Better Nurse Staffing Is Associated With Survival for Black Patients and Diminishes Racial Disparities in Survival After In-Hospital Cardiac Arrests.

Medical Care
Margo Brooks CarthonLinda H Aiken

Abstract

Racial disparities in survival among patients who had an in-hospital cardiac arrest (IHCA) have been linked to hospital-level factors. To determine whether nurse staffing is associated with survival disparities after IHCA. Cross-sectional data from (1) the American Heart Association's Get With the Guidelines-Resuscitation database; (2) the University of Pennsylvania Multi-State Nursing Care and Patient Safety Survey; and (3) The American Hospital Association annual survey. Risk-adjusted logistic regression models, which took account of the hospital and patient characteristics, were used to determine the association of nurse staffing and survival to discharge for black and white patients. A total of 14,132 adult patients aged 18 and older between 2004 and 2010 in 75 hospitals in 4 states. In models that accounted for hospital and patient characteristics, the odds of survival to discharge was lower for black patients than white patients [odds ratio (OR)=0.70; 95% confidence interval (CI), 0.61-0.82]. A significant interaction was found between race and medical-surgical nurse staffing for survival to discharge, such that each additional patient per nurse lowered the odds of survival for black patients (OR=0.92; 95% CI, 0.87-0.97) ...Continue Reading

References

May 31, 2002·The New England Journal of Medicine·Jack NeedlemanKatya Zelevinsky
Oct 22, 2002·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
May 28, 2008·Archives of Internal Medicine·Dana P EdelsonBenjamin S Abella
Oct 22, 2008·Intensive Care Medicine·Brendan G CarrRobert W Neumar
Jul 29, 2009·Archives of Internal Medicine·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation (NRCPR) Investigators
Sep 17, 2009·JAMA : the Journal of the American Medical Association·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation (NRCPR) Investigators
Apr 2, 2011·Resuscitation·William J BradyUNKNOWN American Heart Association's Get with the Guidelines (formerly, NRCPR) Investigators
Apr 9, 2011·American Heart Journal·Raina M MerchantPeter W Groeneveld
Apr 3, 2012·Critical Care Nurse·Elizabeth A HennemanKaren K Giuliano
Jun 14, 2012·Journal of the American Geriatrics Society·J Margo Brooks CarthonLinda H Aiken
Nov 16, 2012·The New England Journal of Medicine·Saket GirotraUNKNOWN American Heart Association Get with the Guidelines–Resuscitation Investigators
May 22, 2013·JAMA Internal Medicine·Lena M ChenUNKNOWN American Heart Association’s Get With the Guidelines-Resuscitation (formerly the National Registry of Cardiopulmonary Resusc
Feb 4, 2014·Journal of the American Heart Association·Raina M MerchantUNKNOWN American Heart Association's Get With the Guidelines-Resuscitation Investigators
Mar 29, 2014·Clinical Medicine & Research·Cynthia R PrinceDavid J Heegeman
Dec 17, 2014·Resuscitation·Rabia R RaziUNKNOWN American Heart Association's Get With The Guidelines-Resuscitation Investigators
Dec 8, 2015·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Eunhee ChoOiSaeng Hong
Jan 20, 2016·Medical Care·Matthew D McHughUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Feb 5, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Karen B Lasater, Matthew D Mchugh
Oct 28, 2016·Journal of the American Geriatrics Society·Karen B Lasater, Matthew D McHugh
Jul 19, 2017·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Andrea DriscollFelicity Astin
Aug 29, 2017·International Journal of Nursing Studies·Jane E BallUNKNOWN RN4Cast Consortium

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Citations

Apr 9, 2021·JBI Evidence Synthesis·Karen B Lasater
May 14, 2021·Nursing Forum·Marissa BartmessSandra P Thomas

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