• Corpus ID: 54547650

Nursing and patient outcomes: How can employers provide the right environment for nurses to deliver high quality care.

  title={Nursing and patient outcomes: How can employers provide the right environment for nurses to deliver high quality care.},
  author={Elizabeth West and Jill Maben and Anne Marie Rafferty},
Nurses are in short supply the world over, just at a time when the need for health care is set to increase. This paper synthesises the evidence about the impact of nursing and the about working conditions that would enhance their ability to deliver high quality patient care. We argue the case for investing in nursing as a long term strategy to improve health. The consequences of not investing could have a devastating effect on the workforce and the patients they serve. What is needed now is the… 

Nurses as change agents for a better future in health care: the politics of drift and dilution

  • A. Rafferty
  • Political Science, Medicine
    Health Economics, Policy and Law
  • 2018
It is argued that the policy trajectory set for nursing at the outset of the NHS continues to influence its strategic direction, and that the trajectory needs to be reset with the voices of nurses being more engaged in the design, as much as the delivery of health policy.

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The Nursing Outcome Measures task and finish group and others who provided support and comments are thanked, and Janice Sigsworth, the Deputy Chief Nursing Officer who was directly responsible for commissioning this report is thanked.

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It is suggested that higher nurse staffing and richer skill mix (especially of registered nurses) are associated with improved patient outcomes, although the effect size cannot be estimated reliably and the association appears to show diminishing marginal returns.

Quality Work Environments for Nurse and Patient Safety

Quality Work Environments for Nurse and Patient Safety presents a comprehensive, critical review and analysis of the literature for the ten variables that impact the nursing work environment, and

Nurses' Reports On Hospital Care In Five

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 manage- ment threaten the provision of care.

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Whether nurses experience barriers to delivering high quality care in areas that are of particular concern to patients and to describe which aspects of care are most affected when nurses lack the required resources to do their job are investigated.

Impact of nursing on hospital patient mortality: a focused review and related policy implications

The body of published research that explores determinants of mortality for patients who have experienced acute care hospitalization is synthesized and implications and recommendations for improving quality and safety in hospital care are discussed.

Substitution of doctors by nurses in primary care.

Evaluating the impact of doctor-nurse substitution in primary care on patient outcomes, process of care, and resource utilisation suggested that appropriately trained nurses can produce as high quality care as primary care doctors and achieve as good health outcomes for patients.

Skill mix and the effectiveness of nursing care.

  • M. HigginsP. Dixon
  • Medicine
    Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 1992
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Controlling for patient acuity, hours of nursing care, and staff mix, units with more experienced nurses had lower medication errors and lower patient fall rates, but adverse occurrence rates onunits with more baccalaureate-prepared nurses were not significantly better.

The impact of barriers to providing high-quality care on nurses’ intentions to leave London hospitals

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This study determined the relationship between different levels of nurse staffing and patient outcomes (adverse occurrences) and found the "non-linear" relationship between the proportion of RNs in the staff mix and MAEs.