The impact of nurses on patient morbidity and mortality - The need for a policy change in response to the nursing shortage

Australian Health Review

Volumn 34, Issue 3, 2010, Pages 312-316

  Twigg, Di ^a,b   Duffield, Christine ^c   Thompson, Peter L ^b,d,e   Rapley, Pat ^b,f  

^a EDITH COWAN UNIVERSITY   (Australia)

^b SIR CHARLES GAIRDNER HOSPITAL   (Australia)

^c UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

^d UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^e PATHWEST LABORATORY MEDICINE   (Australia)

^f CURTIN UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

AUSTRALIA; HUMAN; INTERVIEW; MANAGEMENT; MORBIDITY; MORTALITY; NURSE; NURSE ATTITUDE; PATIENT; POLICY; SUPPLY AND DISTRIBUTION;

AUSTRALIA; HOSPITAL MORTALITY; HUMANS; INTERVIEWS AS TOPIC; MORBIDITY; NURSE'S ROLE; NURSES; ORGANIZATIONAL POLICY; PATIENTS; POLICY MAKING;

EID: 77956311406     PISSN: 01565788     EISSN: 14498944     Source Type: Journal    
DOI: 10.1071/AH08668     Document Type: Article

References (35)

1. Access Economics. Employment Demand in Nursing Occupations. Canberra: Department of Health & Ageing; 2004.
2. Productivity Commission. Australia's Health Workforce: Research Report. Canberra; 2005.
3. Kane RL, Shamliyan T, Mueller C, Duval S, Wilt T. Nursing Staffing and Quality of Patient Care. Evidence Report/Technology Assessment No. 151 (Prepared by the Minnesota Evidence based Practice Center under Contract No. 290-02-0009). Rockville, MD: Agency for Healthcare Research and Quality; 2007. Available at http://www.ahrq. gov/downloads/pub/evidence/pdf/nursestaff/ nursestaff.pdf [verifed 11 April 2008].
4. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An evaluation of outcome from intensive care in major medical centers. Ann Intern Med 1986; 104(3): 410-8.
5. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288(16): 1987-93. doi:10.1001/jama.288.16.1987
6. Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH. Educational levels of hospital nurses and surgical patient mortality. JAMA 2003; 290(12): 1617-23. doi:10.1001/jama.290.12.1617
7. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. Nursestaffing levels and the quality of care in hospitals. N Engl J Med 2002; 346(22): 1715-22. doi:10.1056/NEJMsa012247
8. Kovner C, Jones C, Zhan C, Gergen PJ, Basu J. Nurse staffing and post surgical adverse events: an analysis of administrative data from a sample of US hospitals 1990-1996. Health Serv Res 2002; 37(3): 611-29.
9. Kovner C, Gergen P. Nurse staffing and adverse events following surgery in US hospitals. Image J Nurs Sch 1998; 30(4): 315-21. doi:10.1111/j.1547-5069. 1998.tb01326.x
10. Blegen MA, Goode CJ, Reed L. Nurse staffing and patient outcomes. Nurs Res 1998; 47(1): 43-50. doi:10.1097/00006199-199801000-00008
11. Blegen MA, Vaughn T. A multisite study of nurse staffing and patient occurrences. Nurs Econ 1998; 16(4): 196-203.
12. SchultzMA,van Servellen G, Chang BL, McNeese-Smith D, Waxenberg E. The relationship of hospital structural and financial characteristics to mortality and length of stay in acute myocardial infarction patients. Outcomes Manag Nurs Pract 1998; 2(3): 130-6.
13. Seago JA. Nurse staffing, models of care delivery, and interventions. Rockville, MD: Agency for Healthcare Research and Quality; 2001. Available at http://www.ahrq.gov/clinic/ptsafety/index.html#toc [verified 11 June 2008].
14. McGillis Hall L, Doran D, Baker GR, Pink GH, Sidani S, O'Brien-Pallas L, Donner GJ. Nurse staffing models as predictors of patient outcomes. Med Care 2003; 41(9): 1096-109. doi:10.1097/01.MLR.0000084180. 07121.2B
15. Heinz D. Hospital nurse staffing and patient outcomes: a review of current literature. Dimens Crit Care Nurs 2004; 23(1): 44-50. doi:10.1097/00003465-200401000-00011
16. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, Aiken LH. Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud 2007; 44(2): 175-82. doi:10.1016/j.ijnurstu.2006.08.003
