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… Expand
Nurses as change agents for a better future in health care: the politics of drift and dilution
  • A. Rafferty
  • Business, 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. Expand
The Components of Non-Punitive Environment in Nursing
Abstract In nursing homes, managers need to create work environment which considers patient’s and worker’s needs and helps the organization to respond to a complicated and changing environment. TheExpand
State of the art metrics for nursing: a rapid appraisal
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. Expand
Health Care Workers And Patients Safety In Nursing Homes
The aim of the study was to review the literature in the area of health care of nursing homes using meta-analysis and to develop a framework for improvement of patients and caregivers safety. TheExpand
Learning from failure: An exploratory study of what makes a successful nursing service
A Senior Nurses’ Framework covering 6 main themes and containing 35 key factors was developed, which if implemented could potentially lead to a successful nursing service. Expand
Relationship Between Nursing Home Safety Climate and Caregivers’ Competence
Abstract To provide quality healthcare, strong teamwork, safety commitment and collaboration between workers are needed. The aim of this paper is to analyse factors related to safety climate andExpand
Moral distress in nursing practice in Malawi
The results show that nurses, irrespective of age, work experience and tribe, experienced moral distress related to patient/nursing care, and the major distressing factors were inadequate resources and lack of respect from patients, guardians, peers and bosses. Expand
Wicked spell or magic bullet? A review of the clinical supervision literature 2001-2007.
The first underscores the responsibility of health care organisations to sustain and develop clinical supervision and the second points to the potential benefit that clinical supervision may have on patient outcomes. Expand
The conclusions were that although devolution enabled greater freedoms in terms of policy and workforce flexibility, there was little evidence of lessons being learned which would have improved the effectiveness of planning the future nursing workforce. Expand
Advancing the practice development outcomes agenda within multiple contexts
To-date the major focus and activity has been on clarifying the nature of practice development intervention and in developing and identifying approaches, methods and processes that fit with theExpand


Nurse Staffing and Healthcare Outcomes: A Systematic Review of the International Research Evidence
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. Expand
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, andExpand
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. Expand
Overcoming the barriers to patient-centred care: time, tools and training.
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. Expand
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. Expand
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. Expand
Skill mix and the effectiveness of nursing care.
  • M. Higgins, P. Dixon
  • Medicine
  • Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 1992
The variations in both quality and outcome with higher grade staff suggest that investment in employing qualified staff, providing post-qualification training and developing effective methods of organising nursing appeared to pay dividends in the delivery of good quality patient care. Expand
Nurse experience and education: effect on quality of care.
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. Expand
The impact of barriers to providing high-quality care on nurses’ intentions to leave London hospitals
Objectives Previous research on nurse retention has focused mainly on its relationship with employment conditions. This study aimed to include an examination of the impact of nurses’ perceivedExpand
A multisite study of nurse staffing and patient occurrences.
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. Expand