State of the Science: The Relationship Between Nurse Staffing and Patient Outcomes

Western Journal of Nursing Research

Volumn 35, Issue 6, 2013, Pages 760-794

  Brennan, Caitlin W ^a,b,c   Daly, Barbara J ^b   Jones, Katherine R ^b  

^a VA BOSTON HEALTHCARE SYSTEM   (United States)

^b CASE WESTERN RESERVE UNIVERSITY   (United States)

^c LOUIS STOKES CLEVELAND VA MEDICAL CENTER   (United States)

Author keywords

delivery of health care; nurse staffing; nurses' practices patterns; patient outcomes; systems approach

Indexed keywords

ARTICLE; EVIDENCE BASED NURSING; HEALTH CARE DELIVERY; NURSES' PRACTICES PATTERNS; NURSING STAFF; OUTCOME ASSESSMENT; PATIENT OUTCOMES; PERSONNEL MANAGEMENT; SYSTEMS APPROACH;

DELIVERY OF HEALTH CARE; NURSE STAFFING; NURSES' PRACTICES PATTERNS; PATIENT OUTCOMES; SYSTEMS APPROACH;

EVIDENCE-BASED NURSING; NURSING STAFF; OUTCOME ASSESSMENT (HEALTH CARE); PERSONNEL STAFFING AND SCHEDULING;

EID: 84878654771     PISSN: 01939459     EISSN: 15528456     Source Type: Journal    
DOI: 10.1177/0193945913476577     Document Type: Article

References (82)

