Which of the following are processes of care within a hospital that are likely to be scrutinized in research focusing on nursing-sensitive patient outcomes?
a. Cost of hospital insurance
b. The ways nurses perform a certain task of patient care
c. Whether there are policies governing a procedure
d. Educational preparation of nurses
e. Staffing ratios
f. Number of hospital beds
ANS: B, C, D, E
A nursing-sensitive patient outcome is "sensitive" because it is influenced by nursing care decisions and actions. It may not be caused by nursing, but is associated with nursing. In various situations, "nursing" might be the individual nurse, nurses as a working group, the approach to nursing practice, the nursing unit, the institution that determines numbers of nurses, salaries, educational levels of nurses, assignments of nurses, workload of nurses, management of nurses, and policies related to nurses and nursing practice. It might even include the architecture of the nursing unit. In whatever form, nursing actions have a role in the outcome, even though acts of other professionals, organizational acts, and patient characteristics and behaviors often are involved in the outcome.
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