@article{ca1c2f46949e469292d76fb854900da9,
title = "In hospitals with more nurses who have baccalaureate degrees, better outcomes for patients after cardiac arrest",
abstract = "In 2010, prompted by compelling evidence that demonstrated better patient outcomes in hospitals with higher percentages of nurses with a bachelor of science in nursing (BSN), the Institute of Medicine recommended that 80 percent of the nurse workforce be qualified at that level or higher by 2020. Using data from the American Heart Association{\textquoteright}s Get With the Guidelines-Resuscitation registry (for 2013- 18), RN4CAST-US hospital nurse surveys (2015-16), and the American Hospital Association (2015), we found that each 10-percentage-point increase in the hospital share of nurses with a BSN was associated with 24 percent greater odds of surviving to discharge with good cerebral performance among patients who experienced in-hospital cardiac arrest. Lower patient-to-nurse ratios on general medical and surgical units were also associated with significantly greater odds of surviving with good cerebral performance. These findings contribute to the growing body of evidence that supports policies to increase access to baccalaureate-level education and improve hospital nurse staffing.",
author = "{for the American Heart Association's Get With The Guidelines-Resuscitation Investigators} and Harrison, {Jordan M.} and Aiken, {Linda H.} and Sloane, {Douglas M.} and Carthon, {J. Margo Brooks} and Merchant, {Raina M.} and Berg, {Robert A.} and McHugh, {Matthew D.} and Anne Grossestreuer and Ari Moskowitz and Dana Edelson and Joseph Ornato and Katherine Berg and Peberdy, {Mary Ann} and Matthew Churpek and Michael Kurz and Starks, {Monique Anderson} and Paul Chan and Saket Girotra and Sarah Perman and Zachary Goldberger",
note = "Funding Information: A previous version of this article was presented at the AcademyHealth Annual Research Meeting in Seattle, Washington, June 24–26, 2018. All participating institutions were required to comply with local regulatory and privacy guidelines and, if required, to secure Institutional Review Board approval. Because the data were used primarily at the local site for quality improvement, sites were granted a waiver of informed consent under the Common Rule. This research was supported by funding from the National Institute of Nursing Research (Grant Nos. R01NR016002 [Matthew McHugh, principal investigator], R01NR014855 [Linda Aiken, principal investigator], and T32NR007104 [Aiken, principal investigator]). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. IQVIA is the data collection coordination center for the American Heart Association/American Stroke Association Get With the Guidelines programs. Hospitals participating in the Get With the Guidelines Resuscitation registry submit clinical information regarding the medical history, hospital care, and outcomes of consecutive patients hospitalized for cardiac arrest using an online, interactive case report form and the Patient Management Tool of IQVIA. The University of Pennsylvania serves as the data analytic center and has an agreement with IQVIA to prepare the data for research purposes. The authors acknowledge the members of the American Heart Association{\textquoteright}s Get With the Guidelines Adult Research Task Force for reviewing an earlier version of this article: Anne Grossestreuer, Ari Moskowitz, Dana Edelson, Joseph Ornato, Katherine Berg, Mary Ann Peberdy, Matthew Churpek, Michael Kurz, Monique Anderson Starks, Paul Chan, Saket Girotra, Sarah Perman, and Zachary Goldberger. Funding Information: A previous version of this article was presented at the AcademyHealth Annual Research Meeting in Seattle, Washington, June 24-26, 2018. All participating institutions were required to comply with local regulatory and privacy guidelines and, if required, to secure Institutional Review Board approval. Because the data were used primarily at the local site for quality improvement, sites were granted a waiver of informed consent under the Common Rule. This research was supported by funding from the National Institute of Nursing Research (Grant Nos. R01NR016002 [Matthew McHugh, principal investigator], R01NR014855 [Linda Aiken, principal investigator], and T32NR007104 [Aiken, principal investigator]). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. IQVIA is the data collection coordination center for the American Heart Association/American Stroke Association Get With the Guidelines programs. Hospitals participating in the Get With the Guidelines Resuscitation registry submit clinical information regarding the medical history, hospital care, and outcomes of consecutive patients hospitalized for cardiac arrest using an online, interactive case report form and the Patient Management Tool of IQVIA. The University of Pennsylvania serves as the data analytic center and has an agreement with IQVIA to prepare the data for research purposes. The authors acknowledge the members of the American Heart Association?s Get With the Guidelines Adult Research Task Force for reviewing an earlier version of this article: Anne Grossestreuer, Ari Moskowitz, Dana Edelson, Joseph Ornato, Katherine Berg, Mary Ann Peberdy, Matthew Churpek, Michael Kurz, Monique Anderson Starks, Paul Chan, Saket Girotra, Sarah Perman, and Zachary Goldberger. Publisher Copyright: {\textcopyright} 2019 Project HOPE-The People-to-People Health Foundation, Inc.",
year = "2019",
month = jul,
doi = "10.1377/hlthaff.2018.05064",
language = "English (US)",
volume = "38",
pages = "1087--1094",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "7",
}