Skip Navigation LinksHome > March 2010 - Volume 40 - Issue 3 > Expanding What We Know About Off-peak Mortality in Hospitals
Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e3181d0426e

Expanding What We Know About Off-peak Mortality in Hospitals

Hamilton, Patti PhD, RN; Mathur, Sondip PhD; Gemeinhardt, Gretchen PhD, MBA; Eschiti, Valerie PhD, RN; Campbell, Marie PhD

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For more than 30 years, a negative "off-peak effect" on patient outcomes has been associated with weekend and/or nighttime hospitalization in more than 25 diagnostic groups. Descriptive studies have verified the presence of this off-peak effect on patient outcomes but have done little to explain its cause. Institutional ethnography is a promising method for describing challenges nurses encounter and deal with on off-peak shifts and for exploring how those challenges arose in institutions designed to avoid such outcomes. The authors discuss their research and suggest a number of steps that nurse administrators might take to enhance their knowledge for handling off-peak challenges in their hospitals.

Copyright © 2010 Wolters Kluwer Health, Inc. All rights reserved.



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