This study seeks to show the direct relationship between the two, rather than the indirect relationship.
Literature Review
This study took a somewhat unique approach to determining what affects a lower number of nurses on staff has on a deviation for expected length of stay (LOS) in a hospital.
Other research has focused primarily on the length of stay, not on the expected length of stay. The difference between the two approaches includes the fact that previous studies have shown that there is a difference in the quality of care and the length of stay in the hospital, but this is one of the first studies to take into account the expected length of stay and the deviation based upon the quality of care and the number of nurses on duty. Other studies and the literature that is derived from those studies presents findings that include; "increased nurse staffing levels have been linked to a reduction in several patient complications, including mortality rates" (Aiken, Clarke, Cheung, Sloane & Silber, 2003; Needleman, Buerhaus, Mattke, Stewart & Slevensky, 2002; Sasichay-Akkadechanunt, Scalzi & Jawad, 2003; Tourengau, Giovannetti, Tu & Wood, 2002). The literature shows the positive aspects of higher nursing numbers on staff as shown by the lower mortality rates, as well as other positive affects including length of stay. However, this study was conducted in order to determine the deviation from the expected length of stay, not on the length of stay itself. This particular aspect had not been considered in other previous literature.
Study Design
The study's design was quantitative in nature and appropriate because the measurements were statistical and verifiable by categorization. A specific number of nurses would always be on staff, there would certainly be enough patients admitted and discharged throughout the course of the study and the expected length of stay would be based on specific circumstances. As with any study, there were a number of threats to the validity of the findings. Those threats...
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