The Impact of RN Resident Saturation on Patient Outcomes and Experience in a Large Hospital System.

Publication Title

The Journal of nursing administration

Document Type

Article

Publication Date

7-1-2025

Keywords

Humans; Nursing Staff, Hospital; Personnel Staffing and Scheduling; Quality of Health Care; Male; Female; washington; renton

Abstract

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.

Specialty/Research Institute

Nursing

Specialty/Research Institute

Health Care Administration

DOI

10.1097/NNA.0000000000001600

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