Nurse staffing levels and nursing outcomes: a Bayesian analysis of Finnish-registered nurse survey data

Journal of Nursing Management
Tarja Tervo-HeikkinenKatri Vehviläinen-Julkunen

Abstract

The aim of the present study was to assess the relationship between patient-to-registered nurse (RN) ratios and nursing outcomes: job satisfaction and stress, nursing care quality, control of own practise, intent to leave, adequacy of material resources and attitudes towards technical equipment. Although there is a growing body of evidence showing that higher levels of RN staffing are linked to better outcomes, it still is unclear how nurse staffing produces these effects. A survey of data of RNs (n = 854) in 46 inpatient units at five university hospitals in Finland was used to create a Bayesian network (BN) model of connections between the variables. A BN model constructed showed that the quality of nursing care is influenced by multifaceted work environment measures. RNs' possibility to control their own practice and the quality of care are mediation between patient-to-RN ratio and other variables examined. New insight was given to the complex theme of the nursing practice environment and its connections to nursing outcomes. Work environment should be developed with consideration of many factors, including adequate staffing levels and the ability for nurses to control their own work. This could increase nurses' work satisfac...Continue Reading

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Citations

Sep 26, 2012·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Christina PurporaNancy A Stotts
Jan 13, 2011·Journal of Nursing Management·Aija KoivuPirjo Irmeli Saarinen
Jul 14, 2011·Journal of Clinical Nursing·Vigdis Abrahamsen GrøndahlBodil Wilde-Larsson
Jan 24, 2013·Journal of Nursing Management·Tarja KvistKatri Vehviläinen-Julkunen
Jan 5, 2011·Journal of Advanced Nursing·Taina PitkäahoKatri Vehviläinen-Julkunen
Jan 1, 2014·Journal of Nursing Management·Marja KaunonenPirjo Aalto
Dec 24, 2011·Health Informatics Journal·Shyamala G Nadathur, James R Warren
Jan 20, 2018·Journal of Advanced Nursing·Nicolas GilletPhilippe Colombat
Feb 26, 2019·Journal of Nursing Management·Herlinde WynendaeleJeroen Trybou
Apr 15, 2020·Journal of Psychosocial Nursing and Mental Health Services·Lin LinGuoping He
Jan 7, 2021·Nursing in Critical Care·Sung-Heui Bae

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