Hospital Nurse Staffing and Patient Mortality, Nurse
Burnout, and Job Dissatisfaction
Linda H. Aiken; Sean P. Clarke; Douglas M. Sloane; et al.
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current as of July 21, 2010. JAMA. 2002;288(16):1987-1993 (doi:10.1001/jama.288.16.1987)
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Downloaded from www.jama.com at Emory University on July 21, 2010ORIGINAL CONTRIBUTION
Hospital Nurse Staffing and
Patient Mortality, Nurse Burnout,
and Job Dissatisfaction
Linda H. Aiken, PhD, RN
Context The worsening hospital nurse shortage and recent California legislation
Sean P. Clarke, PhD, RN mandating minimum hospital patient-to-nurse ratios demand an understanding of
how nurse staffing levels affect patient outcomes and nurse retention in hospital
Douglas M. Sloane, PhD
Julie Sochalski, PhD, RN
Objective To determine the association between the patient-to-nurse ratio and pa-
Jeffrey H. Silber, MD, PhD tient mortality, failure-to-rescue (deaths following complications) among surgical pa-
tients, and factors related to nurse retention.
HE PAST DECADE…