Associations between nurse education and experience and the risk of mortality and adverse events in acute care hospitals: A systematic review of observational studies

Audet, Li-Anne; Bourgault, Patricia; Rochefort, Christian M.

doi:10.1016/j.ijnurstu.2018.01.007

Cited by 114 publications

(153 citation statements)

References 60 publications

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“…However, safe staff nursing also covers their competencies, that is the skills, knowledge, abilities and personal attributes necessary for the delivery of effective and high‐quality care, in addition to the number of nurses available (Freitas & Parreira, ; Freitas et al, ). Evidence suggests that nurse competencies/education is associated with patient safety (Audet et al, ; Griffiths et al, ), and this association is also highlighted in the results of the path analysis.…”

Section: Discussionmentioning

confidence: 83%

“…However, despite the scientific evidence that nurse staffing is a determinant of health outcomes (Aiken et al, ; Audet, Bourgault, & Rochefort, ), there is an inadequate staffing, as a result of austerity measures. This is particularly worrying in Portugal, because the number of nurses per 1,000 inhabitants (6.38 nurses per 1,000 inhabitants) is below the European average (8.64 nurses per 1,000 inhabitants) and is one of the lowest ratios in OECD countries (Simões, Augusto, Fronteira, & Hernández‐Quevedo, ).…”

Section: Introductionmentioning

confidence: 99%

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Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

et al. 2020

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Aim To verify the association between the nurse staffing and the quality of nursing care, mediated by the care process, based on a hypothetical model, in Portuguese public hospitals. Background Nurse staffing influences health outcomes. Understaffing is associated with an increased risk for adverse events (AEs) and a reduction in the quality of care. Method A cross‐sectional study was conducted using a sample of 55 Portuguese nurse managers. A path model was developed to analyse potential causal mediation effects on care quality. Results Nurse staffing (number and competencies) and teamwork indirectly influence the quality of care. This process is mediated by the response capacity, the use of new techniques and work methods and patient's surveillance capacity. The AEs occurrence also has a mediating role, being negatively associated with the quality of care. Conclusions Optimizing nursing care safety and quality requires an adequate nurse staffing level, both in terms of number and competencies, as well as teamwork. Process components seem to play a mediating role in these relations. Implications for Nursing Management These results deserve the attention of nursing management for investment in the nursing staff and in the care process, to improve quality and create value in health care.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

et al. 2020

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“…Nursing professional education could upgrade clinical performance (Audet et al, ) and patient safety (Jessie et al, ). In the sense that nursing professional education could enhance professional capabilities, the present study is new in indicating novel impacts of nursing professional education, that is, reducing professional turnover intention.…”

Section: Discussionmentioning

confidence: 99%

How career facilitators and barriers influence nurses’ professional turnover intention

Chang

Huang

Wong

et al. 2019

Journal of Advanced Nursing

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Aims Our study investigates the influence of career facilitators and barriers on nurses’ improvement of their professional capabilities and their professional turnover intention. Background Reducing nurses’ professional turnover intention could help alleviate the global nursing shortage. Nevertheless, little research has addressed how career facilitators and barriers, nurses’ improvement of their professional capabilities and professional turnover intention are related, indicating a gap. Design This study used a cross‐sectional design. Methods We surveyed 502 out of 2,660 full‐time nurses who worked for a medical centre in Taiwan between January–March 2018. Our items were adapted from Cunningham et al. and Teng et al. and had adequate reliability and validity. Structural equation modelling was used to test the study hypotheses. Results Human capital, social capital, and discrimination were positively related to intention to improve professional capabilities. Moreover, intention to improve professional capabilities was positively related to action to improve professional capabilities, which was negatively related to professional turnover intention. Conclusion Most of the career facilitators and even barriers, boost the improvement of professional capabilities and are useful for retaining nurses in the nursing profession. Impact Findings of this study should have an impact on nursing managers by offering them means to retain nurses, for example, enhancing human capital and social capital among nurses to reduce their turnover intention.

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“…Researchers have found that higher education is known to foster greater cognitive skills and is linked to improved patient outcomes . In well‐renowned research on nursing education and skill mix , Aiken et al.…”

Section: Discussionmentioning

confidence: 99%

Differences and similarities in scope of practice between registered nurses and nurse specialists in emergency care: an interview study

Boman

Levy-Malmberg

Fagerström

2019

Scandinavian Caring Sciences

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Scand J Caring Sci; 2020; 34: 492-500 Differences and similarities in scope of practice between registered nurses and nurse specialists in emergency care: an interview study Background: Wide variation exists between the nursing competence requirements seen in the emergency care context and the subsequent design of nursing education programmes. Clarifying nursing roles and scope of practice may shed light on inconsistencies and encourage nurses to work to their full potential. Aim: Describe and clarify the overarching similarities and differences in registered nurses' and nurse specialists' scope of practice in emergency departments. Methods: A qualitative study performed in Finland and Norway, based on 11 interviews analysed by means of qualitative content analysis. Results: The results are presented in three main categories related to nurses' scope of practice: The nurses share the same role, Competence varies and Same accountability and responsibility, with potential for development of the specialist role. Discussion: Given the varying educational systems that currently exist, management teams face a more or less impossible task if attempting to standardise the scope of practice for different professional nurse groups. Still, nurse specialists possess competence that could be utilised to improve patient care and some specialisations seem more suitable for emergency care than others. Individual skills and qualifications should be recognised, which would enable nurses to work to their full potential. Conclusion and implications: No differences were seen between registered nurses' and nurse specialists' role, and professional accountability and responsibilities in the context studied here, although the level of nursing competence differed. Before and even after consensus on uniform competence standards for the different professional nurse groups is reached, management teams should invest in reviewing nurses' competence in relation to different expertise levels, and strategically recruit so that current health needs in the emergency departments can be met.

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Associations between nurse education and experience and the risk of mortality and adverse events in acute care hospitals: A systematic review of observational studies

Cited by 114 publications

References 60 publications

Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

How career facilitators and barriers influence nurses’ professional turnover intention

Differences and similarities in scope of practice between registered nurses and nurse specialists in emergency care: an interview study

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