{"id":{"repo_id":"utmb","oai_identifier":"oai:utmb-ir.tdl.org:2152.3/12680"},"canonical_url":"https://search.dev.ndltd.org/etd/utmb/oai:utmb-ir.tdl.org:2152.3/12680","repository":{"repo_id":"utmb","name":"University of Texas Medical Branch","base_url":"https://utmb-ir.tdl.org/server/oai/request"},"display":{"title":"Float Nurses’ Association with Nurse Sensitive Indicators: A Cross-Sectional Study","abstract":"Floating is a common nurse staffing strategy, yet its effects on nurse-sensitive indicators (NSIs) remain largely unexplored. The study aimed to evaluate the effects of two distinct forms of floating: nurses from dedicated float pools and unit-based nurses temporarily assigned to other units. Using a cross-sectional, secondary data analysis methodology, the study focused on float nurses’ relationships with four NSIs: Falls, Hospital-Acquired Pressure Injuries (HAPI), Central Line-Associated Bloodstream Infections (CLABSI), and Catheter-Associated Urinary Tract Infections (CAUTI). Data was collected from 25 critical care and medical/surgical units across three hospitals from April 2023 to April 2024, utilizing the National Database for Nursing Quality Indicators (NDNQI) and existing nurse staffing records. A logistic regression analysis revealed two key findings: float pool nurses were associated with a decreased risk of HAPI (OR 0.96, 95% CI 0.92-0.99) and CLABSI (OR 0.93, 95% CI 0.88-0.99). In contrast, increased frequency of unit-based floating correlated with a higher risk of HAPI. While float pool nurses were not associated with elevated NSI risks, frequent floating of unit-based nurses may negatively impact patient outcomes. Recommendations include standardized tracking of floating practices and future longitudinal studies to refine staffing policies.","abstract_html":"Floating is a common nurse staffing strategy, yet its effects on nurse-sensitive indicators (NSIs) remain largely unexplored. The study aimed to evaluate the effects of two distinct forms of floating: nurses from dedicated float pools and unit-based nurses temporarily assigned to other units. Using a cross-sectional, secondary data analysis methodology, the study focused on float nurses’ relationships with four NSIs: Falls, Hospital-Acquired Pressure Injuries (HAPI), Central Line-Associated Bloodstream Infections (CLABSI), and Catheter-Associated Urinary Tract Infections (CAUTI). Data was collected from 25 critical care and medical/surgical units across three hospitals from April 2023 to April 2024, utilizing the National Database for Nursing Quality Indicators (NDNQI) and existing nurse staffing records. A logistic regression analysis revealed two key findings: float pool nurses were associated with a decreased risk of HAPI (OR 0.96, 95% CI 0.92-0.99) and CLABSI (OR 0.93, 95% CI 0.88-0.99). In contrast, increased frequency of unit-based floating correlated with a higher risk of HAPI. While float pool nurses were not associated with elevated NSI risks, frequent floating of unit-based nurses may negatively impact patient outcomes. Recommendations include standardized tracking of floating practices and future longitudinal studies to refine staffing policies.","abstract_has_math":false,"creators":["Stephens, Catherine"],"institution":"The University of Texas Medical Branch at Galveston","degree_name":"PhD in Nursing (Doctoral)","degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Verklan, M. Terese (mtverkla@utmb.edu)"],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-12","date_published":"2024-12","updated_at":"2026-07-24T05:51:06Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2152.3/12680","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Verklan, M. 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The study aimed to evaluate the effects of two distinct forms of floating: nurses from dedicated float pools and unit-based nurses temporarily assigned to other units. Using a cross-sectional, secondary data analysis methodology, the study focused on float nurses’ relationships with four NSIs: Falls, Hospital-Acquired Pressure Injuries (HAPI), Central Line-Associated Bloodstream Infections (CLABSI), and Catheter-Associated Urinary Tract Infections (CAUTI). Data was collected from 25 critical care and medical/surgical units across three hospitals from April 2023 to April 2024, utilizing the National Database for Nursing Quality Indicators (NDNQI) and existing nurse staffing records. A logistic regression analysis revealed two key findings: float pool nurses were associated with a decreased risk of HAPI (OR 0.96, 95% CI 0.92-0.99) and CLABSI (OR 0.93, 95% CI 0.88-0.99). In contrast, increased frequency of unit-based floating correlated with a higher risk of HAPI. While float pool nurses were not associated with elevated NSI risks, frequent floating of unit-based nurses may negatively impact patient outcomes. Recommendations include standardized tracking of floating practices and future longitudinal studies to refine staffing policies."]},{"key":"dc:format.mimetype","label":"Dc Format Mimetype","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Float Nurses’ Association with Nurse Sensitive Indicators: A Cross-Sectional Study"]}]}],"canonical_facts":{"dc:contributor.advisor":["Verklan, M. Terese (mtverkla@utmb.edu)"],"dc:creator":["Stephens, Catherine"],"dc:date.accessioned":["2025-05-06T18:54:00Z"],"dc:date.issued":["2024-12"],"dc:description.abstract":["Floating is a common nurse staffing strategy, yet its effects on nurse-sensitive indicators (NSIs) remain largely unexplored. The study aimed to evaluate the effects of two distinct forms of floating: nurses from dedicated float pools and unit-based nurses temporarily assigned to other units. Using a cross-sectional, secondary data analysis methodology, the study focused on float nurses’ relationships with four NSIs: Falls, Hospital-Acquired Pressure Injuries (HAPI), Central Line-Associated Bloodstream Infections (CLABSI), and Catheter-Associated Urinary Tract Infections (CAUTI). Data was collected from 25 critical care and medical/surgical units across three hospitals from April 2023 to April 2024, utilizing the National Database for Nursing Quality Indicators (NDNQI) and existing nurse staffing records. A logistic regression analysis revealed two key findings: float pool nurses were associated with a decreased risk of HAPI (OR 0.96, 95% CI 0.92-0.99) and CLABSI (OR 0.93, 95% CI 0.88-0.99). In contrast, increased frequency of unit-based floating correlated with a higher risk of HAPI. While float pool nurses were not associated with elevated NSI risks, frequent floating of unit-based nurses may negatively impact patient outcomes. Recommendations include standardized tracking of floating practices and future longitudinal studies to refine staffing policies."],"dc:format.mimetype":["application/pdf"],"dc:identifier.uri":["https://hdl.handle.net/2152.3/12680"],"dc:title":["Float Nurses’ Association with Nurse Sensitive Indicators: A Cross-Sectional Study"],"dc:type":["Thesis"],"thesis:degree_name":["PhD in Nursing (Doctoral)"],"thesis:institution_name":["The University of Texas Medical Branch at Galveston"]},"updated_at":"2026-07-24T05:51:06Z"}