Nurse staffing and healthcare outcomes - A systematic review of the international research evidence

A J Lankshear, T A Sheldon, A Maynard

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

The relationship between quality of care and the cost of the nursing workforce is of concern to policymakers. This study assesses the evidence for a relationship between the nursing workforce and patient outcomes in the acute sector through a systematic review of international research produced since 1990 involving acute hospitals and adjusting for case mix. Twenty-two large studies of variable quality were included. They strongly suggest 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. The association appears to show diminishing marginal returns.

Original languageEnglish
Pages (from-to)163-174
Number of pages12
JournalAdvances in Nursing Science
Volume28
Issue number2
Publication statusPublished - 2005

Keywords

  • failure to rescue
  • mortality
  • outcomes
  • quality nursing care
  • research methods
  • skill mix
  • staffing
  • systematic review
  • workforce
  • ADVERSE EVENTS
  • HOSPITAL MORTALITY
  • PATIENT MORTALITY
  • QUALITY
  • IMPACT
  • RATES

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