Original Article

Comparison of nursing staffing ratio in selected safety net and non-safety net hospitals in the United States

  • Nazik Zakari 1
  • Aurora A. Tafili 2
  • Hanadi Y. Hamadi 3 *
  • Mei Zhao 3
  • Donald Robert Haley 3
  • Aaron Spaulding 4
  • 1. Department of Nursing, College of Applied Sciences, Almaarefa University, Riyadh, Saudi Arabia
  • 2. Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Alabama, United States
  • 3. Department of Health Administration, Brooks College of Health, University of North Florida, Florida, United States
  • 4. Department of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Sciences of Health Care Delivery, Mayo Clinic, Florida, United States
* Correspondence:
Abstract:

Objective: This study investigated the differential association between nurse staffing in safety-net hospitals (SNHs) and non- SNHs.
Methods: This retrospective cross-sectional study utilized multilevel mixed-effects linear regression models and included data from 1,228 hospitals.
Results: The results showed that SNHs in the top quartile of disproportionate share hospital (DSH) payments had lower nurse staffing ratios (β = -0.86; p-value < .001), indicating a lower nurse-to-patient ratio, compared to non-SNHs. This association persisted even after adjusting for the county and hospital factors.
Conclusions: These findings suggest that nurse staffing in SNHs may be impacted by the financial challenges associated with providing uncompensated care to vulnerable populations. Understanding the differences in nurse staffing between SNHs and non-SNHs can provide insights for improving quality of care. Further research is required to explore the impact of nurse staffing on patient outcomes in SNHs.

  • Keywords:
  • Community hospital; Hospital characteristics; Nurse staffing ratio; Quality care; Safety-net hospitals
DOI: 10.5430/jha.v13n1p25
  • How to cite this article: Nazik Zakari, Aurora A. Tafili, Hanadi Y. Hamadi, et al. Comparison of nursing staffing ratio in selected safety net and non-safety net hospitals in the United States. Journal of Hospital Administration. 2024;13(1):25-33.

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