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International research finds quality and safety problems in hospitals throughout 13 countries
Date:3/20/2012

In one of the largest studies of its kind, a consortium of investigators from 13 countries led the University of Pennsylvania School of Nursing in the U.S. and the Catholic University of Leuven, Belgium in Europe, found that nurses who reported better working conditions in hospitals and less likelihood of leaving also had patients who were more satisfied with their hospital stay and rated their hospitals more highly. The study was released today in the current issue of the prestigious British Medical Journal.

The massive study, which in some countries involved every hospital, surveyed 61,168 bedside nurses and 131,318 patients in more than 1,000 hospitals in 13 countries over the course of three years, finding that in those hospitals with better work environments and fewer patients in each nurse's workload, patient and nurses both reported higher standards of care and more satisfied patients.

"Patients in European and U.S. hospitals with better work environments were more likely to rate their hospital highly and to recommend their hospital" to others, wrote the study's lead author, Linda H. Aiken, PhD, RN, a professor of nursing and sociology and director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing.

Patient safety is also a concern in hospitals that have poor work environments and insufficient nurse staffing, said Walter Sermeus, professor at Catholic University of Leuven, Belgium, leader of the European consortium.

Nurses in Poland and Greece were three times more likely to give their hospitals a failing grade for safety than nurses in the U.S. and Norway. The majority of nurses in every country expressed a lack of confidence that hospital management would resolve problems in patient care.

Specifically the researchers found that:

  • High nurse burnout and job dissatisfaction were common among hospital nurses in Europe and the U
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Contact: Joy McIntyre
joymc@nursing.upenn.edu
215-898-5074
University of Pennsylvania School of Nursing
Source:Eurekalert

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