Licensed nursing staff reductions and substitutions in Pennsylvania hospitals, 1991-1997
Abbreviated Journal Title
J. Public Health Policy
EMPLOYMENT; PERSONNEL; TRENDS; Health Care Sciences & Services; Health Policy & Services; Public, ; Environmental & Occupational Health
Nurses report a decline in RN/patient and skill mix in the 1990s while quantitative studies fail to confirm this. This study examines aggregate hospital nursing staff in Pennsylvania from 1991-1997, focusing on changes in licensed nursing staff. It finds that licensed nursing staff declined while nursing assistants increased in this period. With adjustment for patient acuity, there was a slight decrease in RN/adjusted patient days of care (APDC), a 23% decrease in LPN/APDC, and a 4% decrease in licensed nurse/APDC. The RN/nurse ratio increased slightly, and licensed nurse/nurse fell slightly. Since RNs often operate in environments which make use of teams of licensed staff, nurses' perceptions of a decline in the RN/patient ratio is a result of the decline in licensed staff/APDC, and of an increase in patient acuity.
Journal of Public Health Policy
"Licensed nursing staff reductions and substitutions in Pennsylvania hospitals, 1991-1997" (2001). Faculty Bibliography 2000s. 2982.