Linking Processes of Nursing Care and Patient Safety Outcomes

An Analysis of the Cause and Effects of Safe Practices

Research briefs from the Robert Wood Johnson Foundation (RWJF) Nursing Research Network identify specific ways nurses affect patient care quality and outcomes. Since 2005, the Interdisciplinary Nursing Quality Research Initiative (INQRI) program has supported interdisciplinary teams that involved nursing scholars and scholars from other disciplines in research projects—from the conceptual study design to the adoption in practice of new measures of standards of care.

This research brief identifies hospital characteristics that facilitate adoption of the National Quality Forum’s (NQF) Safe Practices for Better Healthcare targeted at improving patient safety.

Key Findings

  • The majority of hospitals adopted Safe Practices for Better Healthcare within three years.

  • Hospitals in competitive markets with higher shares of private patients were significantly more likely to adopt Safe Practices for Better Healthcare.

  • Insufficient staffing was a barrier to adoption.  Hospitals with Registered Nurse (RN) staffing levels below the 25th percentile were significantly less likely to report adopting Safe Practices for Better Healthcare.

  • Magnet hospitals were significantly more likely to be early adopters of Safe Practices for Better Healthcare.

More from Interdisciplinary Nursing Quality Research Initiative

To support interdisciplinary studies that address critical knowledge gaps regarding causal linkages between nursing and health care quality and to synthesize, translate, and disseminate major findings to key stakeholders.

More from Interdisciplinary Nursing Quality Research Initiative