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September 5, 2025The Journal of Rural HealthOpen Access

Skill mix versus flexibility: Decoding nurse staffing impacts on critical access hospitals

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Authors

DPDinesh R. PaiEBEsmaeil Bahalkeh

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Overview

Retrospective analysis shows that nurse skill mix impacts efficiency and quality in critical access hospitals, indicating complex challenges in staffing management.

Key Points

  • A higher registered nurse skill mix significantly improves cost efficiency and reduces length of stay in critical access hospitals.
  • Increased nurse flexibility leads to higher patient throughput but can also extend the length of stay while reducing readmissions.
  • The study utilized unbalanced panel data from 357 hospital-year observations across Pennsylvania's critical access hospitals from 2000 to 2023.
  • Strategic management of nurse staffing balance is essential for optimizing resources and ensuring both financial viability and clinical excellence.

Cite This Study

Pai et al. (2025) studied this question.

synapsesocial.com/papers/68bb3efd2b87ece8dc957e4bhttps://doi.org/10.1111/jrh.70075
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