TY - JOUR
T1 - Evidence of Nurse Working Conditions
T2 - A Global Perspective
AU - Stone, Patricia W.
AU - Tourangeau, Ann E.
AU - Duffield, Christine M.
AU - Hughes, Frances
AU - Jones, Cheryl B.
AU - O'brien-Pallas, Linda
AU - Shamian, Judith
PY - 2003/5
Y1 - 2003/5
N2 - There is a global nursing shortage. Few health services decision makers have made the critical link between the number of human resources, the characteristics of the work environment and the impact on patients, nurses, and the system as a whole. The purpose of this article is to review evidence about nurse workload, staffing, skill mix, turnover, and organizational characteristics’ effect on outcomes; discuss methodological considerations in this research; discuss research initiatives currently under way; review policy initiatives in different countries; and make recommendations where more research is needed. Overall, an understanding of the relationships among nurse staffing and organizational climate to patient safety and health outcomes is beginning to emerge in the literature. Little is known about nursing turnover and more evidence is needed with consistent definitions and control of underlying patient characteristics. Research and policy initiatives in Australia, Canada, New Zealand, and the United States are summarized.
AB - There is a global nursing shortage. Few health services decision makers have made the critical link between the number of human resources, the characteristics of the work environment and the impact on patients, nurses, and the system as a whole. The purpose of this article is to review evidence about nurse workload, staffing, skill mix, turnover, and organizational characteristics’ effect on outcomes; discuss methodological considerations in this research; discuss research initiatives currently under way; review policy initiatives in different countries; and make recommendations where more research is needed. Overall, an understanding of the relationships among nurse staffing and organizational climate to patient safety and health outcomes is beginning to emerge in the literature. Little is known about nursing turnover and more evidence is needed with consistent definitions and control of underlying patient characteristics. Research and policy initiatives in Australia, Canada, New Zealand, and the United States are summarized.
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U2 - 10.1177/1527154403004002005
DO - 10.1177/1527154403004002005
M3 - Article
AN - SCOPUS:84993687348
SN - 1527-1544
VL - 4
SP - 120
EP - 130
JO - Policy, Politics, and Nursing Practice
JF - Policy, Politics, and Nursing Practice
IS - 2
ER -
