ArticlesUse of Outsourced Nurses in Long-term Acute Care Hospitals Outcomes and Leadership PreferencesAlvarez, M. Raymond DHA; Kerr, Bernard J. Jr EdD; Burtner, Joan EdD; Ledlow, Gerald PhD; Fulton, Larry V. PhDAuthor Information Authors' Affiliations: Group Vice President (Dr Alvarez), Specialty Hospitals of Washington, District of Columbia; Professor (Dr Kerr), School of Health Sciences, Central Michigan University, Mt Pleasant, Michigan; Associate Professor (Dr Burtner), Department of Industrial Engineering, Mercer University, Macon, Georgia; Professor (Dr Ledlow), School of Public Health, Georgia Southern University, Statesboro, Georgia; Assistant Professor (Dr Fulton), McCoy School of Business, Texas State University. Corresponding author: Dr Alvarez, SHW, 4601 Martin Luther King Jr Ave, SW, Washington, DC 20032 ([email protected]). JONA: The Journal of Nursing Administration: February 2011 - Volume 41 - Issue 2 - p 90-96 doi: 10.1097/NNA.0b013e31820594a8 Buy Metrics Abstract When staffing effectiveness is not maintained over time, the likelihood of negative outcomes increases. This challenge is particularly problematic in long-term acute care hospitals (LTACHs) where use of outsourced temporary nurses is common when providing safe, sufficient care to medically complex patients who require longer hospital stays than normally would occur. To assess this issue, the authors discuss the outcomes of their survey of LTACH chief nursing officers that demonstrated LTACH quality indicators and overall patient satisfaction were within nationally accepted benchmarks even with higher levels of outsourced nurses used in this post-acute care setting. © 2011 Lippincott Williams & Wilkins, Inc.