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. 2025 Sep 30;55(10):595–600. doi: 10.1097/NNA.0000000000001638

Table 2.

Nurse Outcomes by High-Performing and Low-Performing NMs Across Clinical Settings

Units With Low-Performing NMs Units With High-Performing NMs t P 95% CI Mean Difference
Mean SD Mean SD
Adult acute care (n = 232)
 Quality of care 2.91a 0.37 3.59a 0.21 −17.19 <0.001 [−0.76 to −0.60] 0.68
 Missed care 4.00a 1.49 1.96a 1.02 12.26 <0.001 [1.72-2.38] −2.04
 Percentage planning to remain 46.40a 18.11 78.49a 13.74 −15.21 <0.001 [−36.25 to −27.93] 32.09
 Percentage with BSN or higher 71.69a 19.91 65.89a 21.15 2.95 0.003 [1.94-9.67] −5.80
 Percentage with certification 13.58a 13.56 19.39a 16.49 −3.90 <0.001 [−8.74 to −2.88] 5.81
Pediatric acute care (n = 84)
 Quality of care 3.34a 0.36 3.73a 0.22 −5.99 <0.001 [−0.52 to −0.26] 0.39
 Missed care 1.76a 1.22 1.04a 0.89 3.08 0.003 [0.25-1.18] −0.72
 Percentage planning to remain 67.61a 19.43 88.70a 10.04 −6.25 <0.001 [−27.84 to −14.34] 21.09
 Percentage with BSN or higher 76.92 17.58 80.71 17.86 −1.45 0.149 [−8.95 to 1.36] 3.79
 Percentage with certification 18.23a 22.41 34.64a 22.91 −4.83 <0.001 [−23.11 to −9.70] 16.41
Emergency care (n = 100)
 Quality of care 3.12a 0.35 3.68a 0.24 −9.39 <0.001 [−0.68 to −0.44] 0.56
 Missed care 3.23a 1.45 1.45a 1.03 7.08 <0.001 [1.28-2.29] −1.78
 Percentage planning to remain 62.80a 17.01 84.74a 10.05 −7.85 <0.001 [−27.49 to −16.37] 21.94
 Percentage with BSN or higher 63.79a 24.40 71.21a 16.18 −2.69 <0.001 [−12.85 to −1.99] 7.42
 Percentage with certification 19.17a 19.45 28.44a 20.33 −3.30 0.001 [−14.80 to −3.73] 9.27
Ambulatory care (n = 178)
 Quality of care 3.40a 0.33 3.91a 0.13 −13.59 <0.001 [−0.59 to −0.44] 0.51
 Missed care 1.41a 1.20 0.39a 0.44 7.58 <0.001 [0.76-1.30] −1.02
 Percentage planning to remain 64.19a 19.46 92.13a 11.69 −11.61 <0.001 [−32.70 to −23.18] 27.94
 Percentage with BSN or higher 72.76 18.95 72.06 23.58 0.24 0.814 [−5.13 to 6.53] −0.70
 Percentage with certification 28.79 20.52 34.41 32.50 −1.47 0.142 [−13.15 to 1.91] 5.62

“Mean difference” represents mean difference in the high-performing NM group vs the low-performing NM group.

aSignificant difference found in the mean average (P < 0.05).