Supplemental Nurse Staffing in Hospitals and Quality of Care by Linda H. Aiken, PhD, RN, FAAN; Ying Xue, DNSc, RN; Sean P. Clarke, PhD, RN, FAAN; Douglas M. Sloane, PhD This article originally appeared in The Journal of Nursing Administration, July/August 2007.
Summary: Concerns about staffing have led to political action, including mandated nurse staffing legislation in California. Within this debate about appropriate staffing, the use of supplemental or temporary nurses to bolster short-term nurse staffing levels is widely viewed in negative terms. Temporary nurses include those employed by external agencies, internal hospital per diem pools, and permanently employed nurses “floated” from their permanent units.