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OBJECTIVE To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries. DESIGN Cross sectional surveys of patients and nurses. SETTING Nurses were surveyed in general acute care hospitals (488 in 12 European countries;(More)
OBJECTIVES To determine whether nurse staffing in California hospitals, where state-mandated minimum nurse-to-patient ratios are in effect, differs from two states without legislation and whether those differences are associated with nurse and patient outcomes. DATA SOURCES Primary survey data from 22,336 hospital staff nurses in California, Pennsylvania,(More)
Rockefeller Foundation's Bellagio Study and Conference Center in the Fall of 1997. The data analyzed in the paper were collected under grants from the Rockefeller Foundation and the Andrew W. Mellon Foundation. The analysis and writing of the paper was partly supported by grants RO1-HD33757 and RO1-HD33791 from the National Institute of Child Health and(More)
Ethical approval: The European study protocol received ethical approval by the lead university, Catholic University of Leuven, Belgium. Each grantee organisation in the 9 participating countries received ethical approval at the institutional level to conduct nurse surveys and analyse administrative data on patient outcomes. We also obtained country level(More)
IMPORTANCE The literature suggests that hospitals with better nursing work environments provide better quality of care. Less is known about value (cost vs quality). OBJECTIVES To test whether hospitals with better nursing work environments displayed better value than those with worse nursing environments and to determine patient risk groups associated(More)
A large study of nurses conducted in the U.S. states of California (CA) and Pennsylvania (PA) is based on two large samples: n^CA≈100,000 and n^PA≈65,000. The study was conducted by mail and had response rates of: p^CA=.27 and p^PA=.39 ;; the number of respondents is thus, respectively, : n_1^CA≈28,000 and n_1^PA≈25,000. Although there are many respondents,(More)
Dans la littérature anglo-saxonne, le critère de « manipulation » dans l'étude des liens de causalité est actuellement en débat. De quoi s'agit-il ? La différence dans les résultats qui correspondent à un élément observé dans deux états ne peut pas être considérée à proprement parler comme l'« effet d'une cause », sauf quand les différents états sont sujets(More)
Aimée Dechter and anonymous reviewers for comments and suggestions. 2 The Cross-sectional Average Length of Life (CAL) ABSTRACT This paper presents the implications of a summary mortality index, the Cross-sectional Average Length of Life (CAL). By combining the mortality experience of various cohorts in a cross-sectional fashion, CAL complements traditional(More)
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