Ulster University Logo

Ulster Institutional Repository

Relationship between quality of care, staffing levels, skill mix and nurse autonomy: a literature review

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Currie, V, Harvey, G, West, L, McKenna, Hugh and Keeney, Sinead (2005) Relationship between quality of care, staffing levels, skill mix and nurse autonomy: a literature review. Journal of Advanced Nursing, 51 (1). pp. 73-82. [Journal article]

Full text not available from this repository.

URL: http://onlinelibrary.wiley.com/doi/10.1111/jan.2005.51.issue-1/issuetoc

DOI: 10.1111/j.1365-2648.2005.03462.x

Abstract

Aims. This paper reports a literature review exploring the relationship between quality of care and selected organizational variables through a consideration of what is meant by perceptions of quality, whose perceptions are accorded prominence, and whether changes in staffing, skill mix and autonomy affect perceptions of quality.Background. Three basic ideas underpin this literature review: the growing focus on quality improvement in health care, concerns about the quality of care, and the move towards patient involvement and consultation. Of particular interest is the way in which changes in nurse staffing, skill mix and autonomy may affect the delivery of quality patient care.Methods. A search was conducted using the CINAHL, Medline and Embase databases. Key words used were quality of health care; quality of nursing care; nurse; patient; skill mix; nurse–patient ratio; outcomes; adverse health care events and autonomy. The objective was to draw together a diverse collection of literature related to the field of health care quality. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004.Findings. Quality of care is a complex, multi-dimensional concept which presents researchers with a challenge when attempting to evaluate it. Traditional nursing assessment tools have fallen out of use, partly because they have failed to provide opportunities to engage with and access the views of patients or nurses. There is also evidence that patient satisfaction as an indicator of quality is compromised on a number of fronts. There is conflicting information on how nurses and patients think about quality. Research looking at the relationship between the selected organizational variables and perceptions of quality also suffers from a number of limitations. We argue that there is a requirement for more patient-centred research exploring perceptions of quality and differences in nurse staffing, skill mix and autonomy.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Health Promotion and Adolescent Health
Psychology Research Institute > The Bamford Centre for Mental Health and Wellbeing
ID Code:14771
Deposited By:Dr Sinead Keeney
Deposited On:13 Sep 2010 11:55
Last Modified:15 Apr 2014 11:22

Repository Staff Only: item control page