Nurses play critical roles in patient safety and are often the last line of defense against medical errors and unsafe practices. Considerable research has explored the relationship between the nurse work environment and a variety of patient and nurse quality and safety outcomes. But until now, no synthesis of this body of research has been made to clearly articulate the association between nurse work environments and health care quality, safety and patient and clinician well-being.
In the decade since the federal government’s electronic health record (EHR) initiatives first became law, nearly all U.S. hospitals have adopted some form of EHR technology. Now, focus is on how a comprehensive EHR can enhance outcomes. Yet, little is known about the sociotechnical factors that can shape the relationship between advanced EHR adoption and quality of care.