2022
DOI: 10.1177/15271544211069554
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Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing

Abstract: We sought to evaluate if better work environments or staffing were associated with improvements in care quality, patient safety, and nurse outcomes across hospitals caring for different proportions of patients who are economically disadvantaged. Few actionable approaches for hospitals with quality and resource deficits exist. One solution may be to invest in the nurse work environment and staffing. This cross-sectional study utilized secondary data from 23,629 registered nurses in 503 hospitals from a four-sta… Show more

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Cited by 5 publications
(4 citation statements)
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“…One of the indicators of high-quality health care relies on patient safety or the absence of preventable harm to the patient during the health care process (32). In the study conducted about work environment factors affecting the quality of patient care, the increase in the number of patients was associated with a decrease in the quality of care (33). But high-quality, safer, standard and evidence-based nursing care are provided in environments that are more appropriate in terms of conditions than other environments (34).…”
Section: Discussionmentioning
confidence: 99%
“…One of the indicators of high-quality health care relies on patient safety or the absence of preventable harm to the patient during the health care process (32). In the study conducted about work environment factors affecting the quality of patient care, the increase in the number of patients was associated with a decrease in the quality of care (33). But high-quality, safer, standard and evidence-based nursing care are provided in environments that are more appropriate in terms of conditions than other environments (34).…”
Section: Discussionmentioning
confidence: 99%
“…Globally, the number of nurses and midwives is estimated to be 27.9 million representing more than 59% of the total number of healthcare workers 1 . Therefore, nurses are the most significant occupational sector in a healthcare organization and play a vital role in producing high‐quality patient care 2,3 . Although nurses hold the key to providing the best patient care, the frequent turnover can negatively impact these services and incur additional financial burdens on the institutions 4 .…”
Section: Introductionmentioning
confidence: 99%
“…1 Therefore, nurses are the most significant occupational sector in a healthcare organization and play a vital role in producing high-quality patient care. 2,3 Although nurses hold the key to providing the best patient care, the frequent turnover can negatively impact these services and incur additional financial burdens on the institutions. 4 The effects of employees turnover extend to productivity losses and organizational inefficiencies resulting from nursing staff volatility, which imposes additional adverse consequences.…”
Section: Introductionmentioning
confidence: 99%
“…Another possibility was that SNHs might manage the work environment of their nurses differently from non-SNHs and in ways that do not optimize for the care quality benefits that nurse staffing would otherwise confer. A recent study by Viscardi et al (2022) lends some support to this perspective. A third possibility was that there might be intrinsic "systematic differences" between SNHs and non-SNHs that lead to worse outcomes and attenuate the beneficial effects of nurse staffing that would otherwise be observed, a notion that has received some support in at least two subsequent studies that compared SNHs and non-SNHs with respect to performance on post-surgical outcomes (Wakeam et al, 2014) and readmissions (Talutis et al, 2019) after controlling for a variety of hospital characteristics including the supply of nurse staffing within the hospital.…”
Section: Antecedents Aimmentioning
confidence: 82%