Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care
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...Furthermore, the number of nurses from which these measured were constructed varied across countries and hospitals within countries, as previously reported (Aiken et al., 2016)....
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...Adding lesser trained providers to the hospital workforce without adding more RNs results in eroding the nursing skill mix that evidence suggests is associated with higher mortality and lower patient satisfaction.(12) Also, the NHS is reinstating apprentice training for strengths and limitations of this study...
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...The staffing and resource adequacy subscale was dropped from the global measure used in the analysis because of its high correlation with the direct measure of RN staffing in the model, as in previous publications.(12) 37 What makes the variability in staffing and work environments across hospitals of considerable importance is that when RNs have high patient loads, and when RNs practice in poor work environments, necessary nursing care can be missed because of lack of time....
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References
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