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Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments

Medical Care · 2011 · Vol. 49(12) · pp. 1047–1053

Linda H. Aiken✉(University of Pennsylvania)Jeannie P. Cimiotti✉Douglas M. Sloane✉Herbert L. Smith(University of Pennsylvania)Linda Flynn(Rutgers, The State University of New Jersey)Donna Felber Neff(University of Florida)

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Abstract

Although the positive effect of increasing percentages of Bachelors of Science in Nursing Degree nurses is consistent across all hospitals, lowering the patient-to-nurse ratios markedly improves patient outcomes in hospitals with good work environments, slightly improves them in hospitals with average environments, and has no effect in hospitals with poor environments.

Geriatric Care and Nursing Homes Hospital Admissions and Outcomes Healthcare Policy and ManagementStaffingNursingMedicineOddsContext (archaeology)Odds ratioNurse educationWork (physics)Family medicineEmergency medicine

MeSH terms

AgedAged, 80 and overEducation, NursingEnvironmentFemaleHospital Bed CapacityHumansMaleMiddle AgedNursing Staff, HospitalPatient DischargePersonnel Staffing and SchedulingQuality of Health CareSurgical Procedures, OperativeUnited States

Citations

807

FWCI

88.28

field-weighted impact

References

Percentile

100%

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Citations per year

Cited by

Association between organisational and workplace cultures, and patient outcomes: systematic review