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Public Reporting of Nurse Staffing in the United States

      Extensive evidence supports the association between increased nurse staffing and improved quality of patient care. Public reporting or public disclosure of nurse staffing patterns aims to incentivize hospitals to improve staffing by making comparison data available for consumers as well as nurses and hospital administrators. Currently, eight states in the United States publicly report and disclose information on nurse staffing levels to the public. We review the available public reporting mechanisms by systematically categorizing and comparing states that report nurse staffing. We also discuss the implications for future state and federal policy with regard to publicly reporting or disclosing nurse staffing.

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      References

        • American Nurses Association
        (n.d.). ANA leading patient safety.
        • American Nurses Association
        Optimal nurse staffing to improve quality of care and patient outcomes.
        • American Nurses Association
        Nurse staffing.
        • Annis A.M.
        • Robinson C.H.
        • Yankey N.
        • Krein S. L
        • Duffy S.A.
        • Taylor B.
        • Sales A.
        Factors associated with the implementation of a nurse staffing directive.
        The Journal of Nursing Administration. 2017; 47: 634-644
      1. Bill of Rights for Hospital Patients, Vt. Stat. § 18-42-1854.
        • Brooks C.
        Controversial settlement divides New York nurses. LaborNotes.
        • Campanella P.
        • Vukovic V.
        • Parente P.
        • Sulejmani A.
        • Ricciardi W.
        • Specchia M.L.
        The impact of public reporting on clinical outcomes: A systematic review and meta-analysis.
        BMC Health Services Research. 2016; 16: 972-978
        • de Cordova P.B.
        • Rogowski J.
        • Riman K.A.
        • McHugh M.D.
        Effects of public reporting legislation of nurse staffing: A trend analysis.
        Policy, Politics, & Nursing Practice. 2019; 20: 92-104
        • Di Muzio M.
        • Dionisi S.
        • Di Simone E.
        • Cianfrocca C.
        • Di Muzio
        • Fabbian F.
        • Giannetta N.
        Can nurses' shift work jeopardize the patient safety? A systematic review.
        European Review for Medical and Pharmacological Sciences. 2019; 23: 4507-4519
        • Dunt D.
        • Prang K-H.
        • Sabanovic H.
        • Kelaher M.
        The impact of public performance reporting on market share, mortality, and patient mix outcomes associated with coronary artery bypass grafts and percutaneous coronary interventions (2000–2016): A systematic review and meta-analysis.
        Medical Care. 2018; 56: 956-966
      2. Hospital staffing plan, Rhode Island Pub. L. 23-17-17-8 (2005).

