Herbert L. Smith

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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)
Using data from Pakistan, India, Malaysia, Thailand, and the Philippines, we explore how gender context influences (1) husband-wife concordance in the demand for children and (2) the impact of each spouse's fertility preferences on contraceptive use. We also explore whether the husband's pronatalism can explain the wife's unmet need for contraception. The(More)
CONTEXT Better hospital nurse staffing, more educated nurses, and improved nurse work environments have been shown to be associated with lower hospital mortality. Little is known about whether and under what conditions each type of investment works better to improve outcomes. OBJECTIVE To determine the conditions under which the impact of hospital nurse(More)
The objective of this study is to investigate whether hospitals known to be good places to practice nursing have lower Medicare mortality than hospitals that are otherwise similar with respect to a variety of non-nursing organizational characteristics. Research to date on determinants of hospital mortality has not focused on the organization of nursing. We(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)
BACKGROUND Although there is evidence that hospitals recognized for nursing excellence--Magnet hospitals--are successful in attracting and retaining nurses, it is uncertain whether Magnet recognition is associated with better patient outcomes than non-Magnets, and if so why. OBJECTIVES To determine whether Magnet hospitals have lower risk-adjusted(More)
  • H L Smith
  • Health transition review : the cultural, social…
  • 1993
Population surveys concerning 'risk behaviours' thought to be related to the AIDS epidemic are many. Nevertheless, unfocused inquiry into diffuse behaviours in undifferentiated populations is not productive in low-seroprevalence populations, especially when the point is to design some form of intervention that might actually avert further infection. This(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)
This article links recent conceptual theories regarding the determinants of fertility with research designs appropriate for testing those theories. The most important causal factors in these theories--typically social or cultural institutions, occasionally emergent properties of the collective behavior of individuals--are properly conceptualized at the(More)
This paper analyzes multiple measures of married women’s empowerment in the domestic sphere in 56 communities spanning five Asian countries (India, Malaysia, Pakistan, the Philippines, and Thailand). At issue is whether community or individual characteristics are better predictors of women’s empowerment, and whether different dimensions of empowerment are(More)