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The Impact of RN Resident Saturation on Patient Outcomes and Experience in a Large Hospital System
Sylvain Trepanier1, Canada Parrish, Tom French
1Author Affiliation: Chief Nursing Officer (Dr Trepanier); Senior Clinical Research Scientist (Dr Parrish); AVP Advanced Analytics (Dr French); Division Executive Director, Education and Professional Practice (Dr Keller-Unger); AVP Clinical Education RN (Dr Larkin); Director of Clinical Operations (Moore), and Principal Product Manager (Nurse), Providence Health and Services, Renton, Washington.
Objective:
The aim of this study was to investigate the relationship between new graduate RN (NGRN) saturation and nurse-sensitive patient outcomes and experiences.
Background:
Many nurse leaders believe that the number of NGRNs should be limited to ensure high-quality care. To our knowledge, there is no previous evidence quantifying the impact of NGRNs' saturation on patient outcomes.
Methods:
Researchers analyzed nurse staffing metrics and patient outcomes from 79 distinct medical-surgical units within 22 hospitals, from 2017 to 2022. Outcomes included fall rates, catheter-associated urinary tract infections, central line-associated bloodstream infections extracted from the electronic health record, and patient experience metrics collected via survey.
Results:
The researchers identified no statistically significant relationships between NGRN saturation and patient outcomes or experiences.
Conclusions:
These findings do not support limiting the number of NGRNs on medical-surgical units out of concern for negative impact on nurse-sensitive quality of care outcomes.
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