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A Study of the Impact on Selected Patient, Nurse and System Outcomes of Different Staff Mix Alternatives and Work Designs

January 1, 2003 | By |

The purpose of this study was to determine the relationship between staff mix models comprised of regulated staff (RNs and RPNs), regulated and unregulated staff (RNs and URWs), and nursing and quality outcomes.

It was hypothesized that registered nurses employed in settings with a staff mix comprised of regulated nursing care providers (RNs & RPNs) would report more positive nurse outcomes (e.g. decreased role ambiguity and role conflict, and increased job satisfaction) and quality outcomes (e.g. increased perceptions of the effectiveness of care and increased perceptions of the quality of care provided on the unit) than registered nurses employed in settings with a staff mix comprised of regulated and unregulated nursing care providers (RNs & URWs).

Funding:
Provincial Nurse Administrators Group of the Registered Nurses Association of Ontario; and Sigma Theta Tau International, Small Grants Program $4,500.00 (1997)

Investigators:
L. McGillis Hall

Publications:

2003 McGillis Hall, L. Nursing Staff Mix Models and Outcomes. Journal of Advanced Nursing, 44 (2), 217-226.

1998 McGillis Hall, L. Policy Implications When Changing Staff Mix. Nursing Economics$,16 (6), 291-297, 312.

1998 McGillis Hall, L. Use of Unregulated Workers in Toronto Hospitals. Canadian Journal of Nursing Administration, 11(2), 8-20.

1997 McGillis Hall, L. Staff Mix Models: Complementary or Substitution Roles for Nurses. Nursing Administration Quarterly, 21(2), 31-39.