      3. Hospitals and Ambulatory Care Facilities, 77 Ill. Adm. Code § 255.150 (2007).

        • Jones T.
        • Heui Bae S.
        • Murry N.
        • Hamilton P.
        Texas nurse staffing trends before and after mandated nurse staffing committees.
        Policy, Politics, & Nursing Practice. 2015; 16: 79-96
        • Joseph A.
        • Henriksen K.
        • Malone E.
        The architecture of safety: An emerging priority for improving patient safety.
        Health Affairs. 2018; 37: 1884-1891
        • Kane R.L.
        • Shamliyan T.A.
        • Mueller C.
        • Duval S.
        • Wilt T.J.
        The association of registered nurse staffing levels and patient outcomes: Systematic review and meta-analysis.
        Medical Care. 2007; 45: 1195-1204
        • Kim J.
        • Kim S.
        • Park J.
        • Lee E.
        Multilevel factors influencing falls of patients in hospital: The impact of nurse staffing.
        Journal of Nursing Management. 2019; 27: 1011-1019
        • Kohn L.T.
        • Corrigan J.M.
        • Donaldson M.S.
        To Err is Human: Building a Safer Health System.
        National Academy Press, Washington, DC2000
        • Metcalfe D.
        • Rios Diaz A.J.
        • Olufajo O.A.
        • Massa M.S.
        • Ketelaar N.A.
        • Flottorp S.A.
        • Perry D.C.
        Impact of public release of performance data on the behaviour of healthcare consumers and providers.
        Cochrane Database of Systematic Reviews. 2018; CD004538
        • Minnesota Hospital Association
        (n.d.). Minnesota hospital quality report – Nurse and hospital staffing.
        • Mitchell B.G.
        • Gardner A.
        • Stone P.W.
        • Hall L.
        • Pogorzelska-Maziarz M.
        Hospital staffing and health care–associated infections: A systematic review of the literature.
        The Joint Commission Journal on Quality and Patient Safety. 2018; 44: 613-622
        • National Quality Forum
        Measuring performance – Current list of NQF-endorsed standards.
        • Needleman J.
        • Buerhaus P.
        • Mattke S.
        • Stewart M.
        • Zelevinsky K.
        Nurse-staffing levels and the quality of care in hospitals.
        New England Journal of Medicine. 2002; 346: 1715-1722
        • New Jersey Department of Health & Senior Services
        Hospital patient care staff reporting and posting instructions manual.
        Author, Trenton, NJ2008
      4. Nurse Staffing by Patient Acuity Act, Ill. Pub. Act 095-0401 § 10.10.
      5. Nurse Staffing Committee, Wash. Rev. C. § 70.41.420.
      6. Nursing Care Quality Protection Act, NY S. 3527.
        • PatientCareLink
        Massachusetts hospital data staffing plans and reports.
        • Pogorzelska-Maziarz M.
        • de Cordova P.B.
        • Herzig C.T.A.
        • Dick A.
        • Reagan J.
        • Stone P.W.
        Perceived impact of state-mandated reporting on infection prevention and control departments.
        American Journal of Infection Control. 2019; 47: 118-122
        • Rebelo Da Silva N.
        • Zaranyika H.
        • Langer L.
        • Randall N.
        • Muchiri E.
        • Stewart R.
        Making the most of what we already know: A three-stage approach to systematic reviewing.
        Evaluation Review. 2016; 41: 155-172
        • Seago J.A.
        • Davidson S.
        • Waldo D.
        Oregon nurse staffing law: Is it working?.
        Journal of Nursing Administration. 2012; 42: 134-137
        • Shekelle P.G.
        Nurse-patient ratios as a patient safety strategy: A systematic review.
        Annals of Internal Medicine. 2013; 158: 404-409
        • Wallis L.
        Planned study on Minnesota nurse staffing fails to deliver.
        American Journal of Nursing. 2015; 115: 14
        • Washington State Department of Health
        (n.d.). Hospital policies.

      Biography

      Pamela B. de Cordova, PhD, RN-BC, is an Assistant Professor and Research Faculty, New Jersey Collaborating Center for Nursing, Rutgers, The State University of New Jersey, Newark.

      Biography

      Monika Pogorzelska-Maziarz, PhD, MPH, is an Assistant Professor, Jefferson College of Nursing, Philadelphia, Pennsylvania.

      Biography

      Myra Emma Eckenhoff, BA, BSN, RN, is a Clinical Nurse II, Heart & Vascular ICU, Hospital of the University of Pennsylvania, Philadelphia.

      Biography

      Matthew D. McHugh, PhD, JD, MPH, RN, FAAN, is the Independence Chair for Nursing Education, a Professor of Nursing, and Associate Director, Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing.

      Linked Article

      • Conflict of Interest Compliance Article 3
        Journal of Nursing Regulation Vol. 12Issue 2
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          As is standard in scholarly publishing, NCSBN’s Journal of Nursing Regulation (JNR) requires its authors to disclose any potential conflicts of interest (COI). Although COI information has always been collected by our staff in order to support editors’ review of the paper, it was not our standard practice to publish COI statements in each article. In this issue, JNR is retrospectively publishing the COI statements, which were collected with the below papers at submission, in order to make potential COI’s transparent to readers, as well as editors.
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