TY - JOUR
T1 - Hospital staffing, organization, and quality of care
T2 - Cross-national findings
AU - Aiken, Linda H.
AU - Clarke, Sean P.
AU - Sloane, Douglas M.
N1 - Funding Information:
This research has been supported by: National Institute of Nursing Research, National Institutes of Health (NR04513); Commonwealth Fund of New York; Agency for Healthcare Quality and Research; Alberta Heritage Foundation for Medical Research; British Columbia Health Research Foundation; Federal Ministry of Education and Research (Germany); Nuffield Provincial Hospital Trust, London; and the Baxter Foundation. The authors represent the International Hospital Outcomes Research Consortium, which is led by the Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, includes the following: United States - Linda Aiken, Sean Clarke, Eileen Lake, Jeffrey Silber, Douglas Sloane and Julie Sochalski (University of Pennsylvania); Alberta - Carole Estabrooks, Konrad Fassbender and Phyllis Giovannetti (University of Alberta); British Columbia - Heather Clarke (Registered Nurses Assoc. of British Columbia), Sonia Acorn, Arminee Kazanjian and Robert Reid (University of British Columbia); England - Jane Ball (Employment Research, Inc.), James Coles (CASPE Research, Inc.), Philip James (CHKS, Inc.), Martin McKee and Anne Marie Rafferty (London School of Hygiene and Tropical Medicine); Germany - Reinhard Busse, Thorsten Koerner (Hannover Medical School) and Gabriele Müller-Mundt (University of Bielerfeld); Ontario - Geoffrey Anderson, Ann Tourangeau, Jack Tu (Institute for Clinical Evaluative Sciences and University of Toronto), Judith Shamian (Health Canada-Santé Canada) and Donna Thomson (Mount Sinai Hospital); Scotland - Heather Baillie, Andrew Boddy, Alastair Leyland (University of Glasgow), James Buchan (Queen Margaret College), Jennifer Hunt, Suzanne Hagen and Louisa Sheward (Nursing Research Initiative for Scotland), Steve Kendrick and Margaret MacLeod (Scottish National Health Service).
PY - 2002
Y1 - 2002
N2 - OBJECTIVE: To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals. DESIGN: Multisite cross-sectional survey SETTING: Adult acute-care hospitals in the U.S. (Pennsylvania), Canada (Ontario and British Columbia), England and Scotland. Study Participants: 10319 nurses working on medical and surgical units in 303 hospitals across the five jurisdictions. INTERVENTIONS: None Main outcome measures: Nurse job dissatisfaction, burnout, and nurse-rated quality of care. RESULTS: Dissatisfaction, burnout and concerns about quality of care were common among hospital nurses in all five sites. Organizational/managerial support for nursing had a pronounced effect on nurse dissatisfaction and burnout, and both organizational support for nursing and nurse staffing were directly, and independently, related to nurse-assessed quality of care. Multivariate results imply that nurse reports of low quality care were three times as likely in hospitals with low staffing and support for nurses as in hospitals with high staffing and support. CONCLUSION: Adequate nurse staffing and organizational/managerial support for nursing are key to improving the quality of patient care, to diminishing nurse job dissatisfaction and burnout and, ultimately, to improving the nurse retention problem in hospital settings.
AB - OBJECTIVE: To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals. DESIGN: Multisite cross-sectional survey SETTING: Adult acute-care hospitals in the U.S. (Pennsylvania), Canada (Ontario and British Columbia), England and Scotland. Study Participants: 10319 nurses working on medical and surgical units in 303 hospitals across the five jurisdictions. INTERVENTIONS: None Main outcome measures: Nurse job dissatisfaction, burnout, and nurse-rated quality of care. RESULTS: Dissatisfaction, burnout and concerns about quality of care were common among hospital nurses in all five sites. Organizational/managerial support for nursing had a pronounced effect on nurse dissatisfaction and burnout, and both organizational support for nursing and nurse staffing were directly, and independently, related to nurse-assessed quality of care. Multivariate results imply that nurse reports of low quality care were three times as likely in hospitals with low staffing and support for nurses as in hospitals with high staffing and support. CONCLUSION: Adequate nurse staffing and organizational/managerial support for nursing are key to improving the quality of patient care, to diminishing nurse job dissatisfaction and burnout and, ultimately, to improving the nurse retention problem in hospital settings.
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U2 - 10.1067/mno.2002.126696
DO - 10.1067/mno.2002.126696
M3 - Article
C2 - 12386653
AN - SCOPUS:0036730071
SN - 0029-6554
VL - 50
SP - 187
EP - 194
JO - Nursing outlook
JF - Nursing outlook
IS - 5
M1 - 00037
ER -