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Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? (1996)

Chapter: Part II: Resources for the Study

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Suggested Citation:"Part II: Resources for the Study." Institute of Medicine. 1996. Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?. Washington, DC: The National Academies Press. doi: 10.17226/5151.
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Part II
Resources For The Study

Overview

In the course of its deliberations the Institute of Medicine (IOM) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes relied on a variety of sources of information. Part II of this report is designed to make some of these resources available to the reader, specifically, a discussion of the study activities; statistical resources used by the committee members; and the background papers commissioned by the committee.

The study activities are described in that section of the report, which immediately follows this introduction, as well as in the introduction to Part I (Chapter 1). The statistical resources are data from the American Hospital Association's annual hospital surveys and its National Hospital Panel Surveys, and data from the Bureau of Labor Statistics, the Public Health Service, and other sources; these were used to better understand trends in the delivery of, and market for, acute care. Several chapters in the report benefited from these data. The commissioned papers provided scholarly background information on a range of issues for the committee's benefit.

Suggested Citation:"Part II: Resources for the Study." Institute of Medicine. 1996. Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?. Washington, DC: The National Academies Press. doi: 10.17226/5151.
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Suggested Citation:"Part II: Resources for the Study." Institute of Medicine. 1996. Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?. Washington, DC: The National Academies Press. doi: 10.17226/5151.
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Page 239
Suggested Citation:"Part II: Resources for the Study." Institute of Medicine. 1996. Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?. Washington, DC: The National Academies Press. doi: 10.17226/5151.
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Page 240
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Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnel--and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

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