in medical cost savings, improved national productivity, and lives saved. Only a portion of the services that professional nurses provide can be quantified in pecuniary terms, but the partial estimates of economic value presented illustrate the economic value to society of improved quality of care achieved through higher staffing levels.Keywords
This publication has 19 references indexed in Scilit:
- The Association of Registered Nurse Staffing Levels and Patient OutcomesMedical Care, 2007
- Patient outcomes when hospitals experience a surge in admissionsJournal of Health Economics, 2006
- Nurse Staffing In Hospitals: Is There A Business Case For Quality?Health Affairs, 2006
- A Longitudinal Examination of Hospital Registered Nurse Staffing and Quality of CareHealth Services Research, 2004
- Nurse???Patient RatiosJONA: The Journal of Nursing Administration, 2004
- The Effects of Nurse Staffing on Adverse Events, Morbidity, Mortality, and Medical CostsNursing Research, 2003
- Licensed Nurse Staffing and Adverse Events in HospitalsMedical Care, 2003
- Nurse-Staffing Levels and the Quality of Care in HospitalsThe New England Journal of Medicine, 2002
- Hospital Restructuring and Its Impact on OutcomesJONA: The Journal of Nursing Administration, 2001
- Does Clinical Evidence Support ICD-9-CM Diagnosis Coding of Complications?Medical Care, 2000