There is a limited understanding of the significance and the potential contribution that nursing can make through practice, policy, science, and profession to the global health agenda. In this article, we present some of the evidence to demonstrate the clinical, social, and economic returns on investment in nursing. We conclude by addressing the issues that nurse and system leaders need to address in order to achieve these returns on investments, and unless nurses get involved at the leadership level, these returns on investment will not be attained.
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References
1.
KaneRLShamliyanTAMuellerCDuvaleSTimothyJ. The association of registered nurse staffing levels and patient outcome: systematic review and meta analysis. Med Care. 2007;45(12):1195–1204.
2.
LangTAHodgeMOlsonVRomanoPSKravitzRL. Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. J Nurs Adm. 2004;34(7-8):326–337.
3.
AikenLHClarkeSPCheungRBSloaneDMSilberJH. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617–1623.
4.
AikenLHClarkeSPSloaneDMSochalskiJSilberJH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987–1993.
5.
AikenLHSermeusWVan den HeedeK. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012;344:e1717.
6.
GriffithsPDallCSimonM. Nurses’ shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. Med Care. 2014;52(11):975.
7.
RogersAEHwangWTScottLDAikenLHDingesDF. The working hours of hospital staff nurses and patient safety. Health Aff. 2004;23(4):202–212.
8.
KaneRLShamliyanTAMuellerCDuvalSWiltTJ. The association of registered nurse staffing levels and patient outcomes: systematic review and meta-analysis. Med Care. 2007;45(12):1195–1204.
GrinspunDViraniTBajnokI. Nursing best practice guidelines: the RNAO (Registered Nurses Association of Ontario) project. Hosp Q. 2000;5(2):56–60.
11.
Institute of Medicine (US). The Future of Nursing: Leading Change, Advancing Health. Washington, D.C.: National Academies Press; 2011.
12.
KeepnewsDM. Mapping the Economic Value of Nursing: A White Paper. Seattle: Washington State Nurses Association; 2011.
13.
BuchanJO’MayFDussaultG. Nursing workforce policy and the economic crisis: a global overview. J Nurs Scholarsh. 2013;45(3):298–307.
14.
EckenrodeJGanzelBHendersonCRJr. Preventing child abuse and neglect with a program of nurse home visitation: the limiting effects of domestic violence. JAMA. 2000;284(11):1385–1391.
15.
TamakiA. Effectiveness of home visits by mental health nurses for Japanese women with postpartum depression. Int J Mental Health Nurs. 2008;17(6):419–427.
16.
Assembly UG. Transforming our world: The 2030 agenda for sustainable development. UN Doc A/70/L2015, 1.
17.
World Health Organization. Tracking Universal Health Coverage: First Global Monitoring Report. Geneva, Switzerland: World Health Organization; 2015.
18.
ShamianJTomblin-MurphyGRoseAEJeffsLP. No global health without Human Resources For Health (HRH): the nursing lens. Can J Nurs Leader. 2015. doi:10.12927/cjnl.2015.24204.
19.
DallTMChenYJSeifertRFMaddoxPJHoganPF. The economic value of professional nursing. Med Care. 2009;47(1):97–104.
20.
NeedlemanJBuerhausPIStewartMZelevinskyKMattkeS: Nurse staffing in hospitals: Is there a business case for quality?Health Aff. 2006;25(1):204–211.
21.
McHughMDBerezJSmallDS. Hospitals with higher nurse staffing had lower odds of readmissions penalties than hospitals with lower staffing. Health Aff. 2013;32(10):1740–1747.
22.
McHughMDMaC. Hospital nursing and 30-day readmissions among Medicare patients with heart failure, acute myocardial infarction, and pneumonia. Med Care. 2013;51(1):52–59.
23.
WeissMEYakushevaOBobayKL. Quality and cost analysis of nurse staffing, discharge preparation, and postdischarge utilization. Health Serv Res. 2011;46(5):1473–1494.
24.
TretteteigSVatneSRokstadA. The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature [published online March 27, 2015]. Aging Ment Health. 2015:1–13.
25.
WangLYVernon-SmileyMGapinskiMADesistoMMaughanESheetzA. Cost-benefit study of school nursing services. JAMA Pediatr. 2014;168(7):642–648.
26.
AikenLHClarkeSPSloaneDMLakeETCheneyT. Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm. 2008;38(5):223.
27.
McClureML. Magnet hospitals: insights and issues. Nurs Adm Q. 2005;29(3):198–201.
28.
AikenLHClarkeSPSloaneDM. Hospital staffing, organization, and quality of care: cross-national findings. Int J Qual Health Care. 2002;14(1):5–13.
29.
AikenLHClarkeSPSloaneDM. Nurses’ reports on hospital care in five countries. Health Aff (Millwood). 2001;20(3):43–53.
30.
LaschingerHKFineganJShamianJ. The impact of workplace empowerment, organizational trust on staff nurses; work satisfaction and organizational committment. Health Care Management Review2001;26:7–23.
31.
LaschingerHKFineganJShamianJAlmostJ. Testing Karasek’s demands-control model in restructured healthcare settings: effects of job strain on staff nurses’ quality of work life. J Nurs Adm. 2001;31(5):233–243.
32.
ShamianJKerrMSLaschingerHKThomsonD. A hospital-level analysis of the work environment and workforce health indicators for registered nurses in Ontario’s acute-care hospitals. Can J Nurs Res. 2002;33(4):35–50.
33.
O’Brien-PallasLLMurphyGTShamianJ.Final Report: Understanding the Costs and Outcomes of Nurses’ Turnover in Canadian Hospitals (Nursing Turnover Study). Ontario, Canada: Nursing Health Services Research Unit, Canadian Health Services Research Foundation; 2008.
34.
EllenMELavisJNOuimetMGrimshawJBedardPO. Determining research knowledge infrastructure for healthcare systems: a qualitative study. Implement Sci. 2011;6:60.
35.
EllenME. Knowledge Translation on Ageing and Health: A Framework for Policy Development. Geneva, Switzerland: World Health Organization; 2012.
36.
LavisJNLomasJHamidMSewankamboNK. Assessing country-level efforts to link research to action. Bull World Health Organ. 2006;84(8):620–628.
37.
EllenMEBrownAD. Transferring research from researchers to knowledge users: the importance of relationships and getting them right [published on-line September 30, 2015]. J Health Serv Res Policy. 2015.
38.
ShamianJ. Global perspectives on nursing and its contribution to healthcare and health policy: thoughts on an emerging policy model. Nurs leader (Toronto, Ont). 2013;27(4):44–50.