1. Agency for Healthcare Research and Quality. (2011). Fact sheet on patient safety indicators. AHRQ Quality Indicators Toolkit. Retrieved from http://www.ahrq.gov/qual/qitoolkit/qitoolkit_allfiles.pdf.
2. Aiken L. H.,Clarke S. P.,Sloane D. M.Hospital staffing, organization, and quality of care: Cross-national findings.Nursing Outlook. 2002;50:187-194.
3. Aiken L. H.,Clarke S. P.,Sloane D. M.,Lake E. T.,Cheney T.Effects of hospital care environment on patient mortality and nurse outcomes.Journal of Nursing Administration. 2008;38:223-229.
4. Aiken L. H.,Clarke S. P.,Sloane D. M.,Sochalski J.,Silber J. H.Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.Journal of the American Medical Association. 2002;288:1987-1993.
5. Aiken L. H.,Fagin C. M.Evaluating the consequences of hospital restructuring.Medical Care. 1997;35:OS1-OS4.
6. Aiken L. H.,Smith H. L.,Lake E. T.Lower medicare mortality among a set of hospitals known for good nursing care.Medical Care. 1994;32:771-787.
7. Anderson R. A.,Issel L. M.,McDaniel R. R.Nursing homes as complex adaptive systems: Relationship between management practice and resident outcomes.Nursing Research. 2003;52:12-21.
8. Ayre T. C.,Gerdtz M. F.,Parker J.,Nelson S.Nursing skill mix and outcomes: A Singapore perspective.International Nursing Review. 2007;54:56-62.
9. Ball C.,McElligot M.Realising the potential of critical care nurses: An exploratory study of the factors that affect and comprise the nursing contribution to the recovery of critically ill patients.Intensive and Critical Care Nursing. 2003;19:226-238.
10. Blegen M. A.Patient safety in hospital acute care units.Annual Review of Nursing Research. 2006;24:103-125.
11. Blegen M. A.,Goode C.,Reed L.Nurse staffing and patient outcomes.Nursing Research. 1998;47:43-50.
12. Bolton L. B.,Donaldson N. E.,Rutledge D. N.,Bennett C.,Brown D. S.The impact of nursing interventions: Overview of effective interventions, outcomes, measures, and priorities for future research.Medical Care Research and Review. 2007;64:123S-143S.
13. BrayK.WrenI.BaldwinA.GoodmanS.WalshD. (2010). BACCN standards for nurse staffing in critical care units. Retrieved from http://www.ics.ac.uk/professional/standards_safety_quality/standards_and_guidelines/nurse_staffing_in_critical_care_2009.
14. Brennan C. W.,Daly B. J.Patient acuity: A concept analysis.Journal of Advanced Nursing. 2009;65:1114-1126.
15. Butler M.,Collins R.,Drennan J.,Halligan P.,O'Mathuna D.,Schultz T. J.,Vilis E.Hospital nurse staffing models and patient and staff-related outcomes.Cochrane Database of Systematic Reviews. 2011;7:CD007019.
16. Carayon P.,Gurses A. P.A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.Intensive Critical Care Nursing. 2005;21:284-301.
17. Centre for Evidence-Based Medicine. (2009). Oxford centre for evidence-based medicine: Levels of evidence. Retrieved from http://www.cebm.net/?o=1025.
18. Centre for Reviews and Dissemination. (2008). Systematic reviews: CRD's guidance for undertaking reviews in health care. Retrieved from http://www.york.ac.uk/inst/crd/index_guidance.htm.
19. Cheung R. B.,Aiken L. H.,Clarke S. P.,Sloane D. M.Asistencia de enfermería y evolución de los pacientes: Evidencia internacional [Nursing care and patient outcomes: International evidence].Enfermeria Clinica. 2008;18:35-40.
20. Cho S. H.Nurse staffing and adverse patient outcomes: A systems approach.Nursing Outlook. 2001;49:78-85.
21. Cho S. H.,Ketefian S.,Barkauskas V.,Smith D.The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs.Nursing Research. 2003;52:71-79.
22. Clancy T. R.Putting it altogether: Improving performance in heart failure outcomes.Journal of Nursing Administration. 2009a;39:249-254.
23. Clancy T. R.Putting it altogether: Improving performance in heart failure outcomes, part 2.Journal of Nursing Administration. 2009b;39:364-367.
24. Clarke T.,Mackinnon E.,England K.,Burr G.,Fowler S.,Fairservice L.A review of intensive care nurse staffing practices overseas: What lessons for Australia?.Australian Critical Care. 1999;12:109-118.
25. Curtin L. L.An integrated analysis of nurse staffing and related variables: Effects on patient outcomes.Online Journal of Issues in Nursing. 2003;8:9.
26. Dimick J. B.Organizational characteristics and the quality of surgical care.Current Opinions in Critical Care. 2005;11:345-348.
27. Donabedian A.An introduction to quality assurance in health care. Oxford, UK: Oxford University Press; 2003:.
28. Donaldson N.,Bolton L. B.,Aydin C.,Brown D.,Elashoff J. D.,Sandhu M.Impact of California's licensed nurse-patient ratios on unit-level nurse staffing and patient outcomes.Policy, Politics, & Nursing Practice. 2005;6:198-210.
