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Article

Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality

1
Department of Nursing and Medical Rescue, Pomeranian University in Slupsk, Westerplatte Street 64, 76-200 Slupsk, Poland
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Institute of Nursing and Midwifery, Medical University of Gdansk, M. Sklodowskiej-Curie Street 3a, 80-227 Gdansk, Poland
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Department of Management and Logistics in Healthcare, Medical University of Lodz, Kosciuszki Street 4, 90-131 Lodz, Poland
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Rehazentrum Walenstadtberg, Chnoblisbüel 1, CH-8881 Walenstadtberg, Switzerland
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Department of Coordinated Care, Medical University of Lodz, Kościuszki Street 4, 90-131 Lodz, Poland
*
Author to whom correspondence should be addressed.
Academic Editors: Izabella Lecka, Sally Brailsford, Józef Haczyński and Remigiusz Kozlowski
Int. J. Environ. Res. Public Health 2022, 19(2), 996; https://doi.org/10.3390/ijerph19020996
Received: 26 November 2021 / Revised: 10 January 2022 / Accepted: 14 January 2022 / Published: 17 January 2022
(1) Background: an assessment of the cost-effectiveness of employing an increased number of nurses with higher education from the perspective of the service provider. (2) Methods: Based on a year-long study results and data collected from a large hospital, we conducted of the costs of preventing one death. The study involved intervention by 10% increase in the percentage of nursing care hours provided by nurses with higher education. The measure of health effects was the cost of avoiding one death (CER). The cost-effectiveness analysis (CEA) was used as the evaluation method. (3) Results: The cost of employing a larger percentage of nurses with higher education amounts to a total of amounts to a USD 11,730.62 an increase of 3.02% as compared to the base costs. The estimated number of deaths that could be prevented was 44 deaths. Mortality per 1000 patient days was 9.42, mortality after intervention was 8.41. The cost of preventing one death by the 10% increase in BSN/MSN NCH percentage in non-surgical wards USD 263.92. (4) Conclusions: increasing the percentage of care hours provided by nurses with tertiary education is a cost-effective method of reducing in-hospital mortality. View Full-Text
Keywords: cost-effectiveness analysis; education level; nurse staffing; in-hospital mortality cost-effectiveness analysis; education level; nurse staffing; in-hospital mortality
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MDPI and ACS Style

Wieczorek-Wójcik, B.; Gaworska-Krzemińska, A.; Szynkiewicz, P.; Wójcik, M.; Orzechowska, M.; Kilańska, D. Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality. Int. J. Environ. Res. Public Health 2022, 19, 996. https://doi.org/10.3390/ijerph19020996

AMA Style

Wieczorek-Wójcik B, Gaworska-Krzemińska A, Szynkiewicz P, Wójcik M, Orzechowska M, Kilańska D. Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality. International Journal of Environmental Research and Public Health. 2022; 19(2):996. https://doi.org/10.3390/ijerph19020996

Chicago/Turabian Style

Wieczorek-Wójcik, Beata, Aleksandra Gaworska-Krzemińska, Piotr Szynkiewicz, Michał Wójcik, Monika Orzechowska, and Dorota Kilańska. 2022. "Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality" International Journal of Environmental Research and Public Health 19, no. 2: 996. https://doi.org/10.3390/ijerph19020996

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