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Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences With Care in Europe.

  • Bruyneel L Katholieke Universiteit Leuven, Leuven, Belgium luk.bruyneel@med.kuleuven.be.
  • Li B Erasmus University Rotterdam, Rotterdam, Netherlands.
  • Ausserhofer D University of Basel, Basel, Switzerland.
  • Lesaffre E Katholieke Universiteit Leuven, Leuven, Belgium Erasmus University Rotterdam, Rotterdam, Netherlands.
  • Dumitrescu I Katholieke Universiteit Leuven, Leuven, Belgium.
  • Smith HL University of Pennsylvania, Philadelphia, PA, USA.
  • Sloane DM University of Pennsylvania, Philadelphia, PA, USA.
  • Aiken LH University of Pennsylvania, Philadelphia, PA, USA.
  • Sermeus W Katholieke Universiteit Leuven, Leuven, Belgium.
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  • 2015-06-12
Published in:
  • Medical care research and review : MCRR. - 2015
baccalaureate nursing education
nursing administration research
patient satisfaction
personnel staffing and scheduling
work schedule tolerance
Europe
Humans
Nursing Staff, Hospital
Patient Satisfaction
Personnel Staffing and Scheduling
Quality of Health Care
Workload
English This study integrates previously isolated findings of nursing outcomes research into an explanatory framework in which care left undone and nurse education levels are of key importance. A moderated mediation analysis of survey data from 11,549 patients and 10,733 nurses in 217 hospitals in eight European countries shows that patient care experience is better in hospitals with better nurse staffing and a more favorable work environment in which less clinical care is left undone. Clinical care left undone is a mediator in this relationship. Clinical care is left undone less frequently in hospitals with better nurse staffing and more favorable nurse work environments, and in which nurses work less overtime and are more experienced. Higher proportions of nurses with a bachelor's degree reduce the effect of worse nurse staffing on more clinical care left undone.
Language
  • English
Open access status
green
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https://sonar.ch/global/documents/207473
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