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Methods, measures, and metrics of nurse staffing: uncovering the evidence.

In this special issue, Linda Aiken, PhD, RN, FAAN, FRCN, is interviewed on “The Impact of Research on Staffing” by Karlene M. Kerfoot, PhD, RN, NEA-BC, FAAN, and Kathy S. Douglas, MHA, RN, Nursing Economic$ Editorial Board Members. Dr. Aiken illustrates the relevancy and validity of measures and metrics on nurse staffing. As Dr. Aiken states, the “more transparent information on what staffing levels are at hospitals, consumers and nurses could exercise more in formed choices in selecting a hospital for care or employment.” By reporting better performance and penalties for poor performance, measures and metrics become the real financial incentives for all institutions (hospitals and ambulatory care settings) to make significant changes in improving nurse staffing. Suddenly, through financial incentives and penalties, patients, providers, and payers are acutely aware of the impact nursing and the entire health care team has on the system’s bottom line. With the need for publicly reportable data that are tied to value-based purchasing, there are opportunities to establish solid research methodologies to acknowledge the value of nursing and patient care supported by team-based approaches.