ArticleMedical care2016
Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients.
Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 185 citations in OpenAlex.
- Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries.Journal of nursing management · 2024Pooled it
- Pooled it
- The relationship between the nursing practice environment and five nursing-sensitive patient outcomes in acute care hospitals: A systematic review.Nursing open · 2021Pooled it
- Head Nurse's Ethical Leadership, Work Environment and Patients' Outcomes: A Multicentre Cross-Sectional Multilevel Study.Journal of advanced nursing · 2026Observational
- Work environment of nurses and technicians in Brazilian Intensive Care Units during the COVID-19 pandemic: a multicenter cross-sectional study.BMC health services research · 2026Article
- Article
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
- Call characteristics and factors associated with outcomes of in-hospital cardiac arrest response teams: a 10-year retrospective cohort study.Frontiers in public health · 2026Article
- Nurse Staffing and Patient Outcomes: A Call to Action for Chronic Wound Care Policy Reform.Advances in wound care · 2025Article
- Nursing staff levels, years of service and nationality diversity as predictors of patient satisfaction with nursing care: a retrospective analysis.Journal of research in nursing : JRN · 2025Article
- Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes.BMC health services research · 2025Article
- [Perceived quality of dental outpatient care from multiple perspectives based on Structure-Process-Outcome model].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025Article
- What Nurses' Work-Life Balance in a Clinical Environment Would Be.Healthcare (Basel, Switzerland) · 2025Article
- Psychosocial working conditions and violence prevention climate in German emergency departments - a cross-sectional study.BMC emergency medicine · 2025Article
- Association Between Nurse Staffing Coverage and Patient Outcomes in a Context of Prepandemic Structural Understaffing: A Patient-Unit-Level Analysis.Journal of nursing management · 2025Article
- Predictive factors of turnover intention of newly graduated nurses in their first year of employment: a longitudinal study.BMC nursing · 2024Article
- Unpacking Perceptions on Patient Safety: A Study of Nursing Home Staff in Italy.Healthcare (Basel, Switzerland) · 2024Article
- Patient Safety Culture in the Context of Critical Care: An Observational Study.Nursing reports (Pavia, Italy) · 2024Article
- Critical care nurses' experiences of caring challenges during post-resuscitation period: a qualitative content analysis.BMC nursing · 2024Article
- Relevant factors affecting nurse staffing: a qualitative study from the perspective of nursing managers.Frontiers in public health · 2024Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAlthough nurses are the most likely first responders to witness an in-hospital cardiac arrest (IHCA) and provide treatment, little research has been undertaken to determine what features of nursing are related to cardiac arrest outcomes.
objectivesTo determine the association between nurse staffing, nurse work environments, and IHCA survival. RESEARCH
designCross-sectional study of data from: (1) the American Heart Association's Get With The Guidelines-Resuscitation database; (2) the University of Pennsylvania Multi-State Nursing Care and and Patient Safety; and (3) the American Hospital Association annual survey. Logistic regression models were used to determine the association of the features of nursing and IHCA survival to discharge after adjusting for hospital and patient characteristics. SUBJECTS: A total of 11,160 adult patients aged 18 and older between 2005 and 2007 in 75 hospitals in 4 states (Pennsylvania, Florida, California, and New Jersey).
resultsEach additional patient per nurse on medical-surgical units was associated with a 5% lower likelihood of surviving IHCA to discharge (odds ratio=0.95; 95% confidence interval, 0.91-0.99). Further, patients cared for in hospitals with poor work environments had a 16% lower likelihood of IHCA survival (odds ratio=0.84; 95% confidence interval, 0.71-0.99) than patients cared for in hospitals with better work environments.
conclusionsBetter work environments and decreased patient-to-nurse ratios on medical-surgical units are associated with higher odds of patient survival after an IHCA. These results add to a large body of literature suggesting that outcomes are better when nurses have a more reasonable workload and work in good hospital work environments. Improving nurse working conditions holds promise for improving survival following IHCA.
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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.