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

Author

Listed:
  • Roy A. Carr‐Hill
  • Paul Dixon
  • Mary Griffiths
  • Moira Higgins
  • Dorothy McCaughan
  • Nigel Rice
  • Ken Wright

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.

Suggested Citation

  • Roy A. Carr‐Hill & Paul Dixon & Mary Griffiths & Moira Higgins & Dorothy McCaughan & Nigel Rice & Ken Wright, 1995. "The impact of nursing grade on the quality and outcome of nursing care," Health Economics, John Wiley & Sons, Ltd., vol. 4(1), pages 57-72, January.
    • Handle: RePEc:wly:hlthec:v:4:y:1995:i:1:p:57-72
    DOI: 10.1002/hec.4730040106
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    References listed on IDEAS

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    1. Roy Carr-Hill & Paul Dixon & Ian Gibbs & Mary Griffiths & Moira Higgins & Dorothy McMaughan & Ken Wright, 1992. "Skill mix and the effectiveness of nursing care," Working Papers 015cheop, Centre for Health Economics, University of York.
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