Nurses Launch Billboard Campaign Against Renewal of Desert Regional Medical Center Lease

The California Nurses Association and National Nurses United have launched  a billboard campaign against the lease renewal of public-owned, Palm-Springs-based Desert Regional Medical Center to Dallas-based Tenet Healthcare (Figure 1) (1).

Figure 1. National Nurses Union billboard off Highway 111 West of Palm Springs near the I-10.

The billboard campaign is in response to the posting of two videos that showed a water leak in Desert Regional's neurological intensive care unit and an infestation  of cockroaches in the emergency department break room (2,3). Desert Regional is a public hospital governed by an elected district board. Tenet Healthcare is a private company that leases and runs the hospital. The nurses’ union said Tenet has a long-standing practice of short-staffing Desert Regional, which they said has caused patient safety issues (1). Tenet is currently in the process of renegotiating another 30-year lease with the hospital, which would include the option to purchase the hospital from the Desert Healthcare District at the end of the new lease (1).

Desert Care Network — composed of Tenet-operated hospitals Desert Regional, JFK Memorial in Indio, CA, and Hi-Desert Medical Center in Joshua Tree, CA — provided the following statement: "The California Nurses Association continues to spread misleading information about Desert Regional. These claims are unwarranted, and these tactics will not change Desert Regional's unwavering commitment to the Coachella Valley. Our hospital takes maintenance and cleanliness standards seriously. This includes addressing repairs needed due to people flushing non-flushable cleaning wipes or issues after heavy rains such as pest control. Consistent with sound operational protocols, we proactively closed areas for a short time to remediate issues. These unrelated occurrences were addressed immediately and disclosed promptly to the staff and the Desert Healthcare District" (4).

Desert Regional’s governing Board of Directors are elected to four-year terms by Palm Springs voters. No statement has been made to date by the Board or have any statements been made by state healthcare inspectors such as the California Department of Health  or national healthcare inspectors such as the Joint Commission and Centers for Medicare & Medicaid Services. Although lack of cleanliness does not necessarily equate with lack of quality, cleanliness if often used as a substitute measure for safe healthcare, much like restaurant cleanliness is used as a measure for safe food.

Richard A. Robbins MD

Editor, SWJPCCS

References

1. Tayor M. California nurses use billboard to voice opposition to hospital sale. Becker’s Hospital Review. February 29, 2024. Available at: https://www.beckershospitalreview.com/nursing/california-nThe urses-use-billboard-to-voice-opposition-to-hospital-sale.html?origin=BHRE&utm_source=BHRE&utm_medium=email&utm_content=newsletter&oly_enc_id=6133H6750001J5K (accessed 3/2/24).
2. National Nurses United. Ceiling Leaks in Neurological ICU at Desert Regional Medical Center. February 24, 2024. Available at: https://vimeo.com/914927727?share=copy (accessed 3/2/24).
3. National Nurses United. Cockroaches at Desert Regional Medical Center. February 24, 2024. Available at: https://vimeo.com/914925049/f9d46c5890?share=copy (accessed 3/2/24).
4. Sasic E. Desert Regional nurses launch billboards to spotlight concerns; hospital pushes back. Palm Springs Desert Sun. February 27, 2024. Available at: https://www.desertsun.com/story/news/health/2024/02/27/desert-regional-nurses-launch-billboard-campaign-palm-springs-area-hospital-news/72752162007/ (accessed 3/2/24).

Cite as: Robbins RA. Nurses Launch Billboard Campaign Against Renewal of Desert Regional Medical Center Lease. Southwest J Pulm Crit Care Sleep. 2024;28(3):32-33. doi: https://doi.org/10.13175/swjpccs013-24 PDF

Substitution of Assistants for Nurses Increases Mortality, Decreases Quality

Substituting nursing assistants for professional nurses is associated with poorer quality of care and increased mortality according to a study published in BMJ Quality & Safety (1). Linda H. Aiken PhD and colleagues analyzed the effect of increasing the proportion of less extensively trained nurses at 243 acute care hospitals in Belgium, England, Finland, Ireland, Spain, and Switzerland. They surveyed 13,077 nurses and 18,828 patients who had been in 182 hospitals between 2009 and 2010. They also consulted mortality records for 275,519 patients who had had surgery in 188 of the hospitals between 2007 and 2009.

Overall, 47% of the professional nurses in the study had bachelor's degrees, although they were unevenly distributed, with some hospitals having none. In a hospital that has average nurse staffing levels and skill mix, the researchers estimated that replacing one professional nurse with a lower-skilled worker increased the odds of a patient dying by 21%. Conversely, each 10% increase in the proportion of nurses with high-level skills was associated with an 11% decrease in the odds of a patient dying postoperatively and a 10% decrease in the odds of a patient giving the hospital a low rating.

Overall, the findings paralleled those from the United States and are consistent with the concept that a higher level of education leads to improved care. "We find a nursing skill mix in hospitals with a higher proportion of professional nurses is associated with significantly lower mortality, higher patient ratings of their care and fewer adverse care outcomes," the researchers write. They conclude "that caution should be taken in implementing policies to reduce hospital nursing skill mix because the consequences can be life-threatening for patients."

Richard A. Robbins, MD

Editor, SWJPCC

Reference

1. Aiken LH, Sloane D, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2016. Published on-line 11/15/16. [CrossRef] 

Cite as: Robbins RA. Substitution of assistants for nurses increases mortality, decreases quality. Southwest J Pulm Crit Care. 2016;13(5):252. doi: https://doi.org/10.13175/swjpcc121-16 PDF