Evaluation of a Patient Care Delivery Model: Patient Outcomes in Acute Cardiac Care
Article first published online: 23 NOV 2009
© 2009 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 41, Issue 4, pages 399–410, December 2009
How to Cite
Meyer, R. M., Wang, S., Li, X., Thomson, D. and O’Brien-Pallas, L. (2009), Evaluation of a Patient Care Delivery Model: Patient Outcomes in Acute Cardiac Care. Journal of Nursing Scholarship, 41: 399–410. doi: 10.1111/j.1547-5069.2009.01308.x
- Issue published online: 23 NOV 2009
- Article first published online: 23 NOV 2009
- Accepted: June 13, 2009
- Nurse staffing;
- work environments;
- patient outcomes
Purpose: To evaluate the influence of nurse staffing and work environment variables on patient outcomes by testing a conceptual model.
Design: A prospective, correlational design with cross-sectional and longitudinal components was conducted in Canadian cardiac and cardiovascular care inpatient units.
Methods: Data were collected from multiple sources. Hierarchical linear modeling was used to examine relationships among variables.
Conclusions: The findings indicate that patient outcomes are influenced not only by patient and nurse characteristics, but also by organizational staffing practices. Organizations that manage the complexity of work conditions and target staffing utilization levels between 80% and 88% at the unit level can optimize patient outcomes.
Clinical Relevance: Empirical validation of the model provides evidence to inform management decisions about hospital nurse staffing.