10.25376/hra.7276856.v1 Jason Hockenberry Jason Hockenberry Edmund R. Becker Edmund R. Becker How Do Hospital Nurse Staffing Strategies Affect Patient Satisfaction? Health Research Alliance 2018 Staffing Contingent work Patient satisfaction Hospital Public Health and Health Services not elsewhere classified Health and Community Services 2018-11-01 13:50:16 Journal contribution https://hra.figshare.com/articles/journal_contribution/How_Do_Hospital_Nurse_Staffing_Strategies_Affect_Patient_Satisfaction_/7276856 <div><p>In this article, the authors evaluate the role of the nurse staffing mix on hospital patient satisfaction. Using three years (2009 to 2011) of hospital patient satisfaction data linked to data on the productive staffing hours of registered nurses (RNs), licensed vocational nurses, nurse’s aides, and contract nurses for 311 California hospitals, the authors analyze how nurse staffing levels affect 10 dimensions of patient satisfaction. The findings indicate that a higher level of RNs per bed appears to increase overall patient satisfaction. Conversely, hospitals with a higher proportion of nursing hours provided by contract nurses have significantly lower levels of patient satisfaction on scores related to overall patient satisfaction and nurses’ communication with the patient. The results have implications for RN staffing strategies and inform the broader literature on worker-skill mix and employment arrangements.</p></div>