Search

The article shares a readers' insight on the difference that the ten commitments in the chief nursing officer for England's Leading Change, Adding Value framework could make to nursing care. One respondent suggests the framework's potential to shape policies and ensure workforce training. A second respondent points out the lack of funding to help carry out the ten commitments, while another stresses the need to address poor staffing levels.

Although it's always been obvious that there has to be a link between nurse staffing levels and quality of patient care, it wasn't until the 1990s that research led by Linda Aiken in the United States (Aiken et al 1994) began to produce evidence of the nature of this relationship. I led the first study in England to establish whether or not similar links would be apparent in NHS hospitals, and its findings were reported in 2007 in the paper that underpins this article. [ABSTRACT FROM AUTHOR]