Posted: Feb 13, 2022
This research investigates the complex relationship between nurse staffing ratios and patient recovery times in surgical units through an innovative computational framework that combines traditional statistical methods with machine learning approaches. Unlike previous studies that primarily relied on linear regression models and focused on basic staffing metrics, our methodology incorporates temporal pattern analysis, patient acuity clustering, and multi-dimensional staffing assessment to capture the nuanced dynamics of nursing care delivery. We developed a novel computational model that processes electronic health record data from 12,457 surgical patients across 42 hospitals, analyzing not only staffing ratios but also nurse experience distribution, skill mix variation, and temporal care patterns. Our findings reveal a non-linear relationship between staffing and recovery outcomes, with optimal staffing thresholds varying significantly based on patient complexity and surgical type. The research demonstrates that the impact of staffing ratios on recovery times follows a U-shaped curve rather than a simple linear relationship, challenging conventional wisdom in healthcare administration. Furthermore, we identified critical interaction effects between staffing levels and nursing skill mix that previous studies have overlooked. This research contributes to both healthcare informatics and operations management by providing a more sophisticated computational framework for understanding healthcare delivery optimization and offering evidence-based insights for hospital staffing decisions that balance quality of care with operational efficiency.
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