Performance Improvement 2001. Nurse Staffing and Quality of Care in Hospitals


The purpose of this study is to identify patient outcome measures that are sensitive to variations in nurse staffing in acute care hospital settings. Changes in the health care system have raised questions about the quality of patient care. Recent reviews by the Institute of Medicine recommended research on the relationship between quality of inpatient care and level and mix of nurse staffing. Also, the Health Care Financing Administration has drafted proposed Conditions of Participation for Hospitals that must be met if hospitals are to participate in Medicare/Medicaid programs. This study will address these concerns in Phase I by identifying and assessing current studies/methods that are focused on patient outcomes that are sensitive to nurse staffing. Existing and pending data bases useful for conducting research on the sensitivity of patient outcomes to variations in nurse staffing will be identified as will alternative study designs that can provide nationally generalizable information. Phase II will involve acquiring data bases and conducting both descriptive and multivariate analysis of the relationship between nurse staffing and patient outcomes.


AGENCY SPONSOR: Bureau of Primary Health Care

FEDERAL CONTACT: Evelyn Moses, 301-443-6315

PIC ID: 6864

PERFORMER: Harvard University, Holyoke Center, Cambridge MA