Nursing care is a fundamental aspect of effective, efficient, and safe health care. Over the past several decades, there has been considerable debate about how to best define, measure, and… Click to show full abstract
Nursing care is a fundamental aspect of effective, efficient, and safe health care. Over the past several decades, there has been considerable debate about how to best define, measure, and incorporate nurse staffing levels into clinical practice and health policy decisions. Nevertheless, nurse staffing levels have been used by oversight organizations, in public policy legislation, and in hospital rankings as a proxy for the quality of nursing care. One of the most visible examples is the US News and World Report “Best Hospitals” rankings. These rankings are commonly used by patients, referring providers, payers, and hospital executives. The methodology used to generate hospital ranking incorporates a Nurse Staffing Index (NSI), which has similarly been used in
               
Click one of the above tabs to view related content.