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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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A Pediatric-Specific View on Improved Nurse-Sensitive Indicators Related to Increased BSN or Higher Rates Over Time.

Diane S Hupp¹, Beth Mastrangelo, Kimberly A Nelson

¹UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania (Drs Hupp and Nelson and Mss Mastrangelo and Weyant); and Duquesne University School of Nursing, Pittsburgh, Pennsylvania (Dr Schreiber).

Journal of Nursing Care Quality

|April 28, 2022

Summary

Higher nurse education, specifically Bachelor of Science in Nursing (BSN) degrees, correlated with fewer infections. This study highlights the impact of advanced nursing education on patient safety indicators.

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Area of Science:

Nursing Education
Patient Outcomes
Quality Improvement

Background:

National recommendations for over a decade have advocated for higher nurse education to enhance patient outcomes.
Organizational strategies were employed to increase the proportion of educated nurses over 14 years at a specific site.

Purpose of the Study:

To evaluate the relationship between the proportion of nurses with Bachelor of Science in Nursing (BSN) or higher education and pediatric patient outcomes.
To explore correlations between nursing educational preparation and nurse-sensitive indicators (NSIs).

Main Methods:

A quality improvement project utilized retrospective data from hospital databases spanning up to 14 years.
Examined the association between the percentage of BSN-prepared nurses and nine different NSIs.

Main Results:

Significant negative correlations were observed between the proportion of BSN-prepared nurses and central line-associated bloodstream infections (r = -0.55) and surgical site infections (r = -0.71).
Four out of nine NSIs demonstrated moderate correlation with the proportion of highly educated nurses.

Conclusions:

Increasing the percentage of nurses with BSN or higher education was associated with improved outcomes in specific NSI categories.
Findings support the link between advanced nursing education and enhanced patient safety metrics.