Journal Article

Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.

Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH.

With greater attention and legislation directed toward nursing shortages and patient-to-nurse ratios, this study describes relevant associations between staffing and outcomes in 168 Pennsylvania hospitals. Findings include detailed analysis from cross-sectional surveys and associated administrative data, which illustrate greater patient mortality and nursing burnout in hospitals with high staffing ratios. The outcomes are risk-adjusted and representative of a diverse collection of hospitals and surgical patients (eg, general, orthopedic, and vascular). The authors conclude that a commitment to adequate nursing care may prevent adverse patient outcomes and improve nurse retention and satisfaction.