Influence of nursing characteristics on patient outcomes for inpatient acute medical rehabilitation

by Hess, Megan W., Ph.D., CAPELLA UNIVERSITY, 2013, 134 pages; 3599529


This quantitative, correlation research study utilized retrospective data from one provider facility within the inpatient acute medical rehabilitation provider population to examine the relationship between the hours of nursing care per point of case mix index, controlled for registered nurse percentage of skill mix, and the achievement of desirable patient outcomes. A total of 99 months of data were acquired from the provider facilities operational databases. Multiple regression was performed for normally distributed data sets, and Spearman's rho for non-normally distributed data sets where there was measurement data. The binomial data set for reported patient satisfaction with nursing care was analyzed utilizing binary logistic regression. Chaos theory supplied the theoretical framework for this study. The results found a significant relationship between the total hours of nursing care provided and the achievement of reported patient satisfaction. At variance with the current literature describing nursing care in acute medical surgical settings, this research study did not support that higher hours of registered nurse care significantly affected the positive achievement of desired patient outcomes. This research study does demonstrate a methodology available to acute inpatient medical rehabilitation providers to monitor performance over time and to compare performance among providers that share payroll definitions for productive care, patient satisfaction measures, and functional independence measures.

AdviserMary Raymer
Source TypeDissertation
SubjectsManagement; Nursing; Health care management
Publication Number3599529

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