The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Hospital staffing, organization, and quality of care: cross-national findings
Abstract
OBJECTIVE: To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals. DESIGN: Multisite cross-sectional survey. SETTING: Adult acute-care hospitals in the United States (Pennsylvania), Canada (Ontario and British Columbia), England, and Scotland. STUDY PARTICIPANTS: 10 319 nurses working on medical and surgical units in 303 hospitals across the five jurisdictions. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Nurse job dissatisfaction, burnout, and nurse-rated quality of care. RESULTS: Dissatisfaction, burnout, and concerns about quality of care were common among hospital nurses in all five sites. Organizational/managerial support for nursing had a pronounced effect on nurse dissatisfaction and burnout, and both organizational support for nursing and nurse staffing were directly, and independently, related to nurse-assessed quality of care. Multivariate results imply that nurse reports of low quality care were three times as likely in hospitals with low staffing and support for nurses as in hospitals with high staffing and support. CONCLUSION: 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 improving the nurse retention problem in hospital settings.
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Cites
Hospital Characteristics and Mortality Rates
Hartz, A. J., Krakauer, H., Kuhn, E. M., Young, M., Jacobsen, S. J., Gay, G., Muenz, L., Katzoff, M., Bailey, R. C., & Rimm, A. A. (1989) · New England Journal of Medicine · doi:10.1056/nejm198912213212506 · Cited by 513
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Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226
Self-citationMaunder, R., Lancee, W., Balderson, K., Bennett, J., Borgundvaag, B., Evans, S., Fernandes, C., Goldbloom, D., Gupta, M., Hunter, J., et al. (2006) · Emerging Infectious Diseases · doi:10.3201/eid1212.060584 · Cited by 1,109
Nurse Burnout and Patient Satisfaction
Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D. (2004) · Medical Care · doi:10.1097/01.mlr.0000109126.50398.5a · Cited by 977
Self-citationNurse burnout and quality of care: Cross‐national investigation in six countries
Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2010) · Research in Nursing & Health · doi:10.1002/nur.20383 · Cited by 574
Self-citationImplications of the California Nurse Staffing Mandate for Other States
Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., Spetz, J., & Smith, H. L. (2010) · Health Services Research · doi:10.1111/j.1475-6773.2010.01114.x · Cited by 398
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Metadata
- Authors
- Aiken, L. H.
- Venue
- International Journal for Quality in Health Care
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-02-01
- Volume
- 14
- Issue
- 1
- Pages
- 5-13
- ISSN
- 1353-4505 (ISSN-L)
- 1464-3677
- OpenAlex
- W1998247512
- Cited by
- 725
- References
- 1
- FWCI
- 67.11
- Type
- journal article
- Language
- en
- Open access
- closed
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