Article| Volume 53, ISSUE 6, P270-273, November 2005

The intersection of nursing and health services research: Overview of an agenda setting conference

      The US healthcare system is beset by increasing costs, rising numbers of uninsured individuals, concerns about patient safety and quality of care, and workforce shortages.
      • Landro L.
      Healthcare organizations face these challenges daily, and in response they make choices that affect the quality and cost of care, and ultimately patient, organizational, and societal outcomes. Unfortunately, many of these choices are made without the benefit of data needed to make well-informed decisions. Thus, clinicians, administrators, researchers, and policy-makers urgently need research upon which to base decisions about health care delivery.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Nursing Outlook
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Landro L.
        Costs, politics of health care will dominate debate in ’03. Wall Street Journal, 2003: D4 (January 2)
        • Lohr K.N.
        • Steinwachs D.M.
        Health services research.
        Health Services Research. 2002; 37: 15-17
        • Eisenberg J.M.
        Health services research in a market-oriented health care system.
        Health Aff. 1998; 17: 98-108
        • Black N.
        Health services research.
        Lancet. 1997; 349: 1834-1836
        • Field M.J.
        • Tranquada R.E.
        • Feasley J.C.
        Health services research.
        National Academy Press, Committee on Health Services Research, Institute of Medicine, Washington (DC)1995
        • Bradham D.D.
        • Mangan M.
        • Warrick A.
        • Geiger-Brown J.
        • Reiner J.I.
        • Saunders H.J.
        Linking innovative nursing practice to health services research.
        Nurs Clin North Am. 2000; 35: 557-568
      1. Hospital Nurse Staffing and Quality of Care. Research in Action, Issue 14. AHRQ Publication No. 04-0029, March 2004. Agency for Healthcare Research and Quality, Rockville, MD. Available at:

        • Aiken L.H.
        • Clarke S.P.
        • Cheung R.B.
        • Sloane D.M.
        • Silber J.H.
        Education levels of hospital nurses and patient mortality.
        JAMA. 2003; 290: 1617-1623
        • Aiken L.H.
        • Clarke S.P.
        • Sloane D.M.
        • Sochalski J.
        • Silber J.H.
        Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.
        JAMA. 2002; 288: 1987-1993
        • Kovner C.
        • Gergen P.
        Nurse staffing levels and adverse events following surgery in U.S.
        hospitals. Image J Nurs Sch. 1998; 30: 315-321
        • Kovner C.T.
        • Jones C.B.
        • Zahn C.
        • Gergen P.
        • Basu J.
        Nurse staffing and post surgical adverse events.
        Health Serv Res. 2002; 37: 611-629
        • Mark B.A.
        • Salyer J.
        • Wan T.T.H.
        Professional nursing practice.
        J Nurs Admin. 2003; 33: 224-234
        • Mark B.A.
        • Harless D.
        • McCue M.
        • Xu Y.
        A longitudinal examination of hospital registered nurse staffing and quality of care.
        Health Serv Res. 2004; 39: 279-300
        • Needleman J.
        • Buerhaus P.
        • Mattke S.
        • Stewart M.
        • Zelevinsky K.
        Nurse-staffing levels and the quality of care in hospitals.
        N Engl J Med. 2002; 346: 1715-1722
        • Rogers A.E.
        • Hwang W.
        • Scott L.D.
        • Aiken L.H.
        • Dinges D.F.
        The working hours of hospital staff nurses and patient safety.
        Health Aff. 2004; 23: 202-212
        • Unruh L.
        Licensed nurse staffing and adverse events in hospitals.
        Med Care. 2003; 41: 142-152
        • Ingersoll G.L.
        • Hoffart N.
        • Schultz A.W.
        Health services research in nursing.
        Nurs Econ. 1990; 8: 229-238
        • Sidani S.
        • Braden C.J.
        Evaluating nursing interventions. SAGE Publications, Thousand Oaks (CA)1999
        • American Association of Colleges of Nursing
        Position Statement on nursing research. The Association. 1999 (Available at:
        • Jones C.B.
        • Lusk S.L.
        Incorporating health services research into nursing doctoral programs.
        Nurs Outlook. 2002; 50: 225-231
        • Spratley E.
        • Johnson A.
        • Sochalski J.
        • Fritz M.
        • Spencer W.
        The Registered Nurse Population, Findings from the National Sample Survey of Registered Nurses, March 2000. Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, PHS, USDHHS, 2002
        • Mitchell P.
        • Heinrich J.
        • Moritz P.
        • Hinshaw A.S.
        Outcome measures and care delivery systems.
        Med Care. 1997; 35: NS1-NS5
        • Lang N.M.
        • Mitchell P.H.
        • Hinshaw A.S.
        • Jennings B.M.
        • Lamb G.S.
        • Mark B.A.
        • et al.
        Measuring and improving healthcare quality.
        Med Care. 1997; 35: II1-II3
        • Lang N.M.
        • Mitchell P.H.
        Quality as an enduring and encompassing concept.
        Nurs Outlook. 2004; 52: 1-2


      Cheryl Bland Jones is Associate Professor and Health Care Systems Coordinator, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC.


      Barbara A. Mark is Sarah Frances Russell Distinguished Professor of Healthcare Systems, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC.