Nurse Staffing and Patient Outcomes
Nursing ResearchPublished 1 January 1998
Mary A. Blegen, Colleen J. Goode, Laura Reed
Citations489
SJR quartileQ1
SJR score0.78
SNIP0.79
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The higher the RN skill mix, the lower the incidence of adverse occurrences on inpatient care units, and the relationship between RN proportion of care and adverse outcomes was curvilinear.
Abstract
The higher the RN skill mix, the lower the incidence of adverse occurrences on inpatient care units.
Keywords
MedicineHealth ProfessionsNursing
Annals of Internal MedicineAn Evaluation of Outcome from Intensive Care in Major Medical Centers
1,202 Citations1986William A. Knaus, ELIZABETH A. DRAPER +2 more
Medical CareLower Medicare Mortality Among a Set of Hospitals Known for Good Nursing Care
813 Citations1994Linda H. Aiken, Herbert L. Smith +1 more
The same factors that lead hospitals to be identified as effective from the standpoint of the organization of nursing care are associated with lower mortality among Medicare patients.
Medical CareThe Performance of Intensive Care Units: Does Good Management Make a Difference?
740 Citations1994Stephen M. Shortell, Jack E. Zimmerman +6 more
New England Journal of MedicineHospital Characteristics and Mortality Rates
506 Citations1989Arthur J. Hartz, Henry Krakauer +8 more
This study obtained data on 3100 hospitals from the 1986 HCFA mortality study and the American Hospital Association's 1986 annual survey of hospitals to identify characteristics of hospitals associated with variations in these rates.
Journal of General Internal MedicineIncidence and preventability of adverse drug events in hospitalized adults
378 Citations1993David W. Bates, Lucian L. Leape +1 more
It is concluded that ADEs are not infrequent, often preventable, and usually caused by physician decisions and Optimal prevention strategies should cover many types of drugs and target physicians’ ordering practices.
New England Journal of MedicineThe Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients
277 Citations1988S. M. Shortell, Ellen Hughes
Hospitals in the states with the most stringent review procedures for hospital rates had ratios of actual to predicted death rates that were 6 to 10 percent higher than those of hospitals in states with less stringent rate-review programs.
Health Services Research
147 Citations1991J. I. Williams
PubMedAmerican Association of Critical-Care Nurses Demonstration Project: profile of excellence in critical care nursing.
117 Citations1989Mitchell Ph, Stephanie Armstrong +2 more
Measurements indicate that positive organizational and clinical outcomes coexist with valued aspects of the organizational environment in critical care; aspects of structure, process, and outcome can be measured simultaneously incritical care.
PubMedModeling organizational determinants of hospital mortality.
90 Citations1991Abdolmohsin S. Al-Haider, Thomas T. H. Wan
The findings suggest that the effect of hospital size and specialization on mortality was a spurious one when the effects of other variables were simultaneously controlled.
JONA The Journal of Nursing AdministrationNursing Case Management
87 Citations1991Elaine Cohen
An investigation assessing the cost-effectiveness of nursing case management showed an overall decrease in length of stay, an increase in patient turnover, and a potential increase in patients' revenues generated for the hospital.
JONA The Journal of Nursing AdministrationPatient Outcomes
61 Citations1994Roma Lee Taunton, Susan V.M. Kleinbeck +3 more
Using a correlation design, the authors explored the possible associations between patient outcomes and staff registered nurse absenteeism, separation from the work unit, and work load and found Nosocomial urinary tract and bloodstream infections correlated positively with absenteeism.
PubMedNursing: an important component of hospital survival under a reformed health care system.
59 Citations1993Prescott Pa
Core clinical staff, such as RNs, are a key component in increasing quality, understanding patient care needs, and balancing costs in a reformed health care system.
PubMedThe impact of unlicensed assistive personnel on nursing care delivery.
59 Citations1996Greta L. Krapohl, Eric B. Larson
The evolution of nursing care delivery systems in the acute care setting, the factors associated with the increased use of unlicensed assistive personnel, examination and evaluation of the current literature surrounding unlicensed assistance personnel, and recommendations for a future strategy are described.
Nursing ResearchA Summary of Findings of a Five-Year Comparison Study of Primary and Team Nursing
51 Citations1991Kathryn Gardner
It is confirmed that primary nursing does result in a higher quality of nursing care than team nursing and that nurse retention is improved in primary nursing and shows that, both directly and indirectly, primary nursing reduces costs when compared to team nursing.
JONA The Journal of Nursing AdministrationMeasurement of Patient Outcomes
44 Citations1995Barbara A. Mark, Deeanna L. Burleson
In a random sample of 20 hospitals, the availability and consistency of five patient outcome indicators were examined, including medication administration errors, patient falls, occurrence of new decubitus ulcers, nosocomial infections, and unplanned readmission to the hospital.
Medical CareNosocomial Infection Rates as an Indicator of Quality
40 Citations1988Elaine Larson, LUCIA F. ORAM +1 more
Five other factors necessary for nosocomial infection rates to be a valid and reliable indicator of quality include identification of critical indicators and sampling schemes that most accurately reflect variations in quality.
Nursing OutlookUnlicensed assistive personnel: A solution to dwindling health care resources or the precursor to the apocalypse of registered nursing?
31 Citations1996Carol L. Huston
JONA The Journal of Nursing AdministrationEvaluating an RN/Co-Worker Model
30 Citations1990P Powers, Carol A. Dickey +1 more
The authors conclude that although it has some limitations, the Co-worker Model allowed patient beds to remain open while minimally affecting quality.
PubMedOutcomes analysis: methods and issues.
25 Citations1993Jones Kr
Patient outcomes research provides an opportunity to improve the quality of patient care by modifying the structures and processes of care delivery by identifying health care practices that lead to desired patient outcomes in the most cost-effective manner.
JONA The Journal of Nursing AdministrationRedesigning Nursing Practice
23 Citations1993Cecile A. Lengacher, Patricia R. Mabe +4 more
The authors discuss the development, implementation, and evaluation of the "partner in patient care" (PIPC) model, including use of a collaborative process to generate the design and guide the implementation; staff participation throughout theDesign and implementation of the project; and use of evaluation at each phase of the implementation process to improve on the outcomes.
PubMedTailoring hospitals for managed care and integrated health systems.
22 Citations1995Sovie
Multiple approaches to achieving cost reductions while improving quality are discussed, with an emphasis on the nursing-led initiatives.
PubMedThe effect of a partnership model on quality and length of stay.
20 Citations1996Grillo-Peck Am, Risner Pb
Findings indicated no significant difference in length of stay, infection rates, medication or procedural errors, but significantly less falls after implementation of a nursing partnership model.
Nursing ManagementTheory M A RESTRUCTURING PROCESS
12 Citations1995LAURA A. MULARZ, MARIA MAHER +3 more
Through the Nursing Incentive Reimbursement Award (NIRA) Program initiated by the New Jersey Department of Health, a medical center tested, over a two-year time frame, the impact of a staff-developed "Theory M" nursing model.
Nursing ManagementNurse Practitioners
9 Citations1995DIAN DOWLING, William N. Dudley
Results of a descriptive analysis of emergency-department census data were used as a basis for initiating an innovative nurse practitioner (NP) position.