@article{f090b38700fb40acbfc99aad58435adb,
title = "Hospital characteristics associated with nurse staffing during labor and birth: Inequities for the most vulnerable maternity patients",
abstract = "Background: Evidence is limited on nurse staffing in maternity units. Purpose: To estimate the relationship between hospital characteristics and adherence with Association of Women's Health, Obstetric and Neonatal Nurses nurse staffing guidelines. Methods: We enrolled 3,471 registered nurses in a cross-sectional survey and obtained hospital characteristics from the 2018 American Hospital Association Annual Survey. We used mixed-effects linear regression models to estimate associations between hospital characteristics and staffing guideline adherence. Findings: Overall, nurses reported strong adherence to AWHONN staffing guidelines (rated frequently or always met by ≥80% of respondents) in their hospitals. Higher birth volume, having a neonatal intensive care unit, teaching status, and higher percentage of births paid by Medicaid were all associated with lower mean guideline adherence scores. Discussion and Conclusions: Important gaps in staffing were reported more frequently at hospitals serving patients more likely to have medical or obstetric complications, leaving the most vulnerable patients at risk.",
keywords = "High risk, Hospital, Hospitals, Hospitals, Teaching, Inpatients, Nursing staff, Obstetric nursing, Personnel staffing, Pregnancy, Workforce",
author = "Simpson, {Kathleen R.} and Joanne Spetz and Gay, {Caryl L.} and Jason Fletcher and Landstrom, {Gay L.} and Audrey Lyndon",
note = "Funding Information: This project was supported by grant number R01HS025715 from the Agency for Healthcare Research and Quality . The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Health Care Research and Quality. The Association for Women's Health, Obstetric and Neonatal Nursing supported the development of the survey used in this study and provided nonfinancial support for study recruitment. This article draws on data published in Lyndon et al. (2022b) . Funding Information: This project was supported by grant number R01HS025715 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Health Care Research and Quality. The Association for Women's Health, Obstetric and Neonatal Nursing supported the development of the survey used in this study and provided nonfinancial support for study recruitment. This article draws on data published in Lyndon et al. (2022b). Publisher Copyright: {\textcopyright} 2023 Elsevier Inc.",
year = "2023",
month = may,
day = "1",
doi = "10.1016/j.outlook.2023.101960",
language = "English (US)",
volume = "71",
journal = "Nursing Outlook",
issn = "0029-6554",
publisher = "Mosby Inc.",
number = "3",
}