Examination Date
Fall 2022
Degree
Dissertation
Degree Program
Nursing (PhD)
Examination Committee
Demetrius Porche, DNS, PhD, ANEF, FACHE, FAANP, FAAN; Donald Mercante, PhD; Todd Tartavoulle, DNS, APRN, CNS-BC; Marie Adorno, PhD, APRN, CNS, RNC-MNN, CNE; Benita Chatmon, PhD, MSN, RN, CNE; Shin Hye Park, PhD, RN
Abstract
Objectives: The purpose of this study was to investigate the association of the nurse practice environment and nurse staffing on pediatric acute care outcomes: FALLS, HAPI, CLABSI, CAUTI, and VAP. The hypothesis was that nurse practice environment would have a greater association on improved pediatric acute care outcomes through lower outcome rates. Participants: A total of 216 pediatric units from 94 hospitals were included in the study. Individual units were placed into groups for analysis: critical care (n=33, 15.3%), acute care (n = 89, 41.2%), neonatal (n = 75, 34.7%), and mixed (n = 19, 8.9%). Study Method: Secondary data analysis of cross-sectional data was used for 2019 calendar year of the National Database of Nursing Quality Indicators (NDNQI). Purposive sampling was used for pediatric units that participated in NDNQI submitted data and utilized the PES-NWI. The NDNQI provides a national repository which allows hospitals to confidentially compare nursing sensitive indicators at the unit level to similar units across the country. Findings: Significant associations were decreased Falls with RN Staffing (B = -.201, p = .012) in the acute care group, Collegial Nurse- Physician Relations (B = -4.317, p =
Recommended Citation
Wiggins, Jamie L., "ASSOCIATION BETWEEN THE NURSING PRACTICE ENVIRONMENT, REGISTERED NURSE STAFFING, AND PATIENT OUTCOMES IN THE PEDIATRIC ACUTE CARE SETTING" (2022). Nursing. 1.
https://digitalscholar.lsuhsc.edu/etd_son/1