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RN4CAST United States

The RN4CAST-US Study examines organizational-level changes over time in nurse inputs in education, staffing, skill mix, and work environment between the nurse survey projects carried out first in 1999, repeated in 2006, and 2015

Panel Study of Effects of Changes in Nursing on Patient Outcomes

With funding from the National Institute of Health, CHOPR investigators developed an efficient, innovative extension of the earlier survey, thus creating a larger study of the impact of change in nursing factors on outcomes. 

Our Research Team

Dr. Linda H. Aiken is among the most respected health services researchers in the world having received virtually all of the research honors in her field. She is a nurse and a sociologist and holds an endowed professorship at the University of Pennsylvania in nursing and sociology. 

Dr. Jeannie Cimiotti research interests focus on the health care workforce and the quality of patient care. She is internationally known for managing and evaluating large-scale research projects that examine nurse workforce issues. 

Dr. Olga Jarrín’s work has focused on how to improve our health care system for older adults and people of all ages living with chronic illness and disabilities. She believes that the best outcomes for patients are achieved when policies are in place that ensure health care professionals have the resources and support systems needed to provide essential patient care.

Dr. Ann Kutney-Lee’s research is focused on the effects of nursing care organization on patient outcomes, redesigned systems that can work more efficiently to provide equitable and high-quality patient care, and the adoption of technological innovations (e.g. electronic health records) and how they are correlated to patient outcomes.

Dr. Matthew D. McHugh draws on his expertise in nursing, law, public health, and health services research to conduct studies demonstrating nursing’s position as a force for quality, equity, and innovation in health services.  His work has advanced the field of nursing outcomes and policy research by showing the value of investing in nursing as a vehicle to achieve a higher functioning health care system.

Dr. Douglas Sloane has contributed to the design of over 60 research studies and the analysis of the data resulting from them, using a diversity of methods ranging from standard and robust linear and logistic regression procedures to loglinear models and mixed-level models and survival methods and time-series models

Dr. Herbert L. Smith has been involved in the study of the organizational aspects of hospital nursing, and their implication for the well-being of patients and nurses alike, for over 25 years. Professor Smith’s contributions focus on measurement, research design, and data analysis. 

 Organizations Providing Funding

The National Institute of Nursing Research. Dedicated to improving the health and health care of Americans through the funding of nursing research and research training to build the scientific foundation for clinical practice, prevent disease and disability, manage and eliminate symptoms caused by illness,and enhance end-of-life and palliative care. MORE

The Robert Wood Johnson Foundation (RWJF). The nation’s largest philanthropy dedicated solely to health. Since 1972, they have worked to identify the most pressing health issues facing America. MORE

The National Council of State Boards of Nursing  The not-for-profit organization charged with the responsibility of providing regulatory excellence for public health, safety and welfare, and protecting the public by ensuring that safe and competent nursing care is provided by licensed nurses​. MORE

The Rita and Alex Hillman Foundation. Improving the lives of patients and their families through nurse-led innovation. The Foundation understands nurses are uniquely positioned to generate solutions to major problems that will affect the health and health care of populations throughout the 21st century. MORE

The Boettner Center for Pensions and Retirement Research. The Wharton School of the University of Pennsylvania established the Center to support scholarly research, teaching, and outreach on global aging, successful retirement, and public and private pensions. MORE

Dr. Patricia A. Grady, Director, National Institute of Nursing Resarch.Dr. Patricia A. Grady, Director, National Institute of Nursing Resarch.

“Dr. Aiken is a visionary whose innovative work continues to increase nursing science’s impact on policy and practice across America and around the world.” 

Linda H. Aiken, PhD, RN, FAAN, RN4CAST-US Study DirectorLinda H. Aiken, PhD, RN, FAAN, RN4CAST-US Study Director

“The great strength of this project is that in creating a panel of organizational observations, we can see where change has occurred and why.”