Registered nurse care improves patient outcomes/safety. (Reduces rates of infections, complication, adverse events)

Esparza, S.J., Zoller, J.S., Weatherby White, A. & Highfield, E.F. (2012). Nurse staffing and skill mix patterns: Are there differences in outcomes?

 An examination of the impact on patient outcomes of nurse staffing and registered nurse skill mix on medical surgical units was conducted. The researchers focused on determining the differences in patient outcomes for conditions that are considered sensitive to nursing care – specifically urinary tract infections and length of stay. The findings show a strong association between the proportion of RN care provided and a lower length of stay and lower odds of patients developing UTI. These finding are significant in addressing rising health care costs due to preventable adverse events.

 Kane, R.L., Shamliyan, T.A., Mueller, C., Duval, S. & Wilt, T.J. (2007). The association of registered nurse staffing levels and patient outcomes.

 The purpose of this study was to examine the association between RN staffing and patient outcomes in acute care hospitals. These included nurse-sensitive factors such as hospital acquired pneumonia, urinary tract infection, respiratory failure, blood stream infection, cardiac arrest, etc. Study findings identify increased RN staffing as being associated with lower hospital related mortality in ICU, surgical and medical patients. The available evidence indicates that there is a statistically and clinically significant association between RN staffing and hospital related mortality, failure to rescue and other patient outcomes. These findings are significant in associating positive patient outcomes with RN staffing, thus decreasing health care costs and patient adverse events.


Related research: 

Blegen, M.A., Goode, C.J., & Reed, L. (1998). Nurse staffing and patient outcomes. Nursing Research, 47(1), 43-50.

Curtin, L. (2003). An Integrated Analysis of Nurse Staffing and Related Variables: Effects on Patient Outcomes. Online Journal of Issues in Nursing 8(3).

Hugonnet S, Harbarth S, Sax H, Duncan RA, Pittet D. (2004). Nursing resources: a major determinant of nosocomial infection? Curr Opin Infect Dis.17:329-333.

Jawad, Scalzi, Sasichay-Akkadechanunt. (2003). The Relationship between Nurse Staffing and Patient Outcomes.  The Journal of Nursing Administration, 33(9), 478-485.

Kane R, Shamliyan T, Mueller C, Duval S, Wilt T. (2007). The association of registered nurse staffing levels and patient outcomes: Systematic review and meta analysis. Medical Care. 45:1195–1204.

Mark, Harless, & Berman. (2007). Nurse staffing and adverse events in hospitalized children. Policy, Politics and Nursing Practice, 8(2):83-92.