Assessing the relationships between nurse working conditions and patient outcomes: systematic literature review
Version of Record online: 16 AUG 2011
© 2011 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Opportunities and challenges facing the future global nursing and midwifery workforce Issue editor: Mary Douglas
Volume 19, Issue 6, pages 700–713, September 2011
How to Cite
BAE, S.-H. (2011), Assessing the relationships between nurse working conditions and patient outcomes: systematic literature review. Journal of Nursing Management, 19: 700–713. doi: 10.1111/j.1365-2834.2011.01291.x
- Issue online: 7 SEP 2011
- Version of Record online: 16 AUG 2011
- Accepted for publication: 4 July 2011
- nurse shortages;
- patient outcomes;
- systematic literature review;
- work environments;
- working conditions
bae s.-h. (2011) Journal of Nursing Management19, 700–713 Assessing the relationships between nurse working conditions and patient outcomes: systematic literature review
Aim The purpose of the study was to systematically evaluate nurse working conditions and to review the literature dealing with their association with patient outcomes.
Background Improving nurse working conditions is essential to address nursing shortages. Although general reviews of the literature support the positive link between working conditions and patient outcomes, definitive evidence has been lacking.
Evaluation A search of six electronic bibliographic databases was conducted for the primary research published in English, from January 2000 to October 2009.
Key issues The concepts of working conditions were categorized into 10 groups of working conditions. A total of 69 relationships between working conditions and patient outcomes were examined.
Conclusions Increased attention has been drawn to nurse working conditions resulting from nursing shortages. The findings of this review suggested that the evidence supporting positive relationships between working conditions and patient outcomes is inconclusive. Further studies of a longitudinal and interventional nature in various settings are needed to advance knowledge of the complex contextual and multivariate influences among nurse working conditions and patient outcomes.
Implications for nursing management Efforts to improve working conditions should be made in various health-care work settings to ensure patient safety and improve patient quality of outcomes.