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Published on: September 24, 2020
Trends in general acute care hospital nurse staffing from 2017 to 2022
Erin P Fraher1, Connor Sullivan2, Shweta Pathak2
1Cecil G. Sheps Center for Health Services Research, UNC Chapel Hill, Chapel Hill, NC; Department of Family Medicine, UNC Chapel Hill, Chapel Hill, NC.
Background:
The COVID-19 pandemic disrupted historical trends in the nursing workforce in the United States.
Purpose:
This study investigated trends in the utilization of registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistive personnel in short-term general hospitals from 2017 to 2022.
Methods:
We used hierarchical linear modeling to investigate the effect of time, hospital characteristics, and geographic characteristics on RN staffing intensity between 2017 and 2022.
Discussion:
Relative to 2017, RN adjusted staffing intensity increased by 0.12 RNs per 1,000 patient days in 2020, (p < .01), but then decreased by 0.11 RNs in 2021 (p < .01), and further decreased by 0.27 RNs per 1,000 patient days in 2022 (p < .01). RN staffing intensity varied significantly by state (p < .05) and LPN full-time equivalents increased by 7% between 2021 and 2022.
Conclusion:
Our findings suggest that average RN staffing intensity in hospitals decreased in 2021 and 2022, and these effects differed between states.
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