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- Title
Nursing Care Disparities in Neonatal Intensive Care Units.
- Authors
Lake, Eileen T.; Staiger, Douglas; Edwards, Erika Miles; Smith, Jessica G.; Rogowski, Jeannette A.
- Abstract
<bold>Objectives: </bold>To describe the variation across neonatal intensive care units (NICUs) in missed nursing care in disproportionately black and non-black-serving hospitals. To analyze the nursing factors associated with missing nursing care.<bold>Data Sources/study Setting: </bold>Survey of random samples of licensed nurses in four large U.S. states.<bold>Study Design: </bold>This was a retrospective, secondary analysis of 1,037 staff nurses in 134 NICUs classified into three groups based on their percent of infants of black race. Measures included the average patient load, individual nurses' patient loads, professional nursing characteristics, nurse work environment, and nursing care missed on the last shift.<bold>Data Collection: </bold>Survey data from a Multi-State Nursing Care and Patient Safety Study were analyzed (39 percent response rate).<bold>Principal Findings: </bold>The patient-to-nurse ratio was significantly higher in high-black hospitals. Nurses in high-black NICUs missed nearly 50 percent more nursing care than in low-black NICUs. Lower nurse staffing (an additional patient per nurse) significantly increased the odds of missed care, while better practice environments decreased the odds.<bold>Conclusions: </bold>Nurses in high-black NICUs face inadequate staffing. They are more likely to miss required nursing care. Improving staffing and workloads may improve the quality of care for the infants born in high-black hospitals.
- Subjects
UNITED States; NEONATAL intensive care; HEALTH equity; LOW birth weight; WEIGHT in infancy; NURSES; NURSING care facilities; STATISTICS on Black people; WORKING hour statistics; COMPARATIVE studies; ECOLOGY; HEALTH services accessibility; HEALTH status indicators; RESEARCH methodology; MEDICAL quality control; MEDICAL cooperation; RESEARCH; RESEARCH funding; EMPLOYEES' workload; EVALUATION research; NEONATAL intensive care units; CROSS-sectional method; RETROSPECTIVE studies; HOSPITAL nursing staff
- Publication
Health Services Research, 2018, Vol 53, p3007
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12762