Evidence map›Paper›PMID 36588039›Full record

ArticleNursing outlook

A repeated cross-sectional study of nurses immediately before and during the COVID-19 pandemic: Implications for action.

Linda H Aiken, Douglas M Sloane, Matthew D McHugh, Colleen A Pogue, Karen B Lasater

Abstract read
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–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.

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

47 citing papers in PubMed.

  1. Article
  2. Nurses' Transitions Into and Out of the Home Health Sector.Medical care research and review : MCRR · 2026
    Article
  3. Observational
  4. Job and Health Outcomes Among Transgender and Gender-Diverse Nurses.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026
    Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Nurse Well-being Drives Patient Satisfaction in Magnet Hospitals.The Journal of nursing administration · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article
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

5 authors.

Linda H AikenCenter for Health Outcomes and Policy Research, School of Nursing, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. Electronic address: laiken@nursing.upenn.edu.
Douglas M SloaneCenter for Health Outcomes and Policy Research, School of Nursing, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Matthew D McHughCenter for Health Outcomes and Policy Research, School of Nursing, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Colleen A PogueCenter for Health Outcomes and Policy Research, School of Nursing, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Karen B LasaterCenter for Health Outcomes and Policy Research, School of Nursing, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

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
Learning from Hospital Preparedness during COVID: Chronically Under-Resourced Nurses and Patient SafetyR01HS028978 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI LASATER, KAREN BLANCHETTE · 2022 to 2024
$1.1M
AHRQ HHS R01 HS028978NINR NIH HHS R01 NR014855NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

backgroundThe shortage of nursing care in US hospitals has become a national concern. PURPOSE: The purpose of this manuscript was to determine whether hospital nursing care shortages are primarily due to the pandemic and thus likely to subside or due to hospital nurse understaffing and poor working conditions that predated it.

methodsThis study used a repeated cross-sectional design before and during the pandemic of 151,335 registered nurses in New York and Illinois, and a subset of 40,674 staff nurses employed in 357 hospitals.

findingsNo evidence was found that large numbers of nurses left health care or hospital practice in the first 18 months of the pandemic. Nurses working in hospitals with better nurse staffing and more favorable work environments prior to the pandemic reported significantly better outcomes during the pandemic. DISCUSSION: Policies that prevent chronic hospital nurse understaffing have the greatest potential to stabilize the hospital nurse workforce at levels supporting good care and clinician wellbeing.

Indexed as

COVID-19NursesNursing Staff, HospitalCross-Sectional StudiesHumansPandemicsPersonnel Staffing and SchedulingQuality of Health CareBurnoutNurse understaffingPandemicPatient safety

Identifiers

PMID36588039
PMCPMC9729649

What OpenQuestion holds

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Registered trials

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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.