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A Study of the Impact of Nursing Staff Mix Models & Organizational Change Strategies on Patient, System & Caregiver Outcomes

January 2, 2004 | By |

The Nursing Staff Mix Outcomes Study (NSMOS) was a province-wide research project that was designed to assess the impact of the composition and mix of nursing care staff in acute care teaching hospitals on patient, nurse and system outcomes.

This study was designed to address the imperative for reliable and valid data on the impact of different compositions of nursing care staff in acute care teaching hospitals on patient, nurse and system outcomes. The study was conducted at 19 teaching hospitals across Ontario, and included questionnaires, interviews, focus groups, and data from selected databases. Approximately 2,046 patients, 1,116 nurses, 63 unit managers, and over 50 senior executives participated in the study. The study had two primary purposes : 1) to describe the nature of the staff mix, and 2) to evaluate the impact of different staff mixes on patient, system and nurse outcomes.

Funding:
Canadian Health Services Research Foundation (CHSRF); and Ontario Council of Teaching Hospitals $482,000.00 (1998-2001)

Investigators:
L. McGillis Hall, D. Irvine, G.R. Baker, G. Pink, S. Sidani, L. O’Brien Pallas, & G. Donner

Publications:
2007 McGillis Hall, L., & Doran, D. Nurses’ Perceptions of Hospital Work Environments. Journal of Nursing Management, 15(3), 264-273.

2004 McGillis Hall, L., Doran, D., & Pink, G. Nurse Staffing Models, Nursing Hours and Patient Safety Outcomes. Journal of Nursing Administration, 34 (1), 41-45.

2003 McGillis Hall, L., Doran, D., Baker, G.R., Pink, G., Sidani, S., O’Brien Pallas, L., & Donner, G. Nurse Staffing Models as Predictors of Patient Outcomes. Medical Care, 41 (9), 1096-1109.

2003 McGillis Hall, L., & Doran, D. Nurse Staffing, Care Delivery Model and Patient Care Quality. Journal of Nursing Care Quality, 19 (1) 27-33.

2002 McGillis Hall, L., Irvine, D., Baker, G.R., Pink, G., Sidani, S., O’Brien Pallas, L., & Donner, G. Nurse Staffing and Work Status in Medical, Surgical and Obstetrical Units in Ontario Teaching Hospitals. Hospital Quarterly, 5(4), 64-69.

2001 Doran, D., McGillis Hall, L., Baker, G.R., Pink, G., Sidani, S., O’Brien Pallas, L., & Donner, G. Nursing Staff Mix and Patient Outcome Achievement: The Mediating Role of Nurse Communication. International Nursing Perspectives 1 (2-3) 74-83.

Reports:
2001 McGillis Hall, L., Irvine, D., Baker, G.R., Pink, G., Sidani, S., O’Brien Pallas, L., & Donner, G. A Study of the Impact of Nursing Staff Mix Models & Organizational Change Strategies on Patient, System & Nurse Outcomes. Toronto, ON: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto and Canadian Health Services Research Foundation/Ontario Council of Teaching Hospitals. ISBN# 0-7727-3603-0.