Nurse Leader
Volume 5, Issue 4 , Pages 34-38 , August 2007

Making the business case for nursing: Justifying investments in nurse staffing and high-quality practice environments

  • Sean P. Clarke, RN, PhD, CRNP, FAAN

      Affiliations

    • Sean P. Clarke, RN, PhD, CRNP, FAAN, is the associate director of the Center for Health Outcomes and Policy Research and a professor of nursing at the University of Pennsylvania in Philadelphia.

References 

  1. Clarke SP . Staffing the organization for excellence . In:  Berman S editors. From front office to front line: Essential issues for health care leaders . Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005;p. 113–144
  2. Kirchhoff KT , Dahl N . American Association of Critical Care Nurses' national survey of facilities and units providing critical care . Am J Crit Care . 2006;15:13–28
  3. Seago JA . Nurse staffing, models of care delivery, and interventions. (Evidence Report/Technology Assessment No. 43 AHRQ [Publication No. 01-E058.] . Rockville, MD: Agency for Health care Research and Quality; 2001;
  4. Hickam DH , Severance S , Feldstein A , et al.   The effect of health care working conditions on patient safety. Evidence Report/Technology Assessment Number 74. [AHRQ Publication No. 03-E0204.] . Rockville, MD: Agency for Health care Research and Quality; 2003;
  5. Institute of Medicine  . Keeping patients safe: transforming the work environment of nurses . Washington, DC: National Academies Press; 2004;
  6. Lang TA , Hodge M , Olson V , Romano PS , Kravitz RL . Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes . J Nurs Adm . 2004;34(7-8):326–337
  7. Clarke SP . Research on nurse staffing and its outcomes: The challenges and risks of grasping at shadows . In:  Nelson S ,  Gordon S editor. The complexities of care: Nursing reconsidered . Ithaca, NY: Cornell University Press; 2006;p. 161–184
  8. Kane RL , Shamliyan T , Mueller C , et al.   Nursing staffing and quality of patient care. Evidence Report/Technology Assessment No. 151 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009.) AHRQ Publication No. 07-E005. Rockville, MD. Agency for Health care Research and Quality: 2007 . Available from http://www.ahrq.gov/downloads/pub/evidence/pdf/nursestaff/nursestaff.pdf Accessed June 22, 2007.
  9. Rothberg MB , et al.   Improving nurse-to-patient staffing ratios as a cost-effective safety intervention . Med Care . 2005;43(8):785–791
  10. Needleman J , et al.   Nurse staffing in hospitals: is there a business case for quality? . Health Affairs . 2006;25(1):204–211
  11. Newbold D. The production economics of nursing: A discussion paper. Int J Nurs Stud 2007. [Epub ahead of print]
  12. Jones CB . The costs of nurse turnover, Part 2: Application of the Nursing Turnover Cost Calculation Methodology . J Nurs Adm . 2005;35(1):41–49
  13. Zhan C , Miller MR . Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization . JAMA . 2003;290(14):1868–1874
  14. Dimick JB , et al.   Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program . J Am Coll Surg . 2004;99(4):531–537
  15. Shannon RP , et al.   Economics of central line-associated bloodstream infections . Am J Med Qual . 2006;21:7S–16S

PII: S1541-4612(07)00122-X

doi: 10.1016/j.mnl.2007.05.002

Nurse Leader
Volume 5, Issue 4 , Pages 34-38 , August 2007

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