Nurses' reports on hospital care in five countries

Linda H. Aiken, Sean P. Clarke, Douglas M. Sloane, Julie A. Sochalski, Reinhard Busse, Heather Clarke, Phyllis Giovannetti, Jennifer Hunt, Anne Marie Rafferty, Judith Shamian

Research output: Contribution to journalArticle

Abstract

The current nursing shortage, high hospital nurse job dissatisfaction, and reports of uneven quality of hospital care are not uniquely American phenomena. This paper presents reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999. Nurses in countries with distinctly different health care systems report similar shortcomings in their work environments and the quality of hospital care. While the competence of and relation between nurses and physicians appear satisfactory, core problems in work design and workforce management threaten the provision of care. Resolving these issues, which are amenable to managerial intervention, is essential to preserving patient safety and care of consistently high quality.

Original languageEnglish (US)
Pages (from-to)43-53
Number of pages11
JournalHealth Affairs
Volume20
Issue number3
DOIs
StatePublished - 2001

ASJC Scopus subject areas

  • Health Policy

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    Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., Giovannetti, P., Hunt, J., Rafferty, A. M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries. Health Affairs, 20(3), 43-53. https://doi.org/10.1377/hlthaff.20.3.43