Evidence map›Paper›PMID 19737326›Full record

ArticleJournal of advanced nursing2009

Variations in nursing care quality across hospitals.

Robert J Lucero, Eileen T Lake, Linda H Aiken

Registry-linked trialAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03867864 (Hao-Yuan Chang, Assistant Professor, School of Nursing, National Taiwan University), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03867864 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Hao-Yuan Chang, Assistant Professor, School of Nursing, National Taiwan University

TypeinterventionalSponsorNational Taiwan University HospitalRan2019 to 2019Enrolled103ConditionsHeadache, Migraine, Quality of LifeArmsNecklace with essential oil for the first 4 weeks, Necklace without essential oil for the first 4 weeks, Washout, Necklace with essential oil for last 4 weeks, Necklace without essential oil for last 4 weeks
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Missed Nursing Care in Danish Hospitals: A National Survey.Scandinavian journal of caring sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Robert J LuceroCenter for Evidence-Based Practice in the Underserved, Columbia University, New York, USA. rl2451@columbia.edu
Eileen T Lake
Linda H Aiken

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Outcomes of Nurse Practice EnvironmentsR01NR004513 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 1997 to 2012
$5.9M
Research Facilitation CoreP30NR005043 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 2000 to 2010
$4.5M
NINR NIH HHS P30 NR005043NINR NIH HHS R01 NR004513NINR NIH HHS R01-NR-005043NINR NIH HHS T32 NR007104NINR NIH HHS T32 NR007969NINR NIH HHS T32-NR007969PHS HHS T32-007104
6 · The paper itself

Abstract

titleVariations in nursing care quality across hospitals.

aimsThe aim of the study was to describe Registered Nurses' reports of unmet nursing care needs and examine the variation of nursing care quality across hospitals.

backgroundLarge proportions of Registered Nurses have reported leaving necessary care activities undone because they lacked the time to complete the activities. Nursing care left undone can be expected to adversely affect the quality of care. However, little is known about the degree of variation in the quality of nursing care across hospitals.

methodsIn 2008, a secondary analysis of a 1999 survey of Registered Nurses (n = 10,184) was conducted using descriptive and comparative statistics. Data were derived from inpatient staff nurses working in acute care hospital settings (n = 168). A hospital-level measure (i.e. unmet nursing care needs) of the quality of nursing care was developed from care needs left undone among all nurses.

resultsAcross hospitals there was a wide range in the proportion of Registered Nurses who reported leaving each nursing care need undone. They reported leaving two of seven necessary nursing care activities undone during their last shift. After controlling for nurses' demographic information, we found statistically significant variations in the quality of nursing care across hospitals.

conclusionDifferences in nursing care quality across hospitals appear to be closely associated with variations in the quality of care environments. Understanding the determinants of unmet nursing care needs can support policy decisions on systems and human resources management to enhance nurses' awareness of their care practices and the care environment.

Indexed as

AdultFemaleHospitalsHumansMaleMiddle AgedNursing CareNursing ProcessNursing Staff, HospitalPennsylvaniaQuality of Health CareYoung Adult

Identifiers

PMID19737326
PMCPMC2763049

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.