Nursing care quality: comparison of unit-hired, hospital float pool, and agency nurses.
As fiscal constraints and hospital downsizing become driving forces in the health care arena, nurse administrators are challenged to satisfy fluctuating staffing needs while ensuring high-quality care. Hospital in-house nurses and agency nurses are two solutions often used to supplement unit staffing. The article reports a study that examined the quality of care administered on one unit by unit-hired, float pool, and agency nurses through a comparison of the groups' documentation on nine clinical quality indicators. Findings suggested significant differences among the three groups on these indicators. Implications for nurse administrators are discussed.
Strzalka
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Cardic Care Unit, University of North Carolina Memorial Hospital, Chapel Hill, USA.
Havens
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D003284:Contract Services / Q000592:standards*; D006801:Humans; D009657:North Carolina; D015401:Nursing Administration Research; D009731:Nursing Audit; D009732:Nursing Care / Q000592:standards*; D009737:Nursing Records / Q000592:standards; D009741:Nursing Staff, Hospital / Q000600:supply & distribution*; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D011787:Quality of Health Care