Is More Better
The Relationship Between Nurse Staffing and the Quality of Nursing Care in Hospitals
Bibliographic Data
| ID | 9101515 |
|---|---|
| Authors | Julie Sochalski (University of Pennsylvania, corresponding author) |
| Year | 2004 |
| Volume | 42 |
| Issue | 2 |
| Pages | II-67 |
| Publication date | 2004-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000109127.76128.aa |
| PMID | 14734944 |
| OpenAlex | W2002852412 |
| Language | EN |
| Citations received | 6 |
| References cited | 16 |
OBJECTIVE: The objective of this study was to examine the effects of nurse staffing and process of nursing care indicators on assessments of the quality of nursing care. RESEARCH DESIGN: This study examined the variation in inpatient hospital staff nurses' assessments of the quality of nursing care and the effects of nurse staffing (patient workload), patient safety problems (medication errors and patient falls with injuries), and unfinished care (number of nursing tasks left undone) on the variation in those assessments. Secondary analysis of a survey of nurses using multivariate regression models was undertaken. SUBJECTS: Data were derived from a 1999 statewide survey of 8670 inpatient staff nurses working in acute care hospitals in Pennsylvania. RESULTS: Quality of nursing care ratings were significantly associated with the number of patients who nurses care for, rates of unfinished care for those patients, and the frequency of patient safety problems. The effect of patient workload on quality ratings was attenuated substantially by the effects of unfinished care and patient safety problems. Unfinished care had the strongest relationship of all, with over 40% of the variation in quality ratings associated with the number of tasks left undone. CONCLUSIONS: Assessments of the quality of nursing are associated with both structural (workload) and process of care indicators (unfinished clinical care and patient safety problems), with the relationship strongest between process of care and quality. Explicating the interrelationship between structure and process of care is key to understanding the influence of both on quality. Studies that assess the causal influence of these features on quality of care and patient outcomes are warranted
Acute care · Family medicine · Health care · MEDLINE · Multivariate analysis · Nurse education · Nursing care · Nursing Outcomes Classification · Nursing process · Patient safety · Primary nursing · Quality (philosophy) · Staffing · Workload · Medicine · Nursing · Nursing education and management · Patient Safety and Medication Errors · Patient Satisfaction in Healthcare
Health-Literate Healthcare Organizations and Quality of Care in Hospitals
Team Structure and Adverse Events in Home Health Care
Comparison of Nurse, System and Quality Patient Care Outcomes in 8-Hour and 12-Hour Shifts
Cuidados perdidos de enfermería relacionados con la perspectiva de la atención en pacientes de un hospital de segundo nivel
Unmet Nursing Care Linked to Rehospitalizations Among Older Black AMI Patients
Nursing Working Conditions in Relation to Restraint Practices in Long-Term Care Units
Mail and telephone surveys
The Urgent Need to Improve Health Care Quality Institute of Medicine National Roundtable on Health Care Quality
The Quality of Care
A Note on Robust Variance Estimation for Cluster‐Correlated Data
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Nurse-Staffing Levels and the Quality of Care in Hospitals
Nurses’ Reports On Hospital Care In Five Countries
Structured Implicit Review
Physicians??? Assessments of Their Ability to Provide High-Quality Care in a Changing Health Care System
The Effect of Staff Nursing on Length of Stay and Mortality
| Unique citing works | 6 |
|---|---|
| Citations per year | 0.3 |
| Citation span | 2006 - 2025 (20) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |