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.


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


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.


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

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