Demanding safe staffing levels to ensure quality nursing care

Outcomes of variation in hospital nurse staffing in English hospitals: Cross-sectional analysis of survey data and discharge records

Context: Despite growing evidence in the US, little evidence has been available to evaluate whether internationally, hospitals in which nurses care for fewer patients have better outcomes in terms of patient survival and nurse retention. Objectives: To examine the effects of hospital-wide nurse staffing levels (patient-to-nurse ratios) on patient mortality, failure to rescue (mortality risk for patients with complicated stays) and nurse job dissatisfaction, burnout and nurserated quality of care. Design and setting: Cross-sectional analysis combining nurse survey data with discharge abstracts.

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Journal: International Journal of Nursing Studies 44 (2007) 175-182

Authors: Anne Marie Rafferty, Sean P. Clarke, James Cole, Jane Ball, Philip James, Martin McKeef, Linda H. Aiken

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