An international hospital outcomes research agenda focused on nursing: Lessons from a decade of collaboration

Sean Clarke, Linda H. Aiken

Research output: Contribution to journalArticle

Abstract

Aims. To describe the origins, design and outcomes of an international hospital outcomes collaboration focused on nursing issues. Background. Across countries with different cultures and histories, nursing and healthcare leaders face similar issues with respect to workforce supply, quality and safety of care and financial constraints. Until researchers began using common research protocols to investigate structure, and outcomes variables in hospital nursing across countries, studying the aspects of work environments most important to patients and nurses in large numbers of hospitals was very difficult, if not impossible. Method. Review/essay. Conclusions. The international collaborations discussed in this article led by the University of Pennsylvania have found remarkable similarities in the experiences of hospital nurses across countries in terms of positive and negative aspects of their work, sizeable differences across hospitals within countries in working conditions and investments in high-quality practice environments, and consistent evidence of connections between modifiable features of nurses' work environments and both patient well-being and factors influencing workforce stability. Relevance to clinical practice. International research collaborations allow benchmarking of countries and facilities within countries on work environment factors that are important to the provision of high quality nursing care. Results of this ongoing research initiative have helped strengthen the case that optimal management of practice environments for nurses in hospitals and other settings are a key strategy for optimising patient outcomes.

Original languageEnglish (US)
Pages (from-to)3317-3323
Number of pages7
JournalJournal of Clinical Nursing
Volume17
Issue number24
DOIs
StatePublished - Dec 1 2008

Fingerprint

Nursing
Outcome Assessment (Health Care)
Nurses
Quality of Health Care
History of Nursing
Research
Benchmarking
Case Management
Nursing Care
Research Personnel
Delivery of Health Care
Safety

Keywords

  • Hospital
  • International health
  • Nurses
  • Nursing
  • Quality and safety

ASJC Scopus subject areas

  • Nursing(all)

Cite this

An international hospital outcomes research agenda focused on nursing : Lessons from a decade of collaboration. / Clarke, Sean; Aiken, Linda H.

In: Journal of Clinical Nursing, Vol. 17, No. 24, 01.12.2008, p. 3317-3323.

Research output: Contribution to journalArticle

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