Using the structure-process-outcome framework and the resource-based view of the firm, this study considers both direct and indirect effects of registered nurse staffing patterns on the quality of patient care outcomes. Consistent with theory, registered nurse staffing patterns were found to affect quality of patient care both directly and indirectly through their positive effect on the processes of delivering care.
Robert Weech-Maldonado, MBA, PhD, is Assistant Professor, Department of Health Policy and Administration, Pennsylvania State University, University Park, PA. E-mail: firstname.lastname@example.org
Louise Meret-Hanke, MA, MOD, is Doctoral Candidate, Department of Health Policy and Administration, Pennsylvania State University, University Park, PA. E-mail: email@example.com
Maria C. Neff, MS, is a Health Insurance Specialist, Centers for Medicare and Medicaid Services, Chicago, IL. E-mail: firstname.lastname@example.org
Vince Mor, PhD, is Professor and Chair, Department of Community Health, and Faculty Associate, Center for Gerontology and Health Care Research, Brown University, Providence, RI. E-mail: Vincent_Mor@brown.edu