17. Estabrooks CA, MidodziWK,CummingsGG, Ricker KL, Giovannetti P. The impact of hospital nursing characteristics on 30-day mortality. Nurs Res 2005; 54(2): 74-84. doi:10.1097/00006199-200503000-00002
18. Tourangeau AE, Doran DM, McGillis Hall L, O'Brien-Pallas L, Pringle D, Tu JV, Cranley LA. Impact of hospital nursing care on 30-day mortality for acute medical patients. J Adv Nurs 2006; 57(1): 32-44. doi:10.1111/j.1365-2648.2006. 04084.x
19. Duffield C, Roche M, O'Brien-Pallas L, Diers D, Aisbett C, King M, Aisbett K, Hall J. Glueing it together: nurses, their work environment and patient safety. Centre for Health Services Management, University of Technology, Sydney 2007. Available at http://www.health.nsw.gov.au/ pubs/2007/pdf/ utsreport-final.pdf [verified 11 June 2008].
20. Duffield C, Roche M, O'Brien-Pallas L, Diers D, Aisbett C, Aisbett K, Homer C. Nursing workload and staffing: impact on patients and staff. Centre for Health Services Management, University of Technology, Sydney; 2009.
21. Stanton MW. Hospital nurse staffing and quality of care. US Department of Health & Human Services; 2004. Available at http://www.ahrq.gov/ research/nursestaffing/nursestaff.htm [verified 11 June 2008].
22. Pearson A, O'Brien-Pallas LL, Thomson D, Doucette E, Tucker D, Wiechula RJ, Long LE, Porritt KA, Jordan ZL. Systematic review of evidence on the impact of nursing workload and staffing on establishing healthy work environments. Journal of Evidence Based Healthcare 2006; 4: 337-84. doi:10.1111/j.1479-6988. 2006.00055.x
23. Needleman J, Buerhaus P, Stewart M, Zelevinsky K, Mattke S. Nurse staffing in hospitals: is there a business case for quality? Health Aff 2006; 25(1): 204-11. doi:10.1377/hlthaff.25.1.204
24. Michigan Nurses Association. The model case for reducing patient-tonurse ratios in Michigan hospitals: two scenarios. Lansing, MI: Public Policy Associates, Incorporated; 2004.
25. Rothberg MB, Abraham I, Lindenauer PK, Rose DN. Improving nurseto- patient staffing ratios as a cost-effective safety intervention. Med Care 2005; 43(8): 785-91. doi:10.1097/01.mlr.0000170408.35854.fa
26. Cho SH, Ketefian S, Barkauskas VH, Smith DG. The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res 2003; 52(2): 71-9. doi:10.1097/00006199-200303000-00003
27. Buerhaus P, Donelan K, Ulrich BT, Norman L, DesRoches C, Dittus R. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff 2007; 26(3): 853-62. doi:10.1377/hlthaff. 26.3.853
28. Access Economics. Population ageing and the Economy. Canberra: Department of Aged Care; 2001. Available at http://www.accesseconomics. com.au/publicationsreports/showreport.php-id=49&searchfor=2002&searchby= yearearlier [verified 6 June 2008].
29. Letvak S. Myths and realities of ageism and nursing. AORN Journal 2002; 75(6): 1101-7.
30. Australian Institute of Health and Welfare. Nursing and Midwifery Labour Force 2005. Canberra: AIHW; 2008.
31. Duffield C, O'Brien-Pallas L. The causes and consequences of nursing shortages: a helicopter view of the research. Aust Health Rev 2003; 26(1): 186-93. doi:10.1071/AH030186
32. Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care 2006; 15(1): 4-8. doi:10.1136/qshc.2005.014514
33. New Zealand Nurses Organisation. District Health Boards/NZNO multiemployer nursing/midwifery collective agreement 1 July 2004-31 December 2006. Wellington: New Zealand Nurses Organisation; 2004. Available at http://www.lakesdhb.govt.nz/Resource.aspx-ID=779 [verified 31 May 2009].
34. Australian Institute for Health and Welfare. Towards national indicators of safety and quality in health care. Discussion Paper. Canberra: AIHW; 2008.
35. Buchan J, CalmanL.OEDCHealth Working Papers No. 17: Skill mix and policy changes in the health workforce: nurses in advanced roles. Paris: Publication Services OEDC; 2005.