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Abstract

The authors' research group published a major article in October 2002 showing a strong effect of nurse staffing on both patient outcomes and factors related to nurse turnover in 168 Pennsylvania hospitals. This article reviews major design elements and findings of the study and discusses policy implications of this research. Even though evidence is mounting that hospital staffing is a public health issue, regulation of staffing levels remains controversial. Higher quality staffing data that incorporate information about patients' needs for nursing care are required for better administrative decision-making and research purposes. That the current nurse shortage is occurring in an era of renewed concerns about safety in hospitals offers unique opportunities for developing public policy to remedy problems with staffing and other long-standing workplace environment issues in hospital nursing.

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References

Aiken, L. H., Clarke, S. P., Sloane, D. M., & Sochalski, J. (2001). An international perspective on hospital nurses' work environments: The case for reform. Policy, Politics and Nursing Practice, 2(4), 255-263.

Aiken, L. H.Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002, October 23/30). Effects of nurse staffing on nurse burnout and job dissatisfaction, and patient deaths. Journal of the American Medical Association, 288, 1987-1993.

Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49(3), 146-153.

Aiken, L. H., Sloane, D. M., Lake, E. T., Sochalski, J., & Weber, A. L. (1999). Organization and outcomes of inpatient AIDS care. Medical Care, 37(8), 760-772.

Anonymous. (2002, October 25). Dying for lack of nurses [Editorial]. The New York Times, A34.

Blegen, M. A., Goode, C. J., & Reed, L. (1998). Nurse staffing and patient outcomes. Nursing Research, 47, 43-50.

Blegen, M. A., & Vaughn, T. (1998). A multisite study of nurse staffing and patient occurrences. Nursing Economics, 16, 196-203.

Clarke, S. P., & Aiken, L. H. (2003). Failure to rescue. American Journal of Nursing, 103(1), 42-47.

Clarke, S. P., Rockett, J., Sloane, D. M., & Aiken, L. H. (2002). Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. American Journal of Infection Control, 30, 207-216.

10.

Clarke, S. P., Sloane, D. M., & Aiken, L. H. (2002). The effects of hospital staffing and organizational climate on needlestick injuries to nurses. American Journal of Public Health, 92, 1115-1119.

11.

Kovner, C., & Gergen, P. J. (1998) Nurse staffing levels and adverse events following surgery in U.S. hospitals. Image: Journal of Nursing Scholarship, 30, 315-321.

12.

Lichtig, L. K., Knauf, R. A., & Milholland, D. K. (1999). Some impacts of nursing on acute care hospital outcomes. Journal of Nursing Administration, 29, 25-33.

13.

Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K. (2002). Nurse-staffing levels and the quality of care in hospitals. New England Journal of Medicine, 346(22), 1715-1722.

14.

Seago, J. A. (2001). Nurse staffing, models of care delivery, and interventions. In Making health care safer: A critical analysis of patient safety practices (Evidence Report/Technology Assessment: Number 43. AHRQ Publication No. 01-E058). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved December 2, 2002, from http://www.ahrq.gov/clinic/ptsafety/index.html

15.

Silber, J. H., Rosenbaum, P. R., & Ross, R. N. (1995). Comparing the contributions of groups of predictors: Which outcomes vary with hospital rather than patient characteristics? Journal of the American Statistical Association, 90, 7-18.

Registered Nurse Staffing and Patient and Nurse Outcomes in Hospitals: A Commentary

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