Use of outsourced nurses in long-term acute care hospitals: outcomes and leadership preferences.
When staffing effectiveness is not maintained over time, the likelihood of negative outcomes increases. This challenge is particularly problematic in long-term acute care hospitals (LTACHs) where use of outsourced temporary nurses is common when providing safe, sufficient care to medically complex patients who require longer hospital stays than normally would occur. To assess this issue, the authors discuss the outcomes of their survey of LTACH chief nursing officers that demonstrated LTACH quality indicators and overall patient satisfaction were within nationally accepted benchmarks even with higher levels of outsourced nurses used in this post-acute care setting.
Specialty Hospitals of Washington, District of Columbia, USA. ralvarez@shwdc.com
M Raymond
MR
Alvarez
Bernard J
BJ
Kerr
Joan
J
Burtner
Gerald
G
Ledlow
Larry V
LV
Fulton
D000058:Accidental Falls / Q000706:statistics & numerical data; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002755:Choice Behavior; D006801:Humans; D007857:Leadership; D016014:Linear Models; D008508:Medication Errors / Q000706:statistics & numerical data; D008824:Michigan; D009718:Nurse Administrators / Q000523:psychology*; D015401:Nursing Administration Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000600:supply & distribution*; D017063:Outcome Assessment, Health Care; D020416:Outsourced Services / Q000458:organization & administration*; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D012866:Skilled Nursing Facilities; D011795:Surveys and Questionnaires; D000078329:Workforce