Accounting For Variation In Hospital Outcomes: A Cross-National Study

Sochalski, Julie; Aiken, Linda H.

doi:10.1377/hlthaff.18.3.256

Cited by 33 publications

(11 citation statements)

References 15 publications

(9 reference statements)

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“…Given the intense interest on the national and international level in nursing practice environments (National Quality Forum, 2004;Sochalski & Aiken, 1999;Sochalski, Aiken, & Fagin, 1997), it is important to reach consensus on a short, easily administered survey instrument to measure nurses' perceptions of the practice environment over time. The results of this study suggest that key practice environment constructs can be captured using a short form of the NWI-R.…”

Section: Discussionmentioning

confidence: 99%

“…In the NSPO study, we used a 55-item NWI-R (Table 1) as part of a survey instrument adapted from an instrument designed for the IHOC study (Sochalski & Aiken, 1999;. Six items that are important to a professional nursing practice environment were added for the NSPO study, including (a) four items (12, 21, 36, and 50) on nurse-physician relationships identified by Lake (2002) from the magnet hospital research (McClure et al, 1983) to enhance the conceptual breadth and empirical strength of the Collegial Nurse-Physician Relations subscale, which contains three items; (b) an item on supervisor leadership (10), originally from the NWI and not retained in the NWI-R, which was included from Lake's factor set; and (c) an item on hospital administrator support of nurses (20) that was pertinent to the practice environment in VHA hospitals.…”

Section: Instrumentmentioning

confidence: 99%

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Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

Lake

Sales

et al. 2007

Research in Nursing & Health

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The Revised Nursing Work Index (NWI-R) is a widely used instrument for evaluating registered nurses' (RNs) practice environments. The existence of multiple subscale sets from the NWI-R raises questions about its generalizability. We tested the validity of the one-, three-, and five-subscale sets from the NWI-R and derived a short-form subscale set using a sample of RNs from the Veterans Health Administration (VHA). The prior sets do not have an excellent fit to these data. Results of exploratory factor analyses suggested a four-factor model with Opportunity for Advancement, Collegial Nurse-Physician Relations, Staffing Adequacy, and Nurse Manager Leadership as the most salient and parsimonious solution. Additional

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Section: Discussionmentioning

confidence: 99%

Section: Instrumentmentioning

confidence: 99%

Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

Lake

Sales

et al. 2007

Research in Nursing & Health

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“…A cross-national study currently under way on the impact of hospital organization and staffing on patient outcomes will soon provide definitive information on this important issue and offer a large representative sample of hospitals against which the ANCC magnet hospitals can be compared. 25 Based on the excellent showing of ANCC magnet hospitals compared with a group of the original magnet hospitals in the present study, we anticipate that the ANCC hospitals will fare even better when compared with a more representative group of hospitals in the United States. That study will also provide the first firm estimate of the proportion of all hospitals in the United States that might qualify for ANCC magnet hospital recognition based on their nursing practice environments and patient outcomes.…”

Section: Discussionmentioning

confidence: 68%

The Magnet Nursing Services Recognition Program

Aiken¹,

Havens²,

Sloane³

2009

JONA: The Journal of Nursing Administration

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OVERVIEW In an environment rife with controversy about patient safety in hospitals, medical error rates, and nursing shortages, consumers need to know how good the care is at their local hospitals. Nursing’s best kept secret is the single most effective mechanism for providing that type of comparative information to consumers, a seal of approval for quality nursing care: designation of magnet hospital status by the American Nurses Credentialing Center (ANCC). Magnet designation, or recognition of the “best” hospitals, was conceived in the early 1980s when the American Academy of Nursing (AAN) conducted a study to identify which hospitals attracted and retained nurses and which organizational features were shared by these successful hospitals, referred to as magnet hospitals. In the 1990s, the American Nurses Association (ANA), through the ANCC, established a formal program to acknowledge excellence in nursing services: the Magnet Nursing Services Recognition Program. The purpose of the current study is to examine whether hospitals selected for recognition by the ANCC application process—ANCC-accredited hospitals—are as successful in creating environments in which excellent nursing care is provided as the original AAN magnet hospitals were. We found that at ANCC-recognized magnet hospitals nurses had lower burnout rates and higher levels of job satisfaction and gave the quality of care provided at their hospitals higher ratings than did nurses at the AAN magnet hospitals. Our findings validate the ability of the Magnet Nursing Services Recognition Program to successfully identify hospitals that provide high-quality nursing care.

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“…Countries such as the United Kingdom, France, and the Scandinavian states are often taken as reference points in the search for an appropriate mix of generalists and specialists. The results of a recent international study have highlighted how patient outcomes are mediated by key attributes of professional nursing practices, including nurse staffing, nurse-physician relations, and nurse autonomy (Aiken et al, 2002;Sochalski and Aiken, 1999).…”

Section: Theoretical Approaches To Cross-national Comparisons In Socimentioning

confidence: 99%

Cross-national comparisons of human resources for health – what can we learn?

Dubois

2005

HEPL

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After a long period of neglect, the issue of human resources for health (HRH) has recently emerged as a core component on the international health agenda, with policy makers increasingly eager to learn from experience elsewhere. This article investigates systematically the opportunities and challenges associated with the use of cross-national comparisons of HRH policies and practices. It reviews the evidence in favour of using international comparative studies on HRH, discusses emerging opportunities for developing a cross-national research agenda to guide HRH policies in Europe, and highlights obstacles which may hinder the implementation of comparative studies on HRH. While demonstrating many opportunities offered by the comparative approach to improve understanding of human resources processes in the health sector, this article also emphasizes the dangers of simplistic pleas for the transfer of human resource policies without taking into account the context-specific factors and the generative capacity of the social actors in the design and implementation of policy changes.

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Accounting For Variation In Hospital Outcomes: A Cross-National Study

Cited by 33 publications

References 15 publications

Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

The Magnet Nursing Services Recognition Program

Cross-national comparisons of human resources for health – what can we learn?

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