A Comparison Study of Nursing Care Quality in Different Working Status Nursing Staffs: An Example of One Local Hospital.

Nursing Department,WanCiao Veterans Hospital, ROC.
The journal of nursing research: JNR (Impact Factor: 0.97). 10/2006; 14(3):181-9. DOI: 10.1097/01.JNR.0000387576.74221.f8
Source: PubMed


To reduce costs, many hospitals are trying to adopt strategies to contract out their nursing workforce. The purpose of this study is to compare the quality of health care among the following three categories of nursing workforces in public hospitals: outsourced nurses, permanently employed nurses and contracted nurses compensated based on hours worked. The research sample included 300 patients cared for by 78 nurses in insurance wards in a local public hospital. Four methods were used to evaluate care quality. They included examining medical records, interviewing nurses, observing, and interviewing patients. The study found the best care quality was delivered by permanently employed nurses followed by that delivered by contracted nurses. The worst care quality was delivered by outsourced nurses employed by agency companies contracted to the public hospital. Care quality dimensions that were statistically significant among three categories of nurses included total quality of nursing care, nursing care planning, nursing instruction, and nursing evaluation.

Download full-text


Available from: Jwo-Leun Lee, Mar 18, 2014
24 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Use of outsourced nurses is often a stop-gap measure for unplanned vacancies in smaller healthcare facilities such as long-term acute-care hospitals (LTACHs). However, the relationship of utilization levels (low, medium, or high percentages) of nonemployees covering staff schedules often is perceived to have negative relationships with quality outcomes. To assess this issue, the authors discuss the outcomes of their national study of LTACH hospitals that indicated no relationship existed between variations in percentage of staffing by contracted nurses and selected outcomes in this post-acute-care setting.
    The Journal of nursing administration 03/2011; 41(3):138-43. DOI:10.1097/NNA.0b013e31820c7258 · 1.27 Impact Factor