Churning the tides of care: when nurse turnover makes waves in patient access to primary care

BMC Nursing

Table 4 Summary of parameter estimates (b) and standard errors resulting from multilevel model analyses

Outcome		RN Vacancy		RN Staffing Instability		RN Continuous Churn		Team Stability		Relative Team Size		Average team size		FTE
		No FTE	FTE	No FTE	FTE	No FTE	FTE	No FTE	FTE	No FTE	FTE	No FTE	FTE	FTE
Average Third Next Available Appointment	b	-2.41	-2.53	-0.68	-0.71	*3.94*	*3.70*	-1.35	-1.27	-0.26	-0.11	-2.22	-2.04	-0.36
Average Third Next Available Appointment	SE	2.38	2.38	0.71	0.71	*1.24*	*1.24*	0.42	0.42	0.15	0.17	0.54	0.55	0.16
Established PC Patient Wait Time in Days	b	-1.82	-1.98	-0.17	-0.21	-0.12	-0.50	-0.50	-0.41	-0.08	-0.09	-0.50	-0.21	-0.55
Established PC Patient Wait Time in Days	SE	1.40	1.39	0.18	0.18	0.27	0.27	0.10	0.10	0.07	0.07	0.14	0.14	0.06
UC Utilization	b	-0.01	-0.01	0.01	0.01	-0.02	-0.02	0.001	0.001	*0.001*	0.0005	0.01	0.01	0.0008
UC Utilization	SE	0.02	0.02	0.007	0.01	0.02	0.02	0.004	0.004	*0.0003*	0.0003	0.005	0.005	0.0004
ER Utilization	b	1.18	0.67	-0.38	-0.52	-4.23	-4.63	-4.25	-4.10	0.05	*0.45*	-1.33	-1.00	-0.88
ER Utilization	SE	3.68	3.66	1.67	1.66	3.57	3.55	1.02	1.01	0.08	*0.10*	1.25	1.24	0.11
Total Inbound to Total Outbound PC Secure Messages	b	2.05	2.03	0.32	0.31	0.09	0.07	-0.05	-0.04	-0.31	-0.29	-0.09	-0.08	-0.05
Total Inbound to Total Outbound PC Secure Messages	SE	0.24	0.24	0.06	0.06	0.13	0.13	0.04	0.04	0.03	0.03	0.05	0.05	0.02

Note Numbers in bold type indicate statistically significant differences in the clinically desired direction (e.g., lower ER utilization is better). Numbers in bold italics indicate statistically significant differences in the clinically undesirable direction (e.g., higher ER/UC utilization is worse). FTE = fulltime equivalent; PC = primary care; UC = urgent care; ER – emergency room

ISSN: 1472-6955