Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.

Authors: Aiken, L.H, Sloane, D, Griffiths, P., Rafferty, A.M, Bruyneel, L., McHugh, M., Maier, C.B., Moreno-Casbas, T., Ball, J.E., Ausserhofer, D. & Sermeus, W

Source: BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15.

OBJECTIVES:

To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care.

DESIGN:

Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models.

SETTING:

Adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland.

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