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Effects of Nursing Care and Staff Skill Mix on Patient Outcomes Within Acute Care Nursing Units

Hart, Patricia PhD, RN; Davis, Nancy MSN, RN, CNOR

doi: 10.1097/NCQ.0b013e3181efc9cb

This article presents the findings from a study that evaluates the relationships between staffing indicators and patient outcomes at the hospital unit level. Nursing administrators should not only evaluate the impact staffing decisions have on patient outcomes at the hospital level but also examine these relationships at the unit level. The findings from this study have implications for nursing practice in the areas of staff orientation, education, and patient outcome monitoring.

Kennesaw State University, Kennesaw, Georgia (Dr Hart); and Haywood Regional Medical Center, Clyde, North Carolina (Ms Davis).

Correspondence: Patricia Hart, PhD, RN, Kennesaw State University, 5181 Marsden Trace, Powder Springs, Kennesaw, GA 30127 (

The authors thank Laura P. Kimble, PhD, RN, Professor, Piedmont Healthcare Endowed Chair in Nursing, Georgia Baptist College of Nursing of Mercer University, for her encouragement and statistical expertise with this research study.

Accepted for publication: June 30, 2010

© 2011 Lippincott Williams & Wilkins, Inc.