Nursing staffing, nursing workload, the work environment and patient outcomes

被引：319

作者：

Duffield, Christine ^{[1
]}

Diers, Donna ^{[1
,2
]}

O'Brien-Pallas, Linda ^{[3
]}

Aisbett, Chris ^{[4
]}

Roche, Michael ^{[1
]}

King, Madeleine ^{[5
]}

Aisbett, Kate ^{[4
]}

机构：

[1] Univ Technol Sydney, Fac Nursing Midwifery & Hlth, Ctr Hlth Serv Management, Sydney, NSW 2007, Australia

[2] Yale Univ, Sch Nursing, New Haven, CT 06536 USA

[3] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Nursing Hlth Serv Res Unit, Toronto, ON M5T 1P8, Canada

[4] Laeta Pty Ltd, Randwick, NSW 2031, Australia

[5] Univ Sydney, Canc Australia Chair Canc Qual Life, Sydney, NSW 2006, Australia

来源：

APPLIED NURSING RESEARCH | 2011年 / 24卷 / 04期

关键词：

CARE DELIVERY MODEL; 30-DAY MORTALITY; HOSPITALS; ASSOCIATION; RATIOS; IMPACT; UNIT; VARIABILITY; NURSES; MIX;

D O I：

10.1016/j.apnr.2009.12.004

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Nurse staffing (fewer RNs), increased workload, and unstable nursing unit environments were linked to negative patient outcomes including falls and medication errors on medical/surgical units in a mixed method study combining longitudinal data (5 years) and primary data collection. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：244 / 255

页数：12

共 55 条

[1] Skill-mix changes and work intensification in nursing [J].

Adams, A ;

Lugsden, E ;

Chase, J ;

Arber, S ;

Bond, S .

WORK EMPLOYMENT AND SOCIETY, 2000, 14 (03) :541-555

[2]

Aiken L H, 2001, LDI Issue Brief, V6, P1

[3] LOWER MEDICARE MORTALITY AMONG A SET OF HOSPITALS KNOWN FOR GOOD NURSING-CARE [J].

AIKEN, LH ;

SMITH, HL ;

LAKE, ET .

MEDICAL CARE, 1994, 32 (08) :771-787

[4] Educational levels of hospital nurses and surgical patient mortality [J].

Aiken, LH ;

Clarke, SP ;

Cheung, RB ;

Sloane, DM ;

Silber, JH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (12) :1617-1623

[5] Nurses' reports on hospital care in five countries [J].

Aiken, LH ;

Clarke, SP ;

Sloane, DM ;

Sochalski, JA ;

Busse, R ;

Clarke, H ;

Giovannetti, P ;

Hunt, J ;

Rafferty, AM ;

Shamian, J .

HEALTH AFFAIRS, 2001, 20 (03) :43-53

[6] Studying outcomes of organizational change in health services [J].

Aiken, LH ;

Sochalski, J ;

Lake, ET .

MEDICAL CARE, 1997, 35 (11) :NS6-NS18

[7] Measuring organizational traits of hospitals: The revised nursing work index [J].

Aiken, LH ;

Patrician, PA .

NURSING RESEARCH, 2000, 49 (03) :146-153

[8] Effects of hospital care environment on patient mortality and nurse outcomes [J].

Aiken, Linda H. ;

Clarke, Sean P. ;

Sloane, Douglas M. .

JOURNAL OF NURSING ADMINISTRATION, 2008, 38 (05) :223-229

[9]

Aisbett C., 1999, 10 CAS C MELB AUSTR

[10]

Australian Bureau of Statistics, 2008, NSW FOC

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