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Nursing issues
High levels of temporary nurse staffing increase the hazard of death in acute care hospitals
  1. Edris Hasanpoor1,
  2. Elaheh Haghgoshayie1,2
  1. 1 Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran
  2. 2 Department of Healthcare Management, Clinical Research Development Unit, Shahid Beheshti Hospital, Maragheh University of Medical Sciences, Maragheh, Iran
  1. Correspondence to Elaheh Haghgoshayie, Maragheh University of Medical Sciences, Maragheh, East Azerbaijan, Iran (the Islamic Republic of); ezd_ehm2010{at}

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Commentary on: Dall’Ora C, Maruotti A, Griffiths P. Temporary staffing and patient death in acute care hospitals: a retrospective longitudinal study. Journal of Nursing Scholarship, 2020;52(2):210–6.

Implications for practice and research

  • At higher levels, temporary staffing is associated with significant increases in the hazard of death.

  • Due to the variable effects of different levels of temporary nurse staffing on the hazard of death, further study is required.


An adequate amount of registered nurses (RNs) is fundamental for acute care hospitals to provide high-quality patient care, and hospitals have adopted numerous strategies to respond to staff shortages.1 Also, healthcare organisations are facing increasing nursing deficiency worldwide.2 Therefore, one of the most important strategies is utilisation of temporary nurses. According to a report from 2001, approximately 56% of US hospitals used temporary nurses; at that time, nearly 6% of hospital staff nurses …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.