The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Abstract
OBJECTIVE: The objective of this study was to analyze the net effects of nurse practice environments on nurse and patient outcomes after accounting for nurse staffing and education. BACKGROUND: Staffing and education have well-documented associations with patient outcomes, but evidence on the effect of care environments on outcomes has been more limited. METHODS: Data from 10,184 nurses and 232,342 surgical patients in 168 Pennsylvania hospitals were analyzed. Care environments were measured using the practice environment scales of the Nursing Work Index. Outcomes included nurse job satisfaction, burnout, intent to leave, and reports of quality of care, as well as mortality and failure to rescue in patients. RESULTS: Nurses reported more positive job experiences and fewer concerns with care quality, and patients had significantly lower risks of death and failure to rescue in hospitals with better care environments. CONCLUSION: Care environment elements must be optimized alongside nurse staffing and education to achieve high quality of care.
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Cites
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
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Cited by
Burnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181
. Care left undone during nursing shifts: associations with workload and perceived quality of care.
Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., & Griffiths, P. (2014) · BMJ Quality & Safety · doi:10.1136/bmjqs-2012-001767 · Cited by 666
Nurse 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-citationStimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012) · Health Affairs · doi:10.1377/hlthaff.2011.1377 · Cited by 424
Self-citationLake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., & Chen, Y. (2019) · Medical Care · doi:10.1097/mlr.0000000000001109 · Cited by 424
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Metadata
- Authors
- Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T.
- Venue
- JONA: The Journal of Nursing Administration
- Published
- 2009-07
- Volume
- 39
- Issue
- 7/8
- Pages
- S45-S51
- ISSN
- 0002-0443 (ISSN-L)
- OpenAlex
- W2009617535
- Cited by
- 799
- References
- 1
- FWCI
- 164.67
- Type
- journal article
- Language
- en
- Open access
- closed
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- Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2009). Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes. JONA: The Journal of Nursing Administration. https://doi.org/10.1097/nna.0b013e3181aeb4cf
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
