Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States

@article{Aiken2012PatientSS,
  title={Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States},
  author={Linda H. Aiken and Walter Sermeus and Koen van den Heede and Douglas Sloane and Reinhard Busse and Martin Mckee and Luk Bruyneel and Anne Marie Rafferty and Peter Griffiths and Mar{\'i}a T Moreno-Casbas and Carol Tishelman and Anne Philomena Scott and Tomasz Brzostek and Juha Kinnunen and Ren{\'e} Schwendimann and Maud Heinen and Dimitris Zikos and Ingeborg Str{\o}mseng Sjetne and Herbert L. Smith and Ann Kutney-Lee},
  journal={The BMJ},
  year={2012},
  volume={344}
}
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. [...] Key MethodDESIGN Cross sectional surveys of patients and nurses. SETTING Nurses were surveyed in general acute care hospitals (488 in 12 European countries; 617 in the United States); patients were surveyed in 210 European hospitals and 430 US hospitals. Expand
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References

SHOWING 1-10 OF 43 REFERENCES
Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records.
TLDR
Nurse staffing levels in NHS hospitals appear to have the same impact on patient outcomes and factors influencing nurse retention as have been found in the USA. Expand
Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments
TLDR
Although the positive effect of increasing percentages of Bachelors of Science in Nursing Degree nurses is consistent across all hospitals, lowering the patient-to-nurse ratios markedly improves patient outcomes in hospitals with good work environments, slightly improves them in hospitalswith average environments, and has no effect in hospitalsWith poor environments. Expand
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
Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments
TLDR
Although the positive effect of increasing percentages of Bachelors of Science in Nursing Degree nurses is consistent across all hospitals, lowering the patient-to-nurse ratios markedly improves patient outcomes in hospitals with good work environments, slightly improves them in hospital with average environments, and has no effect in hospitalsWith poor environments. Expand
Hospital nurse practice environments and outcomes for surgical oncology patients.
TLDR
This study is one of the first to examine the predictive validity of the National Quality Forum's endorsed measure of the nurse practice environment and could reduce adverse outcomes for hospitalized surgical oncology patients. Expand
Predictive validity of the International Hospital Outcomes Study questionnaire: an RN4CAST pilot study.
TLDR
The predictive validity of the IHOS instrument was supported by the confirmation of key factors, which were previously identified by previous international research, and by the finding of similar associations between these factors and nurse-perceived outcomes. Expand
Implications of the California nurse staffing mandate for other states.
TLDR
When nurses' workloads were in line with California-mandated ratios in all three states, nurses' burnout and job dissatisfaction were lower, and nurses reported consistently better quality of care. Expand
The Association of Registered Nurse Staffing Levels and Patient Outcomes: Systematic Review and Meta-Analysis
TLDR
Increased RN staffing was associated with lower hospital related mortality in intensive care units (ICUs) and lower odds of hospitalrelated mortality and adverse patient events and patient and hospital characteristics, including hospitals’ commitment to quality of medical care, likely contribute to the actual causal pathway. Expand
Nursing: a key to patient satisfaction.
TLDR
The nurse work environment was significantly related to all HCAHPS patient satisfaction measures and patient-to-nurse workloads were significantly associated with patients' ratings and recommendation of the hospital to others, and with their satisfaction with the receipt of discharge information. Expand
Nurse forecasting in Europe (RN4CAST): Rationale, design and methodology
TLDR
A multi-country, multilevel cross-sectional design is used to obtain important unmeasured factors in forecasting models including how features of hospital work environments impact on nurse recruitment, retention and patient outcomes. Expand
...
1
2
3
4
5
...