Quote from Anoetos
Actually, it is true. The classic paper by Linda Aiken (remember that name).
We had a talk from our Chief Nursing Officer recently in which she noted that the Magnet standard would be moving and that we were aiming for 80% BSN among our RNs (we're currently at about 64%). Then she said, "Because research has shown that patients experience better outcomes having received care from a predominantly BSN prepared nursing staff".
I thought this was interesting. I am not pointing it out to start a fight, I haven't followed up on it, if it's true, it's reason enough.
Effects of Hospital Care Environment on Patient Mortality and
Linda H. Aiken, PhD, RN, FAAN, Sean P. Clarke, PhD, RN, FAAN, Douglas M. Sloane, PhD,
Eileen T. Lake, PhD, RN, and Timothy Cheney
Director (Dr Aiken), Associate Director (Dr Clarke), Research Professor (Dr Sloane), Assistant
Professor (Dr Lake), Senior Analyst (Mr Cheney), Center for Health Outcomes and Policy Research,
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania
Objective—The objective of this study was to analyze the net effects of nurse practice environments
on nurse and patient outcomes after accounting for nurse staffing and education.
Background—Staffing and education have well-documented associations with patient outcomes,
but evidence on the effect of care environments on outcomes has been more limited.
Methods—Data from 10,184 nurses and 232,342 surgical patients in 168 Pennsylvania hospitals
were analyzed. Care environments were measured using the practice environment scales of the
Nursing Work Index. Outcomes included nurse job satisfaction, burnout, intent to leave, and reports
of quality of care, as well as mortality and failure to rescue in patients.
The analyses reported here suggest that nurse leaders have at least 3 major options for
improving nurse retention and patient outcomes: improving RN staffing, moving to a more
educated nurse workforce, and improving the care environment. The best present example of
care environments that support professional nurse practice are magnet hospitals.21,7 Emerging
research demonstrates that hospitals that implement the blue print for American Nurses
Credentialing Center Magnet designation achieve significant improvements in their practice
environments.22 In this study, we are able to demonstrate that hospitals with even some of the
features of magnet hospitals (investments in staff development, quality management, frontline
manager supervisory ability, and good relations with physicians) are associated with better
nurse and patient outcomes. Our findings show that each of the 3 options for improving
outcomes—improving nurse staffing, education, and the care environment—contributes
independently to better patient outcomes, and maximizing all 3 would seem to hold the greatest
promise for achieving the best outcomes.