L. Aiken

Publications426
h-index94
Citations41,386
Highly Influential Citations1,958
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  • Publications
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Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.
TLDR
In hospitals with high patient- to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction. Expand
Nurses' reports on hospital care in five countries.
TLDR
Reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999 suggest core problems in work design and workforce management threaten the provision of care. Expand
Measuring organizational traits of hospitals: the Revised Nursing Work Index.
TLDR
The NWI-R has been found to capture organizational attributes that characterize professional nursing practice environments and its ability to explain differences in nurse burnout is found. Expand
Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States
TLDR
In European hospitals, improvement of hospital work environments might be a relatively low cost strategy to improve safety and quality in hospital care and to increase patient satisfaction. Expand
Hospital staffing, organization, and quality of care: Cross-national findings.
TLDR
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 improvingThe nurse retention problem in hospital settings. Expand
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study
TLDR
Differences in patient to nurse ratios and nurses' educational qualifications in nine of the 12 RN4CAST countries with similar patient discharge data were associated with variation in hospital mortality after common surgical procedures, implying an increased emphasis on bachelor's education for nurses could reduce preventable hospital deaths. Expand
Educational levels of hospital nurses and surgical patient mortality.
TLDR
In hospitals with higher proportions of nurses educated at the baccalaureate level or higher, surgical patients experienced lower mortality and failure-to-rescue rates. Expand
Lower Medicare Mortality Among a Set of Hospitals Known for Good Nursing Care
TLDR
The same factors that lead hospitals to be identified as effective from the standpoint of the organization of nursing care are associated with lower mortality among Medicare patients. Expand
The working hours of hospital staff nurses and patient safety.
TLDR
Logbooks completed by 393 hospital staff nurses revealed that participants usually worked longer than scheduled and that approximately 40 percent of the 5,317 work shifts they logged exceeded twelve hours. Expand
Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
TLDR
Care environment elements must be optimized alongside nurse staffing and education to achieve high quality of care and patients had significantly lower risks of death and failure to rescue in hospitals with better care environments. Expand
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