Recent Publications (2018-2019)
Aiken LH, Sloane DM, Barnes H, Cimiotti J. 2018. Nurses’ and patients’ appraisals show patient safety in hospitals remains a concern. Health Affairs 37(11).
We studied 535 hospitals in four large states at two points in time between 2005 and 2016 to determine the extent to which their work environments improved, and whether positive changes were associated with greater progress in patient safety. Download
Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. 2018. Patient satisfaction with hospital care and nursing in England: An observational study. BMJ Open (In the top 5% of all research outputs scored by Altmetric).
The objective of the study is to inform healthcare workforce policy decisions by showing how patient perceptions of hospital care are associated with confidence in nurses and doctors, nurse staffing levels and hospital work environments. Download
Aiken LH, Cerón C, Simonetti M, Lake ET, Galiano A, Garbarini A, Soto P, Bravo D, Smith, HL. 2018. Hospital nurse staffing and patient outcomes. Revista Médica Clínica las Condes Mayo 2018 Vol. 29(3): 322-327.
A program of international research by the Center for Health Outcomes and Policy Research at the University of Pennsylvania, USA, was undertaken to determine whether variation in hospital registered nurse (RN) staffing across hospitals contributed to poor patient outcomes. Download.
Aiken LH, Dahlerbruch J, Todd B, Bai G. 2018. The Graduate Nurse Education Demonstration: Implications for Medicare policy. New England Journal of Medicine 378:2360-2363.
CHOPR researchers call for modernizing the way Medicare pays for training nurses, and highlight a successful new model of cost-effectively training more advanced practice nurses to practice community-based primary care. Download.
Barnes H, Richards MR, Martsolf G, & McHugh MD. 2018. Rural and non-rural primary care physician practices increasingly rely on nurse practitioners. Health Affairs 37(6):908-914. (Health Affairs reports the paper is on the “2018 Top 10 Most Shared” list)
Little is known about trends in NP presence in primary care practices, or about how state policies such as scope-of-practice laws and expansion of eligibility for Medicaid may encourage or inhibit the use of NPs. We found increasing NP presence in both rural and nonrural primary care practices in the period 2008–16. Download
Brooks Carthon J, Hatfield L, Plover C, Dierkes A, Davis L, Hedgeland T, Sanders A, Visco F, Holland S, Ballinghoff J, Del Guidice M, Aiken LH. 2018. Association of nurse engagement with patient safety. Journal of Nursing Care Quality. DOI:10.1097/NGO.0000000000000334.
Our study examined the relationship between the level of engagement, staffing, and assessments of patient safety among nurses working in hospital settings and found that interventions to improve nurse engagement and adequate staffing serve as strategies to improve patient safety. Download
Lasater K, McHugh MD, Sloane DM, Aiken LH. 2018. Quality of end of life care and its association with nurse practice environments in US hospitals. JAGS Journal of American Geriatric Society. DOI: 10.111/jgs.15671.
Most nurses gave their hospitals an unfavorable evaluation of end‐of‐life care overall (58%) and said patients often experience painful procedures that were unlikely to change their outcome (53%). Download
Sloane DM, Smith HL, McHugh MD, Aiken LH. 2018. Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: A panel study. Medical Care. 56:1001-1008.
Changes within hospitals in nursing resources were associated with significant changes in quality of care and patient safety. Improvements in work environment of 1 SD decrease odds of unfavorable quality care and patient safety by factors ranging from 0.82 to 0.97. Download
Awards and Honors
Our faculty, fellows and colleagues have written some of the most highly cited and downloaded papers on hospital organization, nurse workforce and patient outcomes.
Nurses’ widespread job dissatisfaction, burnout and frustration with health benefits signal problems for patient care .
Top 5 Most Influential Research Articles of the Year, Robert Wood Johnson Foundation.
An increase in the number of nurses with baccalaureate .
One of the Most Read Papers of the Year in Health Affairs
Nurses’ reports on hospital care in five countries .
Winner of the American Academy of Nursing Media Award
Hospitals with higher nurse staffing had lower odds of readmissions penalties than hospitals with lower staffing .
Top 10 Most Read Papers of the Year in Health Affairs
Nurses’ reports on hospital care in five countries .
The 29 Most Influential Papers Published in Health Affairs in the first 25 Years
Educational levels of hospital nurses and surgical patient mortality . Winner of American Association of Colleges of Nursing’s John P. McGovern Award.
Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction . Winner of AcademyHealth Article of the Year Award in Health Services Research.
Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction . Winner of American Academy of Nursing Media Award.
Lower Medicare mortality among a set of hospitals known for good nursing ca re . Winner of American Academy of Nursing Media Award.
Nurse Staffing and Education and Hospital Mortality in Nine European Countries is In the top 5% of all research outputs scored by Altmetrics. With an overall attention score of 1609. Shared over 1600 times on Facebook. Retweeted more than 1200 times on Twitter. The paper’s findings remains in the public’s consciousness. Bloggers are still writing about the paper, the research and its implications in theBMJ on “Evidence Based Nursing blog .”