Evidence map›Paper›PMID 29889724›Full record

ArticleJournal of nursing care quality

Association of Nurse Engagement and Nurse Staffing on Patient Safety.

J Margo Brooks Carthon, Linda Hatfield, Colin Plover, Andrew Dierkes, Lawrence Davis, Taylor Hedgeland, Anne Marie Sanders, Frank Visco, Sara Holland, Jim Ballinghoff and 2 more

Abstract read
In one paragraph

Article in Journal of nursing care quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
17.1field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 153 citations in OpenAlex.

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  8. Medicaid Expansion and Patient Safety Culture in USA Hospitals.International journal of environmental research and public health · 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

12 authors at 1 institution in 1 country.

J Margo Brooks CarthonCenter for Health Outcomes and Policy Research, and School of Nursing, University of Pennsylvania, Philadelphia (Drs Brooks Carthon, Hatfield and Aiken and Messrs Dierkes and Plover); Pennsylvania Hospital, Philadelphia (Dr Hatfield, Mss Sanders and Del Guidice and Mr Visco); and Penn Presbyterian Medical Center, Philadelphia, Pennsylvania (Dr Holland, Messrs Davis and Ballinghoff, and Ms Hedgeland).
Linda Hatfield
Colin Plover
Andrew Dierkes
Lawrence Davis
Taylor Hedgeland
Anne Marie Sanders
Frank Visco
Sara Holland
Jim Ballinghoff
Mary Del Guidice
Linda H Aiken
Vetenskap I Skolan · SE

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
The Impact of Changes in Nursing Systems and Models of Care on Patient Outcomes: A Panel StudyR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Matthew D. McHugh · 2014 to 2026
$7.5M
Outcomes of Nurse Practice EnvironmentsR01NR004513 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 1997 to 2012
$5.9M
NINR NIH HHS R01 NR004513NINR NIH HHS R01 NR014855NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

backgroundNurse engagement is a modifiable element of the work environment and has shown promise as a potential safety intervention. PURPOSE: Our study examined the relationship between the level of engagement, staffing, and assessments of patient safety among nurses working in hospital settings.

methodsA secondary analysis of linked cross-sectional data was conducted using survey data of 26 960 nurses across 599 hospitals in 4 states. Logistic regression models were used to examine the association between nurse engagement, staffing, and nurse assessments of patient safety.

resultsThirty-two percent of nurses gave their hospital a poor or failing patient safety grade. In 25% of hospitals, nurses fell in the least or only somewhat engaged categories. A 1-unit increase in engagement lowered the odds of an unfavorable safety grade by 29% (P < .001). Hospitals where nurses reported higher levels of engagement were 19% (P < .001) less likely to report that mistakes were held against them. Nurses in poorly staffed hospitals were 6% more likely to report that important information about patients "fell through the cracks" when transferring patients across units (P < .001).

conclusionsInterventions to improve nurse engagement and adequate staffing serve as strategies to improve patient safety.

Indexed as

Patient SafetyPersonnel Staffing and SchedulingCross-Sectional StudiesHospitalsHumansNursing Staff, HospitalQuality of Health CareSurveys and QuestionnairesWorkplace

Identifiers

PMID29889724
PMCPMC6263830
OpenAlexW2806252184

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.