The impact of nursing grade on the quality and outcome of nursing care

Roy A. Carr‐Hill, Paul Dixon, Mary Griffiths, Moira Higgins, Dorothy McCaughan, Nigel Rice and Ken Wright

Health Economics, 1995, vol. 4, issue 1, 57-72

Abstract: The large industry which has grown up around the estimation of nursing requirements for a ward or for a hospital takes little account of variations in nursing skill; meanwhile nursing researchers tend to concentrate on the appropriate organisation of the nursing process to deliver best quality care. This paper, drawing on a Department of Health funded study, analyses the relation between skill mix of a group of nurses and the quality of care provided. Detailed data was collected on 15 wards at 7 sites on both the quality and outcome of care delivered by nurses of different grades, which allowed for analysis at several levels from a specific nurse‐patient interaction to the shift sessions. The analysis shows a strong grade effect at the lowest level which is 'diluted' at each succeeding level of aggregation; there is also a strong ward effect at each of the lower levels of aggregation. The conclusion is simple; you pay for quality care.

Date: 1995
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https://doi.org/10.1002/hec.4730040106

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Persistent link: https://EconPapers.repec.org/RePEc:wly:hlthec:v:4:y:1995:i:1:p:57-72

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