Nurse working conditions and patient safety outcomes.

Nurse working conditions and patient safety outcomes. Research Abstract Details 

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Nurse working conditions and patient safety outcomes. Abstract Text:

Patricia W Stone,Cathy Mooney-Kane,Elaine L Larson,Teresa Horan,Laurent G Glance,Jack Zwanziger,Andrew W Dick,

BACKGROUND: System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE: To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN: Observational study, with patient outcome data collected using the National Nosocomial Infection Surveillance system protocols and Medicare files. Several measures of health status and fixed setting characteristics were used to capture distinct dimensions of patient severity of illness and risk for disease. Working condition variables included organizational climate measured by nurse survey; objective measures of staffing, overtime, and wages (derived from payroll data); and hospital profitability and magnet accreditation. SETTING AND PATIENTS: The sample comprised 15,846 patients in 51 adult intensive care units in 31 hospitals depending on the outcome analyzed; 1095 nurses were surveyed. MAIN OUTCOME MEASURES: Central line associated bloodstream infections (CLBSI), ventilator-associated pneumonia, catheter-associated urinary tract infections, 30-day mortality, and decubiti. RESULTS: Units with higher staffing had lower incidence of CLBSI, ventilator-associated pneumonia, 30-day mortality, and decubiti (P

Nurse working conditions and patient safety outcomes. Publishing Authors By Initials

PW Stone,C Mooney-Kane,EL Larson,T Horan,LG Glance,J Zwanziger,AW Dick,

For similar organization and administration: personnel management: workload research abstracts see: organization and administration: personnel management: workload research

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Nurse working conditions and patient safety outcomes. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Medical care

VOLUME: 45

Page Numbers: 571-8

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ISSN: 0025-7079

DAY: 3

MONTH: Jun

YEAR: 2007

Nurse working conditions and patient safety outcomes. Information

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LANGUAGE: eng

NlmUniqueID: 230027

Nurse working conditions and patient safety outcomes. Keywords Mesh Terms:

KEYWORDS: Workload

MESH TERMS: organization & administration

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Grant and Affiliation Information for Nurse working conditions and patient safety outcomes.

AFFILIATION: Columbia University School of Nursing, New York, New York 10032, USA. ps2024@columbia.edu

Country: United States

AGENCY: United States AHRQ

GRANT: R01 HS013114

ACRONYM: HS

MEDLINETA: Med Care

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