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Float Nurses' Association With Nurse-Sensitive Indicators: A Cross-Sectional Study.

Catherine P Stephens1, Juanita Norton2, Danielle Walker3

  • 1Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Dr Stephens).

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Summary
This summary is machine-generated.

Float pool nurses reduce risks for pressure injuries and infections, unlike floated unit nurses. Distinct float nurse types have different impacts on patient safety indicators, requiring separate evaluation.

Keywords:
healthcare-associated infectionspatient fallsquality of carestaffing and scheduling

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Area of Science:

  • Nursing
  • Healthcare Quality
  • Patient Safety

Background:

  • Floating nurses are a key hospital staffing strategy for unit coverage.
  • Limited evidence exists on the impact of floating nurses on quality and safety outcomes.

Purpose of the Study:

  • To investigate the relationship between different types of float nurses and nurse-sensitive indicators.
  • To differentiate the impact of float pool nurses versus floated unit nurses.

Main Methods:

  • Cross-sectional study across 25 inpatient units in 3 hospitals (April 2023 - April 2024).
  • Logistic regression analyzed associations between float pool/floated unit nurses and patient safety outcomes.
  • Nurse-sensitive indicators included falls, pressure injuries, and healthcare-associated infections.

Main Results:

  • Float pool nurses showed a reduced risk of pressure injuries.
  • Float pool nurses were associated with fewer central line-associated bloodstream infections.
  • No significant associations were found for floated unit nurses regarding the studied outcomes.

Conclusions:

  • Float pool nurses and floated unit nurses exhibit distinct associations with nurse-sensitive indicators.
  • Separate evaluation of float pool and floated unit nurses is recommended.
  • Understanding these differences can optimize staffing strategies for improved patient safety.