title: The effect of nursing professional pay structures and pay levels on hospitals' heart attack outcomes.
abstract: The effect of nursing professionals (i.e., nurse aid/orderly, licensed practical nurse, registered nurse) pay structures and pay levels on hospitals risk-adjusted heart attack outcomes was determined. Operationalizing hospitals' heart attack outcomes as their thirty-day risk-adjusted mortality rates, a positive curvilinear relation is hypothesized between pay dispersion and hospitals' heart attack outcomes, whereas a direct relation is hypothesized between pay level and hospitals' heart attack outcomes. Pay level is also hypothesized as a moderator of the relation between pay dispersion and hospitals' heart attack outcomes. Using a sample of 138 California hospitals, support is not found for either the curvilinear relation between hospitals' nursing professionals pay dispersion and hospitals' heart attack outcomes, or the direct relation between nursing professionals' pay level and hospitals' heart attack outcomes. Support is found for the moderation hypothesis in which nursing professionals' pay level moderates the relation between hospitals' nursing professionals pay dispersion and hospitals' heart attack outcomes. Implications for practice are discussed in light of the study's results.
authors.affiliation: Department of Business Management and Administration, Foster College of Business Administration, Bradley University, Peoria, Illinois, USA. mpb@bradley.edu
authors.forename: Mark P
authors.initials: MP
authors.lastname: Brown
mesh_terms: D002140:California / Q000453:epidemiology; D002303:Cardiac Output, Low / Q000401:mortality / Q000451:nursing*; D006801:Humans; D019221:Mandatory Reporting; D009741:Nursing Staff, Hospital / Q000191:economics*; D017063:Outcome Assessment, Health Care; D020379:Risk Adjustment; D012456:Salaries and Fringe Benefits