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Open Access Nurse Staffing and Patient Outcomes: Evolution of an International Study L'influence du personnel infirmier sur les patients en regard de leur guérison: Évolution d'une étude internationale

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Industry-wide health sector reforms in the United States, Canada, and Europe have provided a unique opportunity to examine the effects of hospital restructuring on inpatient nursing care and patient outcomes across an array of settings. Seven interdisciplinary research teams — 1 each in Alberta, British Columbia, England, Germany, Ontario, Scotland, and the United States — have formed an international consortium whose aim is to study the effects of such restructuring. Each site has enrolled large numbers of hospitals and nurses to explicate the role that organization of nursing care, a target of hospital restructuring, plays in differential patient outcomes. The study seeks to understand more fully the influence of both nurse staffing and the nursing practice environment on patient outcomes. Discussion of the theoretical foundation, study design, and process of developing the study instruments and measures illustrates the process to date, as well as the feasibility of and opportunities inherent in such an international endeavour.

Des réformes effectuées aux États-Unis, au Canada et en Europe influant sur toute l'industrie du secteur de la santé ont donné lieu à une occasion unique, celle d'examiner les effets de la restructuration des hôpitaux sur les soins infirmiers auprès des malades hospitalisés et des résultats en regard de leur guérison, et ce dans un éventail de situations. Sept équipes de recherche interdisciplinaires, en provenance d'Alberta, de Colombie-Britannique, d'Angleterre, d'Allemagne, d'Ontario, d'Écosse et des États-Unis, ont formé un consortium international dont le but est d'étudier les effets d'une telle restructuration. Chaque équipe a recruté un grand nombre d'hôpitaux et d'infirmières pour cerner le rôle que joue l'organisation des soins infirmiers, ciblés par les mesures de restructuration hospitalière, en regard de la guérison des patients. L'étude vise à favoriser la compréhension de l'influence qu'exerce le personnel infirmier autant que l'environnement de la pratique professionnelle à l'égard d'une telle guérison. Une discussion sur la fondation théorique, la conception de l'étude et le processus de développement des méthodes et des instruments de mesure utilisés dans le cadre de l'étude illustre le déroulement du processus jusqu'à maintenant, en plus de la faisabilité d'un tel projet international et des occasions générées.

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Document Type: Research Article

Publication date: 2009-03-01

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