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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. The grant funding through NIH and other sources allows CHOPR investigators to design and carry out an efficient, innovative extension of the earlier survey, thus creating a larger study of the impact of change in nursing factors on outcomes. Researchers are currently analyzing data from RNs working in over 600 hospitals, nursing homes and home care agencies in four states.

Dr. Patricia A. Grady, Director, NINR,October 14, 2014Dr. Patricia A. Grady, Director, NINR,October 14, 2014“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.”

Our Research Team 


<a href="/live/profiles/93-linda-h-aiken" target="_blank" rel="noopener noreferrer">Linda H Aiken, PhD, FAAN, FRCN, RN, </a>Principal InvestigatorLinda H Aiken, PhD, FAAN, FRCN, RN, Principal InvestigatorDr. 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. She directs the Center for Health Outcomes and Policy Research at the University of Pennsylvania.

<a href="/live/profiles/14764-ann-kutney-lee" target="_blank" rel="noopener noreferrer">Ann Kutney-Lee, PhD, MSN, RN, FAAN,</a> Co InvestigatorAnn Kutney-Lee, PhD, MSN, RN, FAAN, Co InvestigatorDr. 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.

<a href="" target="_blank" rel="noopener noreferrer">Jeannie P. Cimiotti, PhD, RN, FAAN,</a> Co-InvestigatorJeannie P. Cimiotti, PhD, RN, FAAN, Co-InvestigatorDr. Cimiotti is internationally known for managing and evaluating large-scale research projects that examine nurse workforce issues. She has over a decade of experience in survey research and she has worked with Dr. Aiken’s research team in the Center for Health Outcomes and Policy Research (CHOPR) at the University of Pennsylvania for over eight years.

<a href="/live/profiles/92-matthew-d-mchugh" target="_blank" rel="noopener noreferrer">Matthew D. McHugh, PhD, JD, RN, MPH, CRNP, FAAN, </a>Co-InvestigatorMatthew D. McHugh, PhD, JD, RN, MPH, CRNP, FAAN, Co-InvestigatorDr. 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. He has carried out several studies evaluating nurse-to-patient ratio policy implementation in the U.S. published in the prestigious health policy journals Health Affairs and The Milbank Quarterly. 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.

<a href="" target="_blank" rel="noopener noreferrer">Olga F. Jarrín, PhD, RN</a>, Co-InvestigatorOlga F. Jarrín, PhD, RN, Co-InvestigatorDr. 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, including education, advocacy, and coordination of care.

Douglas M. Sloane, PhD, Co-InvestigatorDouglas M. Sloane, PhD, Co-InvestigatorDr. 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

<a href="" target="_blank" rel="noopener noreferrer">Herbert Smith, Ph.D., </a>Co InvestigatorHerbert Smith, Ph.D., Co InvestigatorDr. 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.