29. Donaldson N.,Shapiro S.Impact of California mandated acute care hospital nurse staffing ratios: A literature synthesis.Policy, Politics, & Nursing Practice. 2010;11:184-201.
30. Doran D. I.,Sidani S.,Keatings M.,Doidge D.An empirical test of the nursing role effectiveness model.Journal of Advanced Nursing. 2002;38:29-39.
31. Ferrell B.,Grant M.,Padilla G.,Vemuri S.,Rhiner M.The experience of pain and perceptions of quality of life: Validation of a conceptual model.Hospice Journal. 1991;7:9-24.
32. Field A.Discovering statistics using SPSS. 2005). Discovering statistics using SPSS (2nd ed.). London, England: Sage.London, England: Sage; 2005:.
33. Flynn M.,McKeown M.Nurse staffing levels revisited: A consideration of key issues in nurse staffing levels and skill mix research.Journal of Nursing Management. 2009;17:759-766.
34. Garretson S.Nurse to patient ratios in American health care.Nursing Standard. 2004;19:33-37.
35. Garrett C.The effect of nurse staffing patterns on medical errors and nurse burnout.Association of Operating Room Nurses Journal. 2008;87:1191-1204.
36. Heinz D.Hospital nurse staffing and patient outcomes: A review of current literature.Dimensions of Critical Care Nursing. 2004;23:44-50.
37. Holzemer W. L.,Reilly C. A.Variables, variability, and variations research: Implications for medical informatics.Journal of the American Medical Informatics Association. 1995;2:183-190.
38. Hugonnet S.,Harbarth S.,Sax H.,Duncan R. A.,Pittet D.Nursing resources: A major determinant of nosocomial infection?.Current Opinion in Infectious Diseases. 2004;17:329-333.
39. Hyun S.,Bakken S.,Douglas K.,Stone P. W.Evidence-based staffing: Potential roles for informatics.Nursing Economics. 2008;26:151.
40. Irvine D.,Sidani S.,Hall L. M.Linking outcomes to nurses' roles in health care.Nursing Economics. 1998;16:58-64.
41. Jennings B. M.,Staggers N.,Brosch L. R.A classification scheme for outcome indicators.Journal of Nursing Scholarship. 1999;31:381-388.
42. Joseph A. M.The impact of nursing on patient and organizational outcomes.Nursing Economics. 2007;25:30-34.
43. Kane R. L.,Shamliyan T.,Mueller C.,Duval S.,Wilt T. J.Nurse staffing and quality of patient care (AHRQ Publication No. 07-E005).Evidence Report & Technology Assessment. 2007;151:1-115.
44. Kaplow R.,Reed K. D.The AACN synergy model for patient care: A nursing model as a force of magnetism.Nursing Economics. 2008;26:17-25.
45. Krauss M. J.,Evanoff B.,Hitcho E.,Ngugi K. E.,Dunagan W. C.,Fischer I.,Fraser V. J.A case-control study of patient, medication, and care-related risk factors for inpatient falls.Journal of General Internal Medicine. 2005;20:116-122.
46. Lake E. T.The nursing practice environment: Measurement and evidence.Medical Care Research and Review. 2007;64:104S-122S.
47. Lake E. T.,Cheung R. B.Are patient falls and pressure ulcers sensitive to nurse staffing?.Western Journal of Nursing Research. 2006;28:654-677.
48. Lamb G. Paper presented at the National State of the Science Congress on Nursing Research; 2008Washington, DC; 2008.
49. Lang T. A.,Hodge M.,Olson V.,Romano P. S.,Kravitz R. L.Nurse-patient ratios: A systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes.Journal of Nursing Administration. 2004;34:326-337.
50. Lankshear A. J.,Sheldon T. A.,Maynard A.Nurse staffing and healthcare outcomes: A systematic review of the international research evidence.Advances in Nursing Science. 2005;28:163-174.
51. Mamaril M. E.,Sullivan E.,Clifford T. L.,Newhouse R.,Windle P. E.Safe staffing for the post anesthesia care unit: Weighing the evidence and identifying the gaps.Journal of Perianesthesia Nursing. 2007;22:393-399.
52. Mark B. A.,Harless D. W.Adjusting for patient acuity in measurement of nurse staffing: Two approaches.Nursing Research. 2011;60:107-114.
53. Mark B. A.,Harless D. W.,McCue M.,Xu Y.A longitudinal examination of hospital registered nurse staffing and quality of care.Health Services Research. 2004;39:279-300.
54. Mark B. A.,Sayler J.,Smith C. S.A theoretical model for nursing systems outcomes research.Nursing Administration Quarterly. 1996;20:12-27.
55. McAlpine L. A.Process and outcome measures for the multidisciplinary collaborative projects of a critical care CNS.Clinical Nurse Specialist. 1997;11:134-138.
56. Mitchell P. H.,Ferketich S.,Jennings B. M.Quality health outcomes model. American academy of nursing expert panel on quality health care.Journal of Nursing Scholarship. 1998;30:43-46.
57. Mitchell P. H.,Lang N. M.Framing the problem of measuring and improving healthcare quality: Has the quality health outcomes model been useful?.Medical Care. 2004;42:II4-II11.
58. Mitchell P. H.,Shannon S. E.,Cain K. C.,Hegyvary S. T.Critical care outcomes: Linking structures, processes, and organizational and clinical outcomes.American Journal of Critical Care. 1996;5:353-363.
59. National Database of Nursing Quality Indicators. (2003-2012). NDNQI data: NDNQI indicators. Retrieved from https://www.nursingquality.org/data.aspx.
60. National Quality Forum. (2012). NQF-endorsed standards. Quality positioning system. Measures: Nurse-sensitive outcomes. Retrieved from http://www.qualityforum.org/QPS/.
61. Needleman J.,Buerhaus P.,Mattke S.,Stewart M.,Zelevinsky K.Nurse staffing and patient outcomes in hospitals. Rockville, MD: Health Resources and Services Administration; 2001:.
62. Needleman J.,Buerhaus P.,Mattke S.,Stewart M.,Zelevinsky K.Nurse-staffing levels and the quality of care in hospitals.New England Journal of Medicine. 2002;346:1715-1722.
63. Needleman J.,Buerhaus P.,Pankratz V. S.,Leibson C. L.,Stevens S. R.,Harris M.Nurse staffing and inpatient hospital mortality.New England Journal of Medicine. 2011;364:1037-1045.
64. Needleman J.,Kurtzman E. T.,Kizer K. W.Performance measurement of nursing care: State of the science and the current consensus.Medical Care Research and Review. 2007;64:10S-43S.
65. O'Brien-Pallas L.,Meyer R. M.,Hayes L. J.,Wang S.The patient care delivery model: An open system framework: Conceptualisation, literature review and analytical strategy.Journal of Clinical Nursing. 2011;20:1640-1650.
66. Pearson M. L.,Lee J. L.,Chang B. L.,Elliott M.,Kahn K. L.,Rubenstein L. V.Structured implicit review: A new method for monitoring nursing care quality.Medical Care. 2000;38:1074-1091.
67. Penoyer D. A.Nurse staffing and patient outcomes in critical care: A concise review.Critical Care Medicine. 2010;38:1521-1528.
68. Perra B. M.Leadership: The key to quality outcomes.Nursing Administration Quarterly. 2001;24:56-61.
69. Polit D. F.,Beck C. T.Nursing research: Principles and methods. 2004). Nursing research: Principles and methods (7th ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.Philadelphia, PA: Lippincott, Williams, & Wilkins; 2004:.
70. Richardson A.,Storr J.Patient safety: A literature [corrected] review on the impact of nursing empowerment, leadership and collaboration.International Nursing Review. 2010;57:12-21.
71. Sidani S.,Doran D. M.,Mitchell P. H.A theory-driven approach to evaluating quality of nursing care.Journal of Nursing Scholarship. 2004;36:60.
72. Spetz J.,Donaldson N.,Aydin C.,Brown D. S.How many nurses per patient? Measurements of nurse staffing in health services research.Health Services Research. 2008;5:5.
73. Stone P. W.,Tourangeau A. E.,Duffield C. M.,Hughes F.,Jones C. B.,O'Brien-Pallas L.,Shamian J.Evidence of nurse working conditions: A global perspective.Policy, Politics, & Nursing Practice. 2003;4:120-130.
74. Thungjaroenkul P.,Cummings G. G.,Embleton A.The impact of nurse staffing on hospital costs and patient length of stay: A systematic review.Nursing Economics. 2007;25:255-265.
75. Tourangeau A. E.,White P.,Scott J.,McAllister M.,Giles L.Evaluation of a partnership model of care delivery involving registered nurses and unlicensed assistive personnel.Canadian Journal of Nursing Leadership. 1999;12:4-20.
76. Tschannen D.,Kalisch B. J.The effect of variations in nurse staffing on patient length of stay in the acute care setting.Western Journal of Nursing Research. 2009;31:153-170.
77. Twigg D.,Duffield C.,Thompson P. L.,Rapley P.The impact of nurses on patient morbidity and mortality: The need for a policy change in response to the nursing shortage.Australian Health Review. 2010;34:312-316.
78. Unruh L.Nurse staffing and patient, nurse, and financial outcomes.American Journal of Nursing. 2008;108:62-71.
79. Upenieks V. V.,Kotlerman J.,Akhavan J.,Esser J.,Ngo M. J.Assessing nursing staffing ratios: Variability in workload intensity.Policy, Politics, & Nursing Practice. 2007;8:7-19.
80. van Dulmen S.,Sluijs E.,van Dijk L.,de Ridder D.,Heerdink R.,Bensing J.Patient adherence to medical treatment: A review of reviews.BMC Health Services Research. 2007;7:55.
81. West E.,Mays N.,Rafferty A. M.,Rowan K.,Sanderson C.Nursing resources and patient outcomes in intensive care: A systematic review of the literature.International Journal of Nursing Studies. 2007;46:993-1011.
82. Wilson S.,Bremner A.,Hauck Y.,Finn J.The effect of nurse staffing on clinical outcomes of children in hospital: A systematic review.International Journal of Evidence-Based Healthcare. 2011;9:97-121.