- Subject index
This ambitious and long-awaited volume brings together foremost nursing scholars and educators to review and critique the state of nursing research across topics most relevant to current practice. Comprehensive in scope, cogent and truly thought provoking, a book such as the Handbook for Clinical Nursing Research is a must-have shelf reference for every nurse carrying out research or aspiring to conduct research and for those who teach them.
Chapter 33: Acute Care Environments
Acute Care Environments
Early studies of acute care environments focused primarily on hospital characteristics that affect patient outcome (Verran & Mark, 1992). With the exception of a recent report by Aiken, Smith, and Lake (1994), large studies of patient outcome, defined most commonly as mortality rate, have focused on hospital and physician characteristics, with only a passing nod at factors associated with nurse performance (Hartz et al., 1989; Shortell & Hughes, 1988).
To determine the state of the science concerning the effect of nursing-related environments on patient outcomes, a comprehensive review of the nursing and health services literature was conducted for the years 1980 through 1